Name: Clare Bayliss

Theme: Blood Transfusion 1

OPTION LIST

A	Delayed haemolytic transfusion reaction (DHTR)	I	Viral complication of transfusion
B	Bacterial complication of transfusion	J	Transfusion related acute lung injury (TRALI)
C	Transfusion haemosiderosis	K
D	Pulmonary embolism	L
E	Kleihauer test	M
F	Allergic reaction to foreign protein in donor blood	N
G	Immediate haemolytic transfusion reaction	O
H	Guthrie test	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 24 year old male who was diagnosed with Thalassaemia Major at 13 months presents to the outpatients clinic complaining of malaise and erectile dysfunction.

2. A 54 year old male smoker is 7 days post-op for the repair of an abdominal aortic aneurysm. He presents with fever and jaundice and bloods show a falling Hb.

3. A 33 year old male was brought in from a serious RTA. He was given a donor transfusion on the ward. He later developed a fever and complained of suffering from a ‘dry cough’. The patient became increasingly breathless.

4. A 22 year old female with Sickle Cell anaemia presented 15 minutes after a donor blood transfusion with a diffuse, itchy, erythematous rash on both forearms. This responded well to cetirizine.

5. A 33 year old patient has just given birth to her second child. The baby is jaundiced and placed under a UV lamp. What investigation would you perform to test for foetal haemoglobin-containing red cells.

ANSWERS

1. C

2. A

3. J

4. F

5. E