Case 18 - 5-day-old M with jaundice Flashcards
1
Q
Information gathering
A
CC Onset Progression Parts of body involved Age of child Vomiting Abdominal distention Frequency of BMs Color of stool Blood in stool Urinary frequency Number of wet diapers Breast-feeding and frequency Sucking well Activities and cry Awake and responsive Recent URI Fever, breathing fast, dry mouth, shaking Mother, father and baby's blood type Ill contacts Other pregnancies and miscarriages Birth history Complications during pregnancy Delivery at term or premature Smoking, alcohol or drug use during pregnancy First BM of baby (within 24 hours) Discharge from hospital (uneventful or not) PMHx PSHx FHx Current medications Drug allergies
2
Q
Diagnostic work-up
A
Total and indirect bilirubin
Blood typing
Direct Coombs test
CRP
3
Q
Diagnostic work-up
A
Total and indirect bilirubin
Blood typing (blood group incompatibility)
Direct Coombs test (mothers with type O should receive direct Coombs test to check for maternal-fetal incompatibility)
CRP (indicator of infection)
CBC
