Template:Neonatal jaundice evaluation: Difference between revisions
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=== | ===[[Neonatal jaundice]] workup=== | ||
''The most important component of the workup is differention of direct vs indirect bilirubinemia'' | ''The most important component of the workup is differention of direct vs indirect bilirubinemia'' | ||
*Total and direct bilirubin levels ("neonatal bilirubin") | *Total and direct bilirubin levels ("neonatal bilirubin") | ||
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*Consider coombs or T&S (mom & baby) | *Consider coombs or T&S (mom & baby) | ||
=== | ===[[Neonatal jaundice]] diagnosis=== | ||
#Determine if there are red flags or obvious diagnosis based on history and exam | #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) | #*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? | #*Assess for any signs of decreasing oral intake or signs of dehydration? | ||
#*Baby's general appearance (well appearing? evidence of sepsis?) | #*Baby's general appearance (well appearing? evidence of sepsis?) | ||
#Determine risk category | #Determine bilirubinemia type: direct vs indirect | ||
#*See table | #*Direct | ||
#Determine if patient is above of below bilirubin cutoff by age and risk category | #**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]] | |||
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
- Determine risk category
- Direct