child health notes

Apr 16th, 2015
Studypool Tutor
Price: $10 USD

Tutor description

Word Count: 1536
Showing Page: 1/31
NEONATAL JAUNDICEDefinition The yellow color of the skin and sclerae resulting from thedeposition of bilirubin in these easily observable tissues The yellow coloration of the skin and sclera in newborns withjaundice is the result of accumulation of unconjugated bilirubin The condition arises when the rate of bilirubin productionexceeds the rate at which bilirubin is eliminated.Epidemiology Jaundice is a common neonatal problem. 65% of newborns develop clinical jaundice with a bilirubin levelabove 5 mg/dL during the first week of life. However, significant jaundice occurs in 6 % of term babiesEtiologyUnconjugated Hyperbilirubinemia Unconjugated bilirubin is the direct breakdown product ofheme, is water insoluble, and is measured as indirect bilirubin The causes of unconjugated hyperbilirubinemia can be groupedinto two main categories: overproduction of bilirubin anddecreased conjugation of bilirubinOverproduction of bilirubin Increased rate of hemolysis (reticulocyte count elevated)1. Rh incompatibility2. ABO blood group incompatibility3. Other blood group sensitizations4. Abnormal red cell shapes: Spherocytosis, Elliptocytosis,Pyknocytosis, and Stomatocytosis5. Red cell enzyme abnormalities: Glucose-6-phosphatedehydrogenase deficiency6. Sepsis: bacterial, viral, or protozoa Nonhemolytic causes of increased bilirubin load (Unconjugatedbilirubin elevated, reticulocyte count normal.)1. Extravascular hemorrhage

Review from student

Studypool Student
" Top quality work from this guy! I'll be back! "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1829 tutors are online

Other Documents


Brown University

1271 Tutors

California Institute of Technology

2131 Tutors

Carnegie Mellon University

982 Tutors

Columbia University

1256 Tutors

Dartmouth University

2113 Tutors

Emory University

2279 Tutors

Harvard University

599 Tutors

Massachusetts Institute of Technology

2319 Tutors

New York University

1645 Tutors

Notre Dam University

1911 Tutors

Oklahoma University

2122 Tutors

Pennsylvania State University

932 Tutors

Princeton University

1211 Tutors

Stanford University

983 Tutors

University of California

1282 Tutors

Oxford University

123 Tutors

Yale University

2325 Tutors