Template:Neonatal jaundice evaluation: Difference between revisions

Latest revision as of 16:16, 15 March 2023

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

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: @@
-*The most important component of the workup is differention of direct vs indirect bilirubinemia
+===[[Neonatal jaundice]] workup===
-*See [http://bilitool.info BiliTool]  and the [[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]] for total bilirubin cutoff by age recommendations
+''The most important component of the workup is differention of direct vs indirect bilirubinemia''
-*History extremely important
+*Total and direct bilirubin levels ("neonatal bilirubin")
-**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?)
-*Total bilirubin/Direct bilirubin levels
 *CBC (for evaluation of hemolytic anemia or [[polycythemia vera]])
 *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]]