Introduction to Newborn Jaundice - CRASH! Medical Review Series
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- Опубликовано: 20 ноя 2015
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(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
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Thanks again Dr Bolin :) emergency physician doing a stint in neonatology at the moment: you have helped me so much more than my textbooks!
Thank you. Everything was simplified for me.
Thanks so much daktari for your very informative lecture simple, english for us who are not English speaking. Your lecture are wholesome and very well researched. Lovely day.
thanks man,simple and informative.great way to organise for start in your brain and move further if you so want.
This is an excellent lecture on neonatal jaundice. The last half is what you need to know for Steps 2 and 3.
Thank you so much
Thank you. Excellent 😊
Thank you!
Just one small thing: at 18:42 You say: UV phototherapy if necessary.
I checked this at: en.wikipedia.org/wiki/Neonatal_jaundice#Phototherapy where they say: "The phototherapy involved is not ultraviolet light therapy but rather a specific frequency of blue light."
Rita Sallai ur correct
You are the best indeed
paul can you collect all files and put it on torrent , thank you man for every video
thanks
thanks u
thank you so much! 18/11/2020
Cool
Dublin Johnson syndrome,'
Conjugated hyperbilirubinemia.due to mutation of the MRP2 channel responsible for transporting conjugated bilirubin into the biliary canaliculi.it is inherited autosomal recessive.
Legend from uv gcm 😅
Edit : pro legend watching for assignment 🔥
same blood uv gcm here hahaha
What about a baby being born with G6pd Deficiency?
what should i suspect if a 2 week old, A+ (same as mother) full term baby who was jaundice. feeding breast milk initially but stopped for about 4 days and still with scleral icterus. first week of life conj. bili was 11 and when I saw them was 8, no unconjucated. why would the baby still be jaundice?
can physiologic jaundice/breastmilk jaundice last longer than 2 weeks?
+asheLARRY jones It's hard for me to say without seeing the patient, knowing a family history, or seeing any lab values that are present; I'm going to assume here there are no other major symptoms (light stools, dark urine) are present. But, I can say a few things off the bat. Physiologic NN jaundice never lasts two weeks. The bilirubin levels with breast milk jaundice usually peaks around 2 weeks of life, but the lack of unconjugated bilirubin is unusual in this case. Some of the conjugated jaundices are tested for on the newborn screen, so make sure that's normal. One thing I might consider testing for is alpha-1 antitrypsin deficiency. Although it's rare, it's possible and I'm pretty sure not covered with the newborn screen (though I'm not a pediatrician, so check the screen results). Let me know what you find out.
Thanks!... I actually saw the patient in the emergency room and I was so confused bc the baby looked so well, fed, had normal colored urine/stools. They have an appointment with gi this week... but I felt so silly for not having an answer to why the baby had icterus
+asheLARRY jones No worries! Statistically, it's most likely idiopathic and will resolve on its own (as it sounds like it is with the labs, at least). Some causes of jaundice can be notoriously hard to diagnose, so it was a smart move sending baby off to GI...some of the more serious causes need to be definitively ruled out. There are a lot of adults who walk around with subclinically disturbed liver enzymes that have A1ATD who don't even know it until they develop emphysema later on and tell you they've never smoked..or they do smoke but are way too young for COPD yet. Hopefully GI will have some answers.
How would Rh incompatibility work in case of an RH - female (with an Rh + male) who never delivered du to 2 abortions ?
she needs to receive rh D antibodies maybe she developed reaction and antibodies
There is a risk of feto-maternal blood inutero due to abortion. So there is a risk of Rh-incompatibility.
Too bad we use SI Units (mmol/L) for bilirubin in my country.
Hahahahahha just convert them. dont wine
Exactly my thought.
Total bilirubin should be of no more than 12.9mg/dl in physiological jaundice , u said its 5mg/dl at 9:55 .
the "rate of rise" should not be more than 5mg/dl/day and the "peak level" should not be more than 12mg/dl
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