Template:Neonatal jaundice evaluation: Difference between revisions

Revision as of 21:35, 1 July 2021

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?)
Determine risk category
- See table
Determine if patient is above of below bilirubin cutoff by age and risk category

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-*The most important component of the workup is differention of direct vs indirect bilirubinemia
+===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)
+===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?)
+#Determine risk category
+#*See table
+#Determine if patient is above of below bilirubin cutoff by age and risk category
+**Examples:
+***Included table
+***[http://bilitool.info BiliTool]
+***[[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]