Diferencia entre revisiones de «Template:Neonatal jaundice evaluation»

Línea 5: Línea 5:
*Consider coombs or T&S (mom & baby)
*Consider coombs or T&S (mom & baby)


===Diagnosis===
===[[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)
Línea 13: Línea 13:
#*See table
#*See table
#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
#**Included table
***[http://bilitool.info BiliTool]  
#**[http://bilitool.info BiliTool]  
***[[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]
#**[[Neonatal_jaundice#Phototherapy_Guidelines|phototherapy guide]]

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)

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
  3. Determine if patient is above of below bilirubin cutoff by age and risk category