logging in or signing up A GP�s guide to neonatal jaundice[1] sdawlatly Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 424 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: April 08, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation if possible. Regards. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation if possible. Regards. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation to me if possible. Regars. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript A GP’s guide to neonatal jaundice : A GP’s guide to neonatal jaundice Samir Dawlatly August 2009 Some terms : Some terms Physiological jaundice Changeover to neonatal bilirubin metabolism Prolonged jaundice Beyond day 10 in term babies (day 14 in preterm) Abnormal early jaundice Within 24 hours of birth – haemolysis/infection Physiological jaundice : Physiological jaundice Immature liver Worsened by Prematurity Excess RBC breakdown Baby clinically well Has resolved by Day 10 in term babies (day 14 in preterm) May be sign of infection or galactosaemia Prolonged jaundice : Prolonged jaundice May be sign of underlying disease Infection (congenital/acquired) Delayed metabolism Hepatitis (infection/atresia/metabolic disorder) Haemolytic disease First Day Jaundice (in case they escape, or home birth) : First Day Jaundice (in case they escape, or home birth) Haemolysis needs to be excluded ABO incompatibility Rhesus incompatibility Red cell anomalies What does a GP need to know : What does a GP need to know When to refer What to tell parents Picking up the pieces When to refer… : When to refer… Day 1 jaundice Jaundice and features of being unwell – lethargy, poor feeding Prolonged jaundice But all this is likely to be picked up by community midwife and/or health visitor What parents should expect : What parents should expect Tests that babies may have to undergo include: Blood tests (Coomb’s, FBC, chemistry, culture) Urine (usually catheter) Possible treatments Phototherapy and ivi Exchange transfusions IV antibiotics Picking up the pieces : Picking up the pieces Extended stay in hospital for baby – possible delay in bonding Traumatic nature of tests Coping with potential new diagnosis May need explanations not fully received in hospital Resources : Resources Barrett, Lander and Diwakar, 2003. A Paediatric Vade Mecum (14th ed). Edward Arnold Publishers, London. You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
A GP�s guide to neonatal jaundice[1] sdawlatly Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 424 Category: Science & Tech.. License: All Rights Reserved Like it (0) Dislike it (0) Added: April 08, 2010 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation if possible. Regards. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation if possible. Regards. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close By: imnopqrst (23 month(s) ago) Dear Samir kindly send me your presentation to me if possible. Regars. Dr Tariq, Pakistan chemtariq@yahoo.com Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript A GP’s guide to neonatal jaundice : A GP’s guide to neonatal jaundice Samir Dawlatly August 2009 Some terms : Some terms Physiological jaundice Changeover to neonatal bilirubin metabolism Prolonged jaundice Beyond day 10 in term babies (day 14 in preterm) Abnormal early jaundice Within 24 hours of birth – haemolysis/infection Physiological jaundice : Physiological jaundice Immature liver Worsened by Prematurity Excess RBC breakdown Baby clinically well Has resolved by Day 10 in term babies (day 14 in preterm) May be sign of infection or galactosaemia Prolonged jaundice : Prolonged jaundice May be sign of underlying disease Infection (congenital/acquired) Delayed metabolism Hepatitis (infection/atresia/metabolic disorder) Haemolytic disease First Day Jaundice (in case they escape, or home birth) : First Day Jaundice (in case they escape, or home birth) Haemolysis needs to be excluded ABO incompatibility Rhesus incompatibility Red cell anomalies What does a GP need to know : What does a GP need to know When to refer What to tell parents Picking up the pieces When to refer… : When to refer… Day 1 jaundice Jaundice and features of being unwell – lethargy, poor feeding Prolonged jaundice But all this is likely to be picked up by community midwife and/or health visitor What parents should expect : What parents should expect Tests that babies may have to undergo include: Blood tests (Coomb’s, FBC, chemistry, culture) Urine (usually catheter) Possible treatments Phototherapy and ivi Exchange transfusions IV antibiotics Picking up the pieces : Picking up the pieces Extended stay in hospital for baby – possible delay in bonding Traumatic nature of tests Coping with potential new diagnosis May need explanations not fully received in hospital Resources : Resources Barrett, Lander and Diwakar, 2003. A Paediatric Vade Mecum (14th ed). Edward Arnold Publishers, London.