Neonatal medicine Flashcards
1
Q
How do you investigate neonatal jaundice?
A
<24 hours OR <35 weeks of life- serum bilirubin
>24 hours- transcutaneous bilirubin
if TCB => 250 umol-> serum
Check underlying causes: 1-HCT 2- blood groups 3- DAT test 4- Blood film for Hereditary spherocytosis 5-MC&S- ? sepsis
2
Q
What is the management of neonatal jaundice?
A
1- Reassurance
Unconjugated= check with therapy lines
Photo or exchange transfusion
Conjuagted=? Biliary atresia
3
Q
How does phototherapy work? + what’s the follow-up?
A
light waves of blue- green band coverts unconjugated bilirubin into water-soluble forms.
Key to protect babies eyes and measure bili 4-6 hours after starting
4
Q
What is the triad for shaken baby syndrome?
A
- Encephalopathy
- retinal haemorrhages
- subdural hematoma
