What is SOAP? and how would someone do SOAP using this case in the attached chart as an example?
Cross matching
Renal transplant
31 Years old woman patient, k/c of ESRD secondary to diabetes on HD for 2 years, HTN, diabetes mellitus type 1. Hospital Course: Admitted electively for living related renal transplant. Home medications: Insulin aspart 12 units three times daily, glargine 18 unit at night, nifedipine 30 mg once daily, isoniazid 300 mg daily and pyridoxine 50 mg daily
HLA Antibody & crossmatch
Collected Date Collected Time Units Reference Range
09/10/2023 11:07
Procedure
HLA PRA I Screen - Luminex HLA PRA II Screen - Luminex HLA PRA Method LR Final XM Interp Textual Results T1: 09/10/2023 11:07 (LR Final XM Interp)
Negative Negative
Luminex Solid phase Assay See Below
Laboratory: Weight: 75 kg Height: 170 cm Vitals: HR 68 Bpm, Bp: 165/96 mmHg Temp 37.1 C
Donor MRN: HLA Miss Match: 4/8 Ag MM
Channel Shifts Results T Cell IgG: -54 Negative Cell gG 00L- Negative Previous Serum Date: 11 June 2023
Reference Range (38-45 Weak Positive, >45 Positive)
WBC (3.9-11)
9.7
Potassium (3.5-5)
Cholesterol (<200)
183
RBC (4.5-5.9) Hgb (13.5-17.5)
3.54 L Magnesium (1.6-2.6) 9 L Phosphorus (2.5-4.5)
1.6 0'
Triglycerides (<150) S7 LDL (130) 126
HLA Class I & II Genotyping Renal Recipient HLA genotype HLAA HLAB HLAC HLA DO HLADP HLADR Patient 24,2 2,1 4, 1 8,9 65,34 54,61 Donor 1,2 2.3 53.5 10,9 10,11 51,61
HcT (37-53)
29 L
Calcium (8.4-10.2)
$.5
HBA1C
8.6 H
MCV (80-100)
so
Iron Serum (65-175)
90
Glucose Fasting
250 H
MCHC 31-37
34
Total Iron-Binding Capacity 303 Glucose Postprandial Serum (240-450) Ferritin Serum (21.31-274) 220
Sodium (135-145) 135
Immunology: Blood QuantiFERON: 0.5 (Positive) Lung x-ray normal Blood group for the donor and recipient O+