Title: Neonatal Jaundice (submitted by Brad Cotter, MD)<br/>Author: Mimi Lu<br/><a href='http://umem.org/profiles/faculty/185/'>[Click to email author]</a><hr/><p>
        Neonatal jaundice- Incidence ~85% of term newborns</p>
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        Bili levels are EXPECTED to rise during first 5 days of life</p>
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        Be aware of CONJUGATED hyperbilirubinemias (biliary atresia, infection)</p>
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        Majority of cases due to increase in unconjugated (indirect) bilirubin 2/2 residual fHgb breakdown and insufficient capacity of hepatic conjugation</p>
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        Severe hyperbilirubinemia (Tbili >20mg/dL) <2% of term infants </p>
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        ⇒</p>
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        Acute bilirubin encephalopathy(ABE)- Hypertonia, arching, opisthotonos, fever, high pitched cry</p>
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                                                                 ⇒</p>
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        Kernicterus (5% of ABE)-CP, MR, auditory dysfunction, upward gaze palsy</p>
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         </p>
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        When to refer for phototherapy/exchange transfusion</p>
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        <li>
                Reference published guides (above)</li>
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                Online calculator- http://bilitool.org/</li>
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         </p>
<fieldset><legend>References</legend>

                <p>
        “Evaluation and Treatment of Neonatal Hyperbilirubinemia” Muchowski MD, Naval Hospital Camp Pendleton Family Medicine Residency Program, Camp Pendleton, California; <em>Am Fam Physician.</em> 2014 Jun 1;89(11):873-878.</p>
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