Neonatal jaundice physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
: Patients with neoanatal jaundice usually appear drowsy in severe cases. Physical examination of patients with neonatal jaundice is usually remarkable for yellow skin, | : 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== | ==Physical Examination== | ||
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*:* [[Ddx:Hepatomegaly|Hepatomegaly]] | *:* [[Ddx:Hepatomegaly|Hepatomegaly]] | ||
*:* [[Ddx:Splenomegaly|Splenomegaly]] | *:* [[Ddx:Splenomegaly|Splenomegaly]] | ||
*:* Palpable gallbladder | *:* Palpable [[gallbladder]] | ||
=== Appearance of the patient === | === Appearance of the patient === | ||
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=== Skin === | === 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> | * 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 === | === Eyes === | ||
* Jaundice is usually best seen in the periphery of the | * [[Jaundice]] is usually best seen in the periphery of the [[conjunctiva]] | ||
=== Abdomen === | === Abdomen === | ||
* Hepatomegaly may be present | * [[Hepatomegaly]] may be present | ||
=== Neurologic === | === Neurologic === | ||
* A | * A [[flapping tremor]] may be present | ||
* Changes in muscle tone | * Changes in [[muscle tone]] | ||
* Seizures | * [[Seizures]] | ||
* Microcephaly in some cases | * [[Microcephaly]] in some cases | ||
==References== | ==References== | ||
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[[Category:Medicine]] | [[Category:Medicine]] | ||
[[Category:Gastroenterology]] | [[Category:Gastroenterology]] | ||
[[Category:Up-To-Date]] | [[Category:Up-To-Date]] | ||
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[[Category:Primary care]] | [[Category:Primary care]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
Revision as of 16:37, 4 February 2018
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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
- Palpable gallbladder
Appearance of the patient
- Patients with neonatal jaundice may appear drowsy in severe cases.[1]
Skin
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.