nbme 3, no one agrees on the same answer
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| Author | 8 Posts |
nadiabarati
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A 27 y/o woman is hospitalized after sustaining bilateral femoral shaft fractures in amotor vehicle colllision. 20 minutes after transfusion of 1 unit of RBC, she develops back, and flank pain, and hematurea. t: 38.5. which of the following is the most likely cause of these symptoms?
a) ABO incompatibility
b) Contamination of the transfused blood
c) Fat embolism syndrome
d) reaction to leukocytes antigen in the transfused blood
e) retroperitoneal bleeding
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| hanialkhadher
Forum Elite
Topics: 15
Posts: 254
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I go with A
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| smal
Forum Guru
Topics: 140
Posts: 727
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A.
hematuria-abo incompatablity
only fever and backpain-d.
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| radonc
Forum Senior
Topics: 5
Posts: 171
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I think it's A.
I used to think that the answer may be retroperitoneal bleeding because of the haematuria, but ABO incompatilibity does cause haematuria (how? I don't know). The whole clinical picture just seems to fit with A.
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| klimt
Forum Guru
Topics: 27
Posts: 605
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can someone give an explanation for this q?
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| Justice
Forum Guru
Topics: 98
Posts: 1,772
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a) ABO incompatibility
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| ram3
Forum Guru
Topics: 47
Posts: 510
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The answer is c fat embolism syndrome
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| sherry39
Forum Junior
Topics: 3
Posts: 102
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d...as AB0 is mostly matched..,yet reaction occured
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