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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") | ||
Revisión del 21:36 1 jul 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)
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: