3/27/21

Question 1

Features of physiologic jaundice

Answer 1

jaundice peaks between days 2-5
increases less than 5 mg/dl in 24 hours
bilirubin levels return to normal by 2 weeks

Question 2

Jaundice and anemia is concerning for _____

Answer 2

hemolysis

Question 3

Physiologic jaundice has

a) conjugated or
b) unconjugated bilirubin

Answer 3

unconjugated

Question 4

jaundice that lasts longer that 12 days

Answer 4

is NOT physiologic

Question 5

What is considered severe hyperbilirubinemia

Answer 5

25 mg/dl or higher

Question 6

What is a complication of severe hyperbilirubinemia

Answer 6

bilirubin induced neurologic dysfunction

• bilirubin encephalopathy and if not promptly treated -
• chronic bilirubin encephalopathy (kernicterus)

Question 7

Causes of significant unconjugated hyperbilirubinemia

Answer 7

hemolytic disease, polycythemia, hematoma
increased enterohepatic circulation (breast milk jaundice)
poor lactation and thus hypovolemia