Neonatal jaundice: Difference between revisions
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##tyrosinemia | ##tyrosinemia | ||
##alpha 1 antitrypsis deficiency | ##alpha 1 antitrypsis deficiency | ||
# | #Indirect (unconjugated, pre-liver) | ||
##sepsis | ##sepsis | ||
##hypotension | ##hypotension |
Revision as of 22:28, 13 June 2011
Risk Factors
- Isoimmune hemolytic disease
- G6PD deficiency
- Asphyxia
- Significant lethargy
- Temperature instability
- Sepsis
- Acidosis
- Albumin <3 g/d (if measured)
Diagnosis
- Direct (conjugated, post- liver obstructive)
- congenital biliary atresia
- neuroblastoma
- cholesterol cysts
- Cellular
- hepatitis
- galactosemia
- sepsis
- TORCHS
- tyrosinemia
- alpha 1 antitrypsis deficiency
- Indirect (unconjugated, pre-liver)
- sepsis
- hypotension
- rH/ ABO incompatibility
Work-Up
- Tbil
- Dbil
- CBC (for hemolytic anemia)
- Coombs or T&S (mom & baby)
- ?blood resorption
- ?septic
- Decreased gastric motility
- Physiologic/breast milk (none @ birth presents 1st week)
Phototherapy Guidelines
Age | Low | Med | High |
Birth | 7.0 | 5.0 | 4.0 |
24h | 11.5 | 9.0 | 8.0 |
48h | 15 | 14 | 10 |
72h | 17.5 | 15 | 14 |
96h | 20 | 17.5 |
14.5 |
5+day | 21 | 17.5 | 15 |
Low Risk: >=38wk + no risk factors
Med Risk: (>=38wk + risk factors) or (35-37 wk and no risk factors)
High Risk: 35-37wk + risk factors
Source
UpToDate