Case study on jaundice ppt

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A more recent article on jaundice is available. Organizing the differential diagnosis by prehepatic, intrahepatic, and posthepatic causes may help make the work-up more manageable. Prehepatic causes of jaundice include hemolysis and hematoma resorption, which lead to elevated levels of unconjugated indirect bilirubin. Intrahepatic disorders can lead to unconjugated or conjugated hyperbilirubinemia. The conjugated direct bilirubin level is often elevated by alcohol, infectious hepatitis, drug reactions, and autoimmune disorders.
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Case presentation on neonatal jaundice corrected

Jaundice is t he yellow colouring of skin and sclera caused by the accumulation of bilirubin in the skin and mucous membranes. High levels of unconjugated bilirubin have acute harmful effects as well as long term damage if left untreated, such as kernicterus. Jaundice in a healthy baby, born at term, is normal and may result from:. Starts at day , peaks day 5 and usually resolved by day The baby remains well and does not require any intervention beyond routine neonatal care. Physiological jaundice can progress to pathological jaundice if the baby is premature or there is increased red cell breakdown e. Extensive bruising or cephalohaematoma following instrumental delivery.
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Jaundice - PowerPoint PPT Presentation

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B is a year-old woman who comes to your office because her skin and eyes have been yellow for the past 2 weeks. B also tells you she has dark urine, light-colored stools, anorexia, and fatigue. She has no nausea, vomiting, abdominal pain, or fever.