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Question Category : Jaundice
Hi I have a 7 days old neonate with complaint of neonatal icterus. This male baby was delivered by C-section(indicated for prolonged labour and leaking membranes) at full term. He cried and gasped after about 1 1/2minute and had an Apgar score of 10/10 at 3minutes. Mother's blood group is O-positive and baby is B-positive.The baby developed jaundice after 24 hours. DCT was negative and se Bil was T-11.2 and direct- 1.8 mg.G 6PD normal,Retic count 1.8% and HB -12.8gm.C.B.C is normal. There was no sign of sepsis as baby was active and accepting feed well. The baby was given Omnatax and mikacin for PRM and put under Phototherapy. subseq . Bilirubin reports are as follows. Age in hrs. Total Direct 36 12.6 1.6 48 19.2 1.8 54 18.2 1.6 60 17.7 1.7 72 17.4 1.6 96 17.6 1.7 120 17.2 1.5 After this inspite of double surface continous Phototherapy ,the total Bil is persisting at 17.6 and direct 1.8 even on day 7. Should we do an Exchange transfusion or continue with Phototherapy?In case if we want to do an exchange which vein will be available as by this time the Umblical vein must be obliterated? Dr. JS Chugh. Check Out the Answer
Question Category : Jaundice
What is the incidence of Neonatal Hyperbilirubinemia in India and in the World?.......I'm doing a project on Utility of Nomogram in NNH and need this information. Check Out the Answer
Question Category : Jaundice
19 days baby presented with lethargy , poor feeding. o/e; he weighed 2.5kg. was afebrile. Had jaundice+.s.bill.total 10.8,conjugated:3.6. the child was put on taximax,amplus,genta. There is history of constipation for 8days,gc of child improved, passed stools, accepting feeds. But icterus is same. Breast feeding stopped for 48hrs, no regression of jaundice. Please guide what all further management I should do, as BMJ septicemia is ruled out. Thanks. Check Out the Answer
Question Category : Jaundice
What is the pathophysiology of jaundice in hypothyroidism? Check Out the Answer
Question Category : Jaundice
My child was born on 11 Sept. 05. He was admitted in hospital on 16 Sept 05 for hyperbilirubinemia with count as 16.Double phototherapy for 24 hours brought the countdown to 11.6. After 30 hours of observation the count rise to 15.Single phototherapy was again initiated for 24 hours bringing the count to 12.8. Another 24 hours of observation saw the count rise to 14.8 The baby was then discharged on 21 Sept 05.Follow up after nine days i.e. on 30 Sept witnessed the count at 14.0 , 0.3 The jaundice is not seeming to subside even after three weeks. I am worried. Please advise. Check Out the Answer
Question Category : Jaundice
Why skin pigmentation starts from head to extremities in neonatal hyperbilirubinemia in relation to the severity of jaundice? Check Out the Answer
Question Category : Jaundice
What is the current treatment modalities for the management of breast milk jaundice? Check Out the Answer
Question Category : Jaundice
Respected sir/ Madam, recently we came across a case of intrahepatic biliary atresia with marked fibrosis and hepatic dysfunction in a two month old child. A Kasai operation is being planned for him. I want to know what is the treatment of choice in this case. Because according to the literature he has a very bad prognosis and liver transplant is the only answer in this case. Please clear my doubt in the above case. Thanking you Dr.Sangeeta. Check Out the Answer
Question Category : Jaundice
1)Thanks, you have shown interest in case history i have sent*(hepatosplenomegaly with anemia). I have sent the case with examination point view only. So the discussion is restricted only to case history and approach.My question is whether they h/o and clinical exam is suggestive of hemolytic anemia. OF COURSE THE POSSIBILITY OF CHRONIC LIVER DISEASE and HIV you told is very likely but i want to concentrate on anemia. 2)PROPHYLACTIC PHOTOTHERAPY has been mentioned in f standard books .Is it practised? because i have not seen in practise. kindly give detail about it. 3)One leading company has somewhere advertised rotavirus and malaria vaccine as forthcoming vaccine. ROTA vaccine was banned due to intussuseption and malaria still experimental. Kindly tell latest update. Iap book also mention these as vaccine of millennium. Check Out the Answer
Question Category : Jaundice
What is the role of fresh frozen plasma in treatment of hyperbilirubinemia in neonates? Any references? Check Out the Answer
Question Category : Jaundice
17 years old girl;1st episode of jaundice age 7 years back; from July/04 icteric eyes/urine bile free/LFT I/R; Sr.bilirubin repeatedly Total around 1.8/UC Bil.1.5; ultrasound mild hepato-splenmegaly only; Totally symptom free but for the eyes possibilities? further investigations please. Check Out the Answer

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