|   hey, try this question 
 
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| Author | 15 Posts |
nadiabarati
| | 04/14/06 - 04:46 PM  
 
   
 
|   #1 |
Person is transfused with RBCS for a chronic anemia and devopls bilirubinemia and slight increase in lactate dehydrgenase. What would you see on peripheral blood smear: A. Complement protein C3bi bound to monoctes B. Degranulated neutrophils C. Erthrocyte ghosts D. HLA DR upregulation in circulating CD3 lymphocytes E. Ig bound to erthrocytes F. Nucleated erythrocytes
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| general malaise Forum Guru

Topics: 14 Posts: 433
| | 04/14/06 - 05:01 PM  
 
   
 
|   #2 |
C?
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| disha Forum Senior
Topics: 5 Posts: 118
| | 04/29/06 - 06:27 AM  
 
   
 
|   #3 |
C?
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| ramo7 Forum Senior
Topics: 15 Posts: 126
| | 04/30/06 - 02:45 AM  
 
   
 
|   #4 |
E?
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| yasmeen Forum Guru
Topics: 67 Posts: 936
| | 04/30/06 - 03:42 AM  
 
   
 
|   #5 |
F AFTER HEMOLYSIS RETICULOCYTE COUNT INC AS COMPENSATION FROM MARROW
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| robin082006 Forum Hero

Topics: 471 Posts: 5,125
| | 04/30/06 - 10:02 AM  
 
   
 
|   #6 |
How about E? immune hemolytic anemia after blood transfusion.
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| tolito Forum Fanatic
Topics: 119 Posts: 2,164
| | 04/30/06 - 10:29 PM  
 
   
 
|   #7 |
the high lactate dehydrogenase suggests it was old blood transfused so i will go with c.
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| pocas Forum Elite

Topics: 7 Posts: 169
| | 04/30/06 - 11:16 PM  
 
   
 
|   #8 |
E
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| yasmeen Forum Guru
Topics: 67 Posts: 936
| | 05/01/06 - 11:16 AM  
 
   
 
|   #9 |
FOR E WON,T U REQUIRE COOMBS TEST OR ONLY BLOOD SMEAR WILL SUFFICE? WHY IS F WRONG?
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| r_albayunen Forum Senior

Topics: 0 Posts: 218
| | 05/01/06 - 08:48 PM  
 
   
 
|   #10 |
E .. but yasmeen is right about Ret Count on F 
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| nadiabarati
| | 06/12/06 - 01:15 PM  
 
   
 
|   #11 |
it says in blood smear!!! you can not see Ig in blood smear. So I say F
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| tolito Forum Fanatic
Topics: 119 Posts: 2,164
| | 06/12/06 - 06:30 PM  
 
   
 
|   #12 |
this is a case of post transfusion hemolysis as evidenced by the bilirubinemia and slightly high LDH. i think it is C cos erythrocyt ghosts are seen after hemolysis. i dont think it can be F because nucleated erythrocytes are rarely seen ( they are not reticulocytes) they are seen following acute severe anemia eg from severe hemolysis ( bilirubin and LDH will be high), or metastatic cancer to bone???? please correct me. i got a good site with a nice simple discussion i cannot seem able to post the link.
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| tolito Forum Fanatic
Topics: 119 Posts: 2,164
| | 06/12/06 - 06:31 PM  
 
   
 
|   #13 |
well here it is. scroll all the way down to 'other cells in periph blood' http://web2.airmail.net/uthman/blood_cells.html
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| alexaE Forum Elite

Topics: 23 Posts: 334
| | 06/13/06 - 10:04 AM  
 
   
 
|   #14 |
id say E, im not sure but cant you see IgGs with immunofluorescence? its a chronic anemia reticulocyes would not be too high
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| bactitech Forum Elite

Topics: 25 Posts: 494
| | 06/13/06 - 07:22 PM  
 
   
 
|   #15 |
Why was this question posted in microbiology in the first place???? Seems to me it's a Hematology question.....
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