Neonatal Jaundice

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Calculate the ratio of conjugated bilirubin to total bilirubin and decide if the baby has unconjugated or conjugated hyperbilirubinemia.
2. Propose an investigation plan for a baby with conjugated hyperbilirubinemia.
3. Propose a management plan physiologic, breast-milk and breast-feeding jaundice.
4. Propose a management plan for a baby with kernicterus.
5. Describe the maternal and baby blood groups that are a set-up for hemolytic anemia.

Half Day Cases

• 3 Day old baby girl, 3500 gram infant, 40 weeks, born to a 28 year old G2P1 Caucasian woman after an uncomplicated pregnancy and delivery. Developed jaundice at age 2 days which increased gradually. Rest of exam normal
• 5 Day old baby boy, 4200 gram infant, 41 weeks, born to a 28 year old G1P0 SVD assisted by forceps due LGA. Developed jaundice at age 3 days which increased more today baby looks jaundice and have left parietal cephalhematoma, Rest of exam normal.
• 23 hours baby boy to 24 year old G1P0 Asian mother delivers a 3400g male infant at 38 weeks. Baby noticed to be jaundiced on face and trunk, poor feeding and lethargy.
• 4 weeks old baby girl born full term 39 weeks at birth weight was 2300g to Asian mother 31 years old G3P1 with uncomplicated pregnancy and delivery came to ER as her parents concerned that their baby had jaundice, since of 1 week of age which increased gradually.