Podcast
Questions and Answers
What is the purpose of pressing the finger on the baby's skin over a bony part during the assessment of jaundice?
What is the purpose of pressing the finger on the baby's skin over a bony part during the assessment of jaundice?
- To observe the yellow color of the underlying skin (correct)
- To examine the extent of skin bruising
- To check for cephalhaematoma
- To assess the level of anaemia
What can dark urine and light stools indicate in a jaundiced newborn?
What can dark urine and light stools indicate in a jaundiced newborn?
- Haemolysis
- Physiological jaundice
- Kernicterus
- Intrahepatic or extrahepatic obstructive disease (correct)
What laboratory investigation is always included in the diagnosis of jaundice?
What laboratory investigation is always included in the diagnosis of jaundice?
- Liver function test
- Haemoglobin concentration
- SBR (Serum Bilirubin Ratio) (correct)
- Blood typing
What is the purpose of observing the extent of changes in skin and scleral colour during physical assessment of jaundice?
What is the purpose of observing the extent of changes in skin and scleral colour during physical assessment of jaundice?
What is the significance of lethargy in a jaundiced newborn?
What is the significance of lethargy in a jaundiced newborn?
What is the primary cause of physiological jaundice in newborns?
What is the primary cause of physiological jaundice in newborns?
What is the term for the chronic and irreversible brain damage caused by severe untreated jaundice?
What is the term for the chronic and irreversible brain damage caused by severe untreated jaundice?
What is the primary pathway for bilirubin metabolism in the liver?
What is the primary pathway for bilirubin metabolism in the liver?
What is the primary method of diagnosing jaundice in newborns?
What is the primary method of diagnosing jaundice in newborns?
What is the term for the excessive breakdown of red blood cells, leading to increased bilirubin production?
What is the term for the excessive breakdown of red blood cells, leading to increased bilirubin production?
What is the primary mechanism of jaundice in newborns with hemolytic disease?
What is the primary mechanism of jaundice in newborns with hemolytic disease?
Which of the following is a complication of un-treated severe jaundice?
Which of the following is a complication of un-treated severe jaundice?
What is the purpose of conjugation of bilirubin in the liver?
What is the purpose of conjugation of bilirubin in the liver?
Which of the following is a diagnostic criterion for jaundice?
Which of the following is a diagnostic criterion for jaundice?
Physiological jaundice typically peaks at what age in healthy term newborns?
Physiological jaundice typically peaks at what age in healthy term newborns?
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Study Notes
Assessing Jaundice in Newborns
- Assessment of jaundice should be done in natural light
- Physical assessment involves pressing the finger on the baby's skin, preferably over a bony part, till it blanches to observe the underlying skin for yellow color
- Extent of changes in skin and scleral color should be observed
- Skin bruising or cephalhaematoma should be checked for
- Lethargy and decreased eagerness are indicators of jaundice
- Dark urine and light stools may indicate intrahepatic or extrahepatic obstructive disease
- Haemoglobin concentration should be checked to assess anaemia and polycythaemia
Laboratory Investigation
- Laboratory investigation should always include Serum Bilirubin (SBR)
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