Neonatal jaundice physical examination: Difference between revisions

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Revision as of 21:34, 8 January 2018

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

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Complete physical exam including evidence of:
- Hepatomegaly
- Splenomegaly
- Palpable gallbladder

Jaundice is visible in conjunctiva, skin and mucosa when the serum bilirubin level rises above 2 mg/dL

@@ Line 8: / Line 8: @@
 ==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:
 *:* [[Ddx:Hepatomegaly|Hepatomegaly]]
 *:* [[Ddx:Splenomegaly|Splenomegaly]]
 *:* Palpable gallbladder
-*:* Signs of chronic liver disease
+===Skin===
-=== Skin ===
 * Jaundice is visible in conjunctiva, skin and mucosa when the serum bilirubin level rises above 2 mg/dL