Template:Neonatal jaundice evaluation: Difference between revisions
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#*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?) | #*Baby's general appearance (well appearing? evidence of sepsis?) | ||
#Determine risk category | #Determine risk category | ||
#*See table | #*See table | ||
Revision as of 21:35, 1 July 2021
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)
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 risk category
- See table
- Determine if patient is above of below bilirubin cutoff by age and risk category
- Examples:
- Included table
- BiliTool
- phototherapy guide
- Examples: