[New post] Neonatal jaundice; causes, clinical assessment , PHYSIOLOGICAL VERSUS PATHOLOGICAL JAUNDICE

interestingped5302 posted: " Neonatal jaundice is the most common cause morbidity in the first week of life. 60% of term newborns 80% of preterm newborns Neonatal jaundice is the most common cause of re-admission after discharge from birth hospitalization. In neonates is when total" Interesting pediatric topic Neonatal jaundice; causes, clinical assessment , PHYSIOLOGICAL VERSUS PATHOLOGICAL JAUNDICE interestingped5302 Jul 5 Neonatal jaundice is the most common cause morbidity in the first week of life. 60% of term newborns 80% of preterm newborns Neonatal jaundice is the most common cause of re-admission after discharge from birth hospitalization. In neonates is when total serum bilirubin (TSB) concentration exceeds 5 to 7 mg/dL. visible in skin eyes In adults have jaundice visible in eyes when TSB concentration exceeds 2 mg/dL. Increased TSB concentration in neonate results from increased production decreased clearance and re-absorption PHYSIOLOGICAL VERSUS PATHOLOGICAL JAUNDICE Jaundice attributable to physiological immaturity of neonates to handle increased bilirubin production is termed as physiological jaundice . 'Pathological jaundice' is said to be present when TSB concentrations are not in physiological jaundice . Presence of one or more of the following conditions would qualify a neonate to have pathological jaundice Common causes of pathological jaundice in neonate include: Hemolysis Decreased conjugation Increased enterohepatic circulation Extravasated blood Hemolysis Blood group incompatibility enzyme deficiencies autoimmune hemolytic anemia Decreased conjugation Due to liver enzyme immaturity Increased enterohepatic circulation Lack of adequate enteral feeding that includes insufficient breastfeeding or the infant not being fed because of illness, GI obstruction Extravasated blood Cephalhematoma, extensive bruising increased the risk of neonatal jaundice. CLINICAL ASSESSMENT The parents should be counselled. Visual inspection of neonatal jaundice. Visual inspection of neonatal jaundice Inadequacy of breastfeeding is a common cause of exaggerated jaundice during initial few days (breastfeeding jaundice). All neonates should be examined at every opportunity but not lesser than every 12 hr until first 3 to 5 days of life for jaundice. At higher risk of jaundice should be identified. Higher risk of neonata jaundice Indications of TSB Measurement in neonatal jaundice Jaundice in first 24 hours. Beyond 24 hrs: If visually assessed, jaundice is likely to be more than 12 to 14 mg/dL (as visual assessment becomes unreliable) beyond this TSB level or approaching the phototherapy range or beyond. Unsure about visual assessment. During phototherapy. Comment Unsubscribe to no longer receive posts from Interesting pediatric topic. Change your email settings at manage subscriptions. Trouble clicking? Copy and paste this URL into your browser: https://interestingped.com/2022/07/05/neonatal-jaundice-causes-clinical-assessment-physiological-versus-pathological-jaundice/ Powered by WordPress.com