Name: Nicole Carlish

Theme: transfusion

OPTION LIST

A	Bacterial contamination	I	Allergic reaction
B	Febrile non haemolytic transfusion reaction	J	TRALI
C	Iron overload	K	Fluid overload
D	Delayed haemolytic transfusion reaction.	L
E	Immediate haemolytic transfusion reaction	M
F	Anaphylactic reaction	N
G	Graft versus host disease	O
H	Viral contamination	P

For each scenario below, choose the most appropriate answer from the list above. Each option may be used once, more than once or not at all.

1. A 49 year old female complains of abdominal pain and vomiting a few minutes after the start of transfusion. O.E she is tachycardic and has facial flushing. Urinalysis reveals haemoglobinuria.

2. A 28 year old female presents with fever < 40^oc and rigors approx. 1 ½ hours after transfusion. She has two children and previously had a blood transfusion 7 years ago.

3. A 44 year old male develops a pyrexia of >40^oc very shortly after receiving a blood transfusion. He has never had a transfusion before and there is no evidence of ABO blood group / rhesus incompatibility.

4. A 78 year old man is found collapsed in his bathroom at home. Tests reveal that he is anaemic and has raised urea and creatinine levels. Over the next 24 hours he receives 3 litres of fluid and a blood transfusion. He then becomes dyspnoeic. Examination reveals a raised JVP, basal crepitations and ankle oedema.

5. An 18 year old boy with sickle cell anaemia is observed to have short stature. Further tests reveal poor cardiac function

ANSWERS

1. E

2. B

3. A

4. K

5. C