Template:Neonatal jaundice evaluation: Difference between revisions

Latest revision as of 16:16, 15 March 2023

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

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?)
Determine bilirubinemia type: direct vs indirect
- Direct
  - Admit
- Indirect
  - Determine risk category
    - See table below
  - Determine if patient is above of below bilirubin cutoff by age and risk category
    - See table below or use BiliTool or phototherapy guide

@@ Line 1: / Line 1: @@
-*See [http://bilitool.info BiliTool]  and the [[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]] for total bilirubin cutoff by age recommendations
+===[[Neonatal jaundice]] workup===
-*History extremely important
+''The most important component of the workup is differention of direct vs indirect bilirubinemia''
-**Mother's blood type (important if mother is RH negative or O blood type)
+*Total and direct bilirubin levels ("neonatal bilirubin")
-**Assess for any signs of decreasing oral intake or signs of dehydration?
+*CBC (for evaluation of hemolytic anemia or [[polycythemia vera]])
-**Baby's general appearance (well appearing?)
-*Tbil/Dbil
-*CBC (for hemolytic anemia)
 *Consider coombs or T&S (mom & baby)
+===[[Neonatal jaundice]] diagnosis===
+#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?)
+#Determine bilirubinemia type: direct vs indirect
+#*Direct
+#**Admit
+#*Indirect
+#**Determine risk category
+#***See table below
+#**Determine if patient is above of below bilirubin cutoff by age and risk category
+#***See table below or use [http://bilitool.info BiliTool] or [[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]