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Question :

Posted On : 23 Apr 2023

A 3-day-old child has S. bilirubin 16.2 and direct bilirubin 2.2. Weight is 2.7 kg. What should be the approach?

Expert Answer :

Answer Discussion :

G

Guddu Tyagi

0

Start short course of photo therapy and antibiotics to prevents secondary infection

1 year ago

T

TAUQIR KHAN

0

Short course of phototherapy

1 year ago

C

CSN Vittal

0

Sepsis screen, r/o biliary atresia/ neonatal hepatitis

1 year ago

V

vyomesh vyas

2

Consider it direct hyperbilirubinaemia no matter what is the age! She should be investigated accordingly sepsis( perinatal) /obstructive cholengiopathy/ drugs etc

1 year ago

S

sabir khilgi

1

Nothing to worry do phototherapy and do crp test for sepsis

1 year ago

Answer 1

Get the liver enzymes done. If high, rule out hepatitis. Also, check if the stools are pale in color. If not, start phototherapy and keep a watch on both indirect and direct bilirubin. If direct bilirubin is rising, rule out neonatal cholestasis.

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