Template:Neonatal jaundice evaluation: Difference between revisions

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#*Baby's general appearance (well appearing? evidence of sepsis?)
#*Baby's general appearance (well appearing? evidence of sepsis?)
#Determine risk category
#Determine risk category
#*See table
#*See table below
#Determine if patient is above of below bilirubin cutoff by age and risk category
#Determine if patient is above of below bilirubin cutoff by age and risk category
#*Examples:
#*Examples:
#**Included table
#**See table below
#**[http://bilitool.info BiliTool]  
#**[http://bilitool.info BiliTool]  
#**[[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]
#**[[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]

Revision as of 21:38, 1 July 2021

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

  1. 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?)
  2. Determine risk category
    • See table below
  3. Determine if patient is above of below bilirubin cutoff by age and risk category