Template:Neonatal jaundice evaluation

Neonatal jaundice workup

The most important component of the workup is differention of direct vs indirect bilirubinemia

  • Total and direct bilirubin levels ("neonatal bilirubin")
  • CBC (for evaluation of hemolytic anemia or polycythemia vera)
  • Consider coombs or T&S (mom & baby)

Neonatal jaundice diagnosis

  1. Determine if there are red flags or obvious diagnosis based on history and exam
    • Mother's blood type (important if mother is RH negative or O blood type)
    • Assess for any signs of decreasing oral intake or signs of dehydration?
    • Baby's general appearance (well appearing? evidence of sepsis?)
  2. Determine risk category
    • See table below
  3. Determine if patient is above of below bilirubin cutoff by age and risk category