Neonatal jaundice, but can you figure out why?
Renuka Ashtekar
Neonatal jaundice, but can you figure out why?
A 3-day old boy presents with jaundice from the 2nd day of life. He was born via caesarean section at 38 weeks of gestation, following an uncomplicated pregnancy. His mother is 26 years old and in good health.

On examination, anterior fontanelle: 4X5 cm; posterior fontanelle: 1X1 cm (both larger than expected for age)
Vital signs: Stable
Skin and sclera: icteric
Weight: 3.1 kg (50th centile)
Length: 49 cm (50th centile)
Head circumference: 34 cm (90th centile)
CVS/RS: Normal
Abdomen: distended with liver palpable 1cm below the costal margin.

A FBC and blood film reveal Hb= 14.2 g/dl, PCV= 41.4%, Reticulocyte count: 3%

Blood film: Appears normal with no evidence of hemolysis

Serum bilirubin; 19.2 mg/dl with direct (conjugated) bil.=1.9 mg/dl
Liver transaminases are within normal ranges.

What do you suspect is the reason for this infant's jaundice?
A●●●●h S●●●●●●●●v and 44 others like this17 shares
R●●●●a A●●●●●●r
R●●●●a A●●●●●●r General Medicine
Yes, sir, that's what the doctor who was teaching thought too, but the test results pointed in this direction, once a Thyroid profile was done. Which was after ruling out all other usual causes.
Nov 28, 2016Like
S●●●●●●i K●●●●●e
S●●●●●●i K●●●●●e General Medicine
Criggler Najjar syndrome? Aspirin therapy by mother during pregnancy?
Nov 3, 2017Like
D●●●●●●a m●●●o
d●●●●●●a m●●●o Ayurvedic Medicine
क्या हाल है मैं आपके साथ महत्वपूर्ण चर्चा साझा करना चाहता हूं मुझे संदेश लिखें या अधिक चर्चा के लिए मुझे अपना ईमेल भेजें ( आप कौन सी भाषा बोलते हैं? मैं अपने ईमेल के माध्यम से आपके संदेश की प्रतीक्षा करता हूं ---------------------------------------------------------------- how are you i want to share important discussion with you write me message or send me your email for more discussion ( what language you speak? i wait for your message through my email... Read more
Mar 14, 2019Like