Question of the Week

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 :
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.
Answer Discussion :
Guddu Tyagi
Start short course of photo therapy and antibiotics to prevents secondary infection
1 year ago
Short course of phototherapy
1 year ago
CSN Vittal
Sepsis screen, r/o biliary atresia/ neonatal hepatitis
1 year ago
vyomesh vyas
Consider it direct hyperbilirubinaemia no matter what is the age! She should be investigated accordingly sepsis( perinatal) /obstructive cholengiopathy/ drugs etc
1 year ago
sabir khilgi
Nothing to worry do phototherapy and do crp test for sepsis
1 year ago

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