Neonatal jaundice - Revision history

Rossdonaldson1: /* Risk Factors for Neonatal Jaundice */

2023-03-15T16:20:12Z

Risk Factors for Neonatal Jaundice

← Older revision		Revision as of 16:20, 15 March 2023
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	*The most important piece of the evaluation is distinguishing between unconjugated and conjugated [[hyperbilirubinemia]] since a conjugated (direct) hyperbilirubinemia is always pathologic and often more severe		*The most important piece of the evaluation is distinguishing between unconjugated and conjugated [[hyperbilirubinemia]] since a conjugated (direct) hyperbilirubinemia is always pathologic and often more severe

	===Risk Factors ~~for Neonatal Jaundice~~===		===Risk Factors===
	*Isoimmune hemolytic disease		*Isoimmune hemolytic disease
	*[[G6PD deficiency]]		*[[G6PD deficiency]]

2023-03-15T16:18:01Z

← Older revision		Revision as of 16:18, 15 March 2023
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	**Consider if signs of bilirubin encephalopathy, typically only occurs when the indirect bili level exceeds 25		**Consider if signs of bilirubin encephalopathy, typically only occurs when the indirect bili level exceeds 25
	***Hypertonia, arching, retrocollis, opisthotonos		***Hypertonia, arching, retrocollis, opisthotonos
	*Direct hyperbilirubinemia
	**If new diagnosis, always admit to the hospital for further evaluation

	{{Phototherapy guidelines}}		{{Phototherapy guidelines}}

	==Disposition==		==Disposition==
	*Admit if septic or concerning disease process		*Direct hyperbilirubinemia
	*Typically determined by need for phototherapy		**If new diagnosis, always admit to the hospital for further evaluation
	**See phototherapy chart above		*Indirect hyperbilirubinemia
			**Admit if septic or concerning disease process
			**Typically determined by need for phototherapy (see chart above)

	==See Also==		==See Also==

2023-03-15T16:09:57Z

Risk Factors for Neonatal Jaundice

← Older revision		Revision as of 16:09, 15 March 2023
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	===Risk Factors for Neonatal Jaundice===		===Risk Factors for Neonatal Jaundice===
	*Isoimmune hemolytic disease		*Isoimmune hemolytic disease
	*G6PD deficiency		*[[G6PD deficiency]]
	*Asphyxia		*Asphyxia
	*Significant lethargy		*Significant lethargy
	*Temperature instability		*Temperature instability
	*Sepsis		*[[Sepsis]]
	*Acidosis		*[[Acidosis]]
	*Prematurity		*Prematurity
	*Poor PO intake		*Poor PO intake

2021-07-01T21:54:33Z

2021-07-01T21:53:01Z

Clinical Features

← Older revision		Revision as of 21:53, 1 July 2021
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	*Poor PO intake		*Poor PO intake

	~~==Clinical Features==~~		{{Neonatal jaundice features}}
	~~[[File:Jaundice in newborn.jpg\|thumb\|A neonate with~~ jaundice ~~on exam.]]~~
	*[[Jaundice]]
	*Scleral icterus
	*Lethargy (if progression to severe elevation)

	==Differential Diagnosis==		==Differential Diagnosis==

2021-07-01T21:50:56Z

Clinical Features

← Older revision		Revision as of 21:50, 1 July 2021
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	==Clinical Features==		==Clinical Features==
	[[File:Jaundice in newborn.jpg\|thumb\|~~Jaundice in a~~ neonate.]]		[[File:Jaundice in newborn.jpg\|thumb\|A neonate with jaundice on exam.]]
	*[[Jaundice]]		*[[Jaundice]]
	*Scleral icterus		*Scleral icterus

2021-07-01T21:40:17Z

← Older revision		Revision as of 21:40, 1 July 2021
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	==Disposition==		==Disposition==
			*Admit if septic or concerning disease process
			*Typically determined by need for phototherapy
			**See phototherapy chart above

	==See Also==		==See Also==

2021-07-01T21:37:36Z

Evaluation

← Older revision		Revision as of 21:37, 1 July 2021
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	==Evaluation==		==Evaluation==
	~~===Workup===~~
	{{Neonatal jaundice evaluation}}		{{Neonatal jaundice evaluation}}

	~~===Diagnosis===~~

	==Management==		==Management==

2021-07-01T21:29:39Z

Evaluation

← Older revision		Revision as of 21:29, 1 July 2021
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	==Evaluation==		==Evaluation==
	===Workup===		===Workup===
	* Order neonatal bilirubin
	{{Neonatal jaundice evaluation}}		{{Neonatal jaundice evaluation}}

2021-07-01T21:21:24Z

Clinical Features

← Older revision		Revision as of 21:21, 1 July 2021
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	==Clinical Features==		==Clinical Features==
			[[File:Jaundice in newborn.jpg\|thumb\|Jaundice in a neonate.]]
	*[[Jaundice]]		*[[Jaundice]]
	*Scleral icterus		*Scleral icterus