sign and symptoms of neonatal jaundice

1. CLINICAL FEATURES OF
NEONATAL JAUNDICE
TEJAS D
ROLL NO 122

2. • Jaundice is detected by blanching the skin
with finger pressure to observe the color of
the skin and subcutaneous tissues.
• Jaundice progresses in a cephalocaudal
direction.
• The highest bilirubin levels are typically
associated with jaundice below the knees and
in the hands, substantial overlap of serum
bilirubin levels associated with jaundice
progression. Visual inspection is not a reliable
indicator of serum bilirubin levels.

3. • Jaundiced infants should be examined for the
following physical findings:
 Prematurity. Gestational age is an important
predictor of risk for hyperbilirubinemia; this
should be evaluated and documented for each
newborn.
 Small-for-gestational-age (SGA), which may be
associated with polycythemia and in-utero
infections.

4.  Microcephaly, which may be associated with
in utero infections.
 Extravascular blood bruising,
cephalohematoma, or other enclosed
hemorrhage.
Pallor associated with hemolytic anemia or
extravascular blood loss.
 Petechiae associated with congenital
infection, sepsis, or erythroblastosis

5.  Hepatosplenomegaly associated with
hemolytic anemia, congenital infection, or
liver disease.
 Omphalitis.
 Chorioretinitis associated with congenital
infection.
 Evidence of hypothyroidism.

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