Time for
another BTLP-TACT exercise… it’s pouring hard outside and I’m a tad bored.
I asked
it if I might have a go. The spinny wheel thingy spun and spun. Eventually it
crashed. I started it again and it told me to process any samples in the
in-tray. There weren’t any. After a lot of fiddling about I came out of the
thing and went back in again. It gave me the thumbs down for that.
I tried
again.
Again the
spinny wheel thingy spun and spun. Finally it gave me two cases.
34385 – a
twenty-five year old woman needing group and save.
She grouped
as O Rh(D) Positive with antibody screen positive in all three cells. I requested
antibody panels. The IAT panel was variable. It was 3+ in cells 3 and 9 and 1+
in cells 1, 2, 5, 6, 7 and 10. Being negative in only cells 4 and 8 I could
only really exclude anti-C, anti-c, anti-e, anti-N, anti-s, anti-P1, anti-Fya,
The
enzyme screen was negative in everything therefore excluding all Rh antibodies
and anti-Lu(a).
So heaven
only knows what’s going on here… it could be an unholy combination of anti-S
and Fy(a) from which I couldn’t exclude anti-K. I don’t know – I would refer
this. I’d appreciate going through this with someone…
08821 – a
fifty-seven year old chap also needing group and save.
He
grouped as A Rh(D) Positive with antibody screen positive in cell 2. I
requested antibody panels. The IAT panel was positive in cells 2 and 6
corresponding to anti-K, as was the enzyme panel.
I got it wrong… apparently there was a clinically
significant antibody masked but not noted in case 34385. Was there? I’d like to
know what it was.
