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Author Question: A newborn is left at a hospital emergency department. The baby appears lethargic and slightly ... (Read 94 times)

dollx

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A newborn is left at a hospital emergency department. The baby appears lethargic and slightly jaundiced. Laboratory work on the baby shows a positive DAT with polyspecific AHG and anti-IgG.
 
  The hemoglobin is 7.3 gm/dl, and the peripheral blood smear shows marked polychromasia, macrocytosis, and an increased number of nucleated RBCs. The bilirubin is 4.4 mg/dl. What do you suspect is the underlying cause of these results?
 
  a. ABO HDFN
  b. Autoantibody from the mother in baby's circulation
  c. Normal postnatal findings for a newborn
  d. Rh HDFN

Question 2

A patient's hemoglobin went from a value of 13.0 gm/dl after transfusion to 10.6 gm/dl 3 days after transfusion. What is the most likely type of transfusion reaction?
 
  a. Allergic
  b. TRALI
  c. HLA-mediated
  d. Delayed



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janeli1

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Answer to Question 1

Correct Answer: D

Answer to Question 2

Correct Answer: D




dollx

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Reply 2 on: Jun 25, 2018
Great answer, keep it coming :)


xiazhe

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Reply 3 on: Yesterday
Excellent

 

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About 60% of newborn infants in the United States are jaundiced; that is, they look yellow. Kernicterus is a form of brain damage caused by excessive jaundice. When babies begin to be affected by excessive jaundice and begin to have brain damage, they become excessively lethargic.

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