Neonatal jaundice physical examination: Difference between revisions

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Latest revision as of 22:57, 29 July 2020

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Elsaiey, MBBCH [2]

Overview

Patients with neoanatal jaundice usually appear drowsy in severe cases. Physical examination of patients with neonatal jaundice is usually remarkable for yellow skin, petichia, yellow eye, hepatomegaly, seizures, and microcephaly in some cases.

Physical Examination

Complete physical exam including evidence of hepatomegaly, splenomegaly, and palpable gallbladder.

Appearance of the patient

Patients with neonatal jaundice may appear drowsy in severe cases.^[1]

Skin

Yellow skin due to deposition of bilirubin^[2]
Petichia

Eyes

Jaundice is usually best seen in the periphery of the conjunctiva

Abdomen

Hepatomegaly may be present

Neurologic

A flapping tremor may be present
Changes in muscle tone
Seizures
Microcephaly in some cases

References

↑ Moyer VA, Ahn C, Sneed S (2000). "Accuracy of clinical judgment in neonatal jaundice". Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.
↑ Moyer VA, Ahn C, Sneed S (2000). "Accuracy of clinical judgment in neonatal jaundice". Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.

Template:WH Template:WS

[pmid107686792-1] Moyer VA, Ahn C, Sneed S (2000). "Accuracy of clinical judgment in neonatal jaundice". Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.

[pmid10768679-2] Moyer VA, Ahn C, Sneed S (2000). "Accuracy of clinical judgment in neonatal jaundice". Arch Pediatr Adolesc Med. 154 (4): 391–4. PMID 10768679.

[1]

[2]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Neonatal jaundice}}
+{{CMG}}; {{AE}} {{AEL}}
-{{CMG}}
+==Overview==
+Patients with neoanatal jaundice usually appear drowsy in severe cases. Physical examination of patients with neonatal jaundice is usually remarkable for yellow [[skin]], [[petichia]], yellow eye, [[hepatomegaly]], [[seizures]], and [[microcephaly]] in some cases.
-==Overview==
 ==Physical Examination==
-Notoriously inaccurate [[rules of thumb]] have been applied to the [[physical exam]] of the jaundiced infant.  Some include estimation of serum [[bilirubin]] based on appearance. One such rule of thumb includes infants whose jaundice is restricted to the face and part of the trunk above the [[Navel|umbilicus]], have the [[bilirubin]] less than 204&nbsp;umol/l (12&nbsp;mg/dL) (less dangerous level). Infants whose palms and soles are yellow, have serum bilirubin level over 255&nbsp;umol/l (15&nbsp;mg/dL) (more serious level)
+* Complete physical exam including evidence of [[hepatomegaly]], [[splenomegaly]], and palpable [[gallbladder]].
+=== Appearance of the patient ===
+* Patients with neonatal jaundice may appear drowsy in severe cases.<ref name="pmid107686792">{{cite journal| author=Moyer VA, Ahn C, Sneed S| title=Accuracy of clinical judgment in neonatal jaundice. | journal=Arch Pediatr Adolesc Med | year= 2000 | volume= 154 | issue= 4 | pages= 391-4 | pmid=10768679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10768679  }}</ref>
+=== Skin ===
+* Yellow [[skin]] due to deposition of [[bilirubin]]<ref name="pmid10768679">{{cite journal| author=Moyer VA, Ahn C, Sneed S| title=Accuracy of clinical judgment in neonatal jaundice. | journal=Arch Pediatr Adolesc Med | year= 2000 | volume= 154 | issue= 4 | pages= 391-4 | pmid=10768679 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10768679  }}</ref>
+* [[Petechia|Petichia]]
+=== Eyes ===
+* [[Jaundice]] is usually best seen in the periphery of the [[conjunctiva]]
+=== Abdomen ===
+* [[Hepatomegaly]] may be present
+=== Neurologic ===
+* A [[flapping tremor]] may be present
+* Changes in [[muscle tone]]
+* [[Seizures]]
+* [[Microcephaly]] in some cases
 ==References==
 {{Reflist|2}}
+{{WH}}
+{{WS}}
+[[Category:Medicine]]
+[[Category:Gastroenterology]]
+[[Category:Up-To-Date]]
 [[Category:Pediatrics]]
 [[Category:Hepatology]]
 [[Category:Hematology]]
-[[Category:Neonatology]]
-[[Category:Overview complete]]
-[[Category:Disease]]
-{{WH}}
-{{WS}}