This document defines jaundice as hyperbilirubinemia, an excessive level of bilirubin in the blood, and differentiates between physiological and pathological jaundice. It states that kernicterus, caused by unconjugated bilirubin deposits in the brain, is the most dangerous complication. An approach to evaluating a jaundiced baby includes assessing age, risk factors, and signs of kernicterus, and determining if jaundice is physiological or pathological by considering time of onset and duration. Workup may include bilirubin levels, blood typing, and additional tests depending on the situation. Treatment options include increasing feeding, phototherapy, and exchange transfusion for more severe cases.
Jaundice – a detailed view by Rxvichu :) :)RxVichuZ
Hello friends...............me ,Vishnu.......back to u all with a MEGA PPT..........................
This PPT, is terminalized by me as "MEGA" , coz It comprises DETAILED VERSIONS OF :
1. ADULT JAUNDICE
2. NEONATAL JAUNDICE
Surely will prove to be a great resource knowledge for anyone who go through this....................but mistakes and errors are humane.............so do share ur feedbacks and reviews..............
Will be back soon with a new ppt....
Keep studying well
#rxvichu-roar4more!!!
:)
Pancreatitis is an inflammatory condition of the pancreas. Two major forms : acute pancreatitis (is reversible) and chronic pancreatitis(is irreversible).
Jaundice – a detailed view by Rxvichu :) :)RxVichuZ
Hello friends...............me ,Vishnu.......back to u all with a MEGA PPT..........................
This PPT, is terminalized by me as "MEGA" , coz It comprises DETAILED VERSIONS OF :
1. ADULT JAUNDICE
2. NEONATAL JAUNDICE
Surely will prove to be a great resource knowledge for anyone who go through this....................but mistakes and errors are humane.............so do share ur feedbacks and reviews..............
Will be back soon with a new ppt....
Keep studying well
#rxvichu-roar4more!!!
:)
Pancreatitis is an inflammatory condition of the pancreas. Two major forms : acute pancreatitis (is reversible) and chronic pancreatitis(is irreversible).
Neonatal jaundice occurs in 60% of term and 80% of preterm babies. Despite Neonatal jaundice is one of the commonest neonatal conditions, there are no national practice guidelines for its management in our country. Lack of uniform guidelines and standard practice parameters for diagnosis and management of neonatal jaundice often leads many babies to develop unnoticed hyperbilirubinemia causing kernicterus and long term poor neurological sequelae. This review after briefly discussing the epidemiology and pathophysiology of neonatal jaundice provides evidence-based pragmatic guidelines for the diagnosis and management of neonatal jaundice in resource-limited countries like Afghanistan
12. Journey through the liver Bilirubin taken up Conjugated to form water soluble conjugate Conjugate secreted into bile
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14. In The Gut Bilirubin diglucuronide may be Deconjugated or Metabolised by bacteria to urobilinogenpartially reabsorbed (remainder makes the stool brown)
27. Now that you’re a pro.. You’re called by a nurse for a new admission regarding a baby with elevated bili..what do you want to know
28. Approach to jaundiced baby Get age of baby (hours), gestational age, pregnancy hx, septic risk factors, complications with delivery Assess clinical condition (well or ill) Decide whether jaundice is physiological or pathological Look for evidence of kernicterus* in deeply jaundiced NB *review..what do you look for?
29. Approach to jaundiced baby Get age of baby (hours), gestational age, pregnancy hx, septic risk factors, complications with delivery Assess clinical condition (well or ill) Decide whether jaundice is physiological or pathological Look for evidence of kernicterus* in deeply jaundiced NB *Lethargy and poor feeding, poor or absent Moro's, opisthotonus or convulsions
35. Treatment During pregnancy (if severe) Intrauterine blood transfusion Early delivery After pregnancy Increase feeds (especially in breast feeding jaundice) Phototherapy Exchange transfusion (if severe)