The Coombs' test looks for antibodies that may bind to your red blood cells and cause premature red blood cell destruction (hemolysis).
Alternative NamesDirect antiglobulin test; Indirect antiglobulin test
How the test is performedBlood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.
Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.
How to prepare for the testNo special preparation is necessary for this test.
How the test will feelWhen the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing or a bruise may develop at the site where the needle was inserted.
Why the test is performedThere are two forms of the Coombs' test: direct and indirect.
The direct Coombs' test is used to detect antibodies that are already bound to the surface of red blood cells. Many diseases and drugs (quinidine, methyldopa, and procainamide) can lead to production of these antibodies. These antibodies sometimes destroy red blood cells and cause anemia. This test is sometimes performed to diagnose the cause of anemia or jaundice.
The indirect Coombs' test looks for unbound circulating antibodies against a series of standardized red blood cells. The indirect Coombs' test is only rarely used to diagnose a medical condition. More often, it is used to determine whether a person might have a reaction to a blood transfusion.
Normal ValuesNo clumping of cells (agglutination), indicating that there are no antibodies to red blood cells, is normal.
Normal value ranges may vary slightly among laboratories. Talk to your doctor about the meaning of your specific test results.
What abnormal results meanAn abnormal (positive) direct Coombs' test means you have antibodies that act against your red blood cells. This may be due to:
The test is also abnormal in some people without any clear cause, especially among the elderly. Up to 3% of people who are in the hospital without a known blood disorder will have an abnormal direct Coombs' test.
An abnormal (positive) indirect Coombs' test means you have antibodies that will act against red blood cells your body views as foreign. This may suggest:
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:
Powers A, Silberstein LE. Autoimmune hemolytic anemia. In: Hoffman R, Benz EJ Jr., Shattil SS, et al., eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingston Elsevier; 2008: chap 47.
Schrier SL, Price EA. Extrinsic nonimmune hemolytic anemias. In: Hoffman R, Benz EJ Jr., Shattil SS, et al., eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingston Elsevier; 2008: chap 48.
Schwartz RS. Autoimmune and intravascular hemolytic anemias. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 164.
The Coombs' test looks for antibodies that may bind to your red blood cells and cause premature red blood cell destruction (hemolysis).
Alternative NamesDirect antiglobulin test; Indirect antiglobulin test
How the test is performedBlood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.
Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm. Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.
How to prepare for the testNo special preparation is necessary for this test.
How the test will feelWhen the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing or a bruise may develop at the site where the needle was inserted.
Why the test is performedThere are two forms of the Coombs' test: direct and indirect.
The direct Coombs' test is used to detect antibodies that are already bound to the surface of red blood cells. Many diseases and drugs (quinidine, methyldopa, and procainamide) can lead to production of these antibodies. These antibodies sometimes destroy red blood cells and cause anemia. This test is sometimes performed to diagnose the cause of anemia or jaundice.
The indirect Coombs' test looks for unbound circulating antibodies against a series of standardized red blood cells. The indirect Coombs' test is only rarely used to diagnose a medical condition. More often, it is used to determine whether a person might have a reaction to a blood transfusion.
Normal ValuesNo clumping of cells (agglutination), indicating that there are no antibodies to red blood cells, is normal.
Normal value ranges may vary slightly among laboratories. Talk to your doctor about the meaning of your specific test results.
What abnormal results meanAn abnormal (positive) direct Coombs' test means you have antibodies that act against your red blood cells. This may be due to:
The test is also abnormal in some people without any clear cause, especially among the elderly. Up to 3% of people who are in the hospital without a known blood disorder will have an abnormal direct Coombs' test.
An abnormal (positive) indirect Coombs' test means you have antibodies that will act against red blood cells your body views as foreign. This may suggest:
Veins and arteries vary in size from one patient to another and from one side of the body to the other. Obtaining a blood sample from some people may be more difficult than from others.
Other risks associated with having blood drawn are slight but may include:
Powers A, Silberstein LE. Autoimmune hemolytic anemia. In: Hoffman R, Benz EJ Jr., Shattil SS, et al., eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingston Elsevier; 2008: chap 47.
Schrier SL, Price EA. Extrinsic nonimmune hemolytic anemias. In: Hoffman R, Benz EJ Jr., Shattil SS, et al., eds. Hematology: Basic Principles and Practice. 5th ed. Philadelphia, Pa: Churchill Livingston Elsevier; 2008: chap 48.
Schwartz RS. Autoimmune and intravascular hemolytic anemias. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 164.
Reviewed ByReview Date: 02/07/2010
Linda Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
A conjecture should be testable. You test it and if it fails the test, it is a false conjecture.
At this angle the biggest "area" of the test tube is covered by the flame. Thus it heats up quickly and evenly. Also, by holding the test tube at 45 degrees away from you, you're less likely to be splashed by anything in the test tube boiling over.
Y = X2 ===== This is a parabolic function because it passes the vertical line test. ( you should know what that test is )
4,096 just took the test!!
44 questions.
Direct Coombs or direct Antiglobin (DAT)
An indirect Coombs' test looks for antibodies to someone else's red blood cells in the patient's serum
Coombs Test
No preparation is needed for this test
for dignosis of HDN case
A Coomb's test will indicate the formation of antibodies on the red blood cell. This test can be used to determine blood type, and diagnose certain hemolytic anemias. A Coombs' test may also indicate the prescense of maternal antibodies against the fetal blood type as occurs in erythroblastosis fetalis.
If the test is positive, the antigens that react will narrow the search for a cause
Preparing Coombs control cells is very easy. To about 10 drops of washed O Positive red cells add 5-6 drops of anti-D antisera. Incubate at 37C for 15 minutes. Wash 4 times then prepare a 3 to 5% cell suspension. To verify reaction, add two drops of AHG into test tube and one drop of newly prepared Coombs cells. Centrifuge on High for 15 seconds,,,should get 1 -2 + reaction.
test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test test [video=]
its very good for tui and hun to exrete so they can pass the test test test test test test test test test
its very good for tui and hun to exrete so they can pass the test test test test test test test test test
Test as a school test : Examen Test as something to test yourself : Test