Neonatal jaundice physical examination

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

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.

Skin

• Yellow skin due to deposition of bilirubin
• Petichaie

Eyes

• Jaundice is usually best seen in the periphery of the ocular conjunctiva

Abdomen

• Hepatomegaly may be present

Neurologic

• A flap may be present
• Changes in muscle tone
• Seizures
• Microcephaly in some cases