Which of the following if seen on day 10 of life is worrisome?
Correct Answer: Conjugated hyperbilirubinemia
Description: Ans. b. Conjugated hyperbilirubinemia (Ref: Nelson 19/e p34, 640)Conjugated hyperbilirubinemia, if seen on day 10 of life is worrisome.'Hyperbilirubinemia is a common and, in most cases, benign problem in neonates. Nonetheless, untreated, severe indirect hyperbilirubinemia is potentially neurotoxic, and conjugated-direct hyperbilirubinemia often signifies a serious hepatic or systemic illness. Jaundice is observed during the 1st week of life in approximately 60% of term infants and 80% of preterm infants. - Nelson 19/e p640Neonatal Period (First 4 weeks)Visual Milestone: May fixate face or light in line of vision; 'doll's-eye' movement of eyes on turning of the body.Hyperbilirubinemia is a common and. in most cases, benign problem in neonates. Nonetheless, untreated, severe indirect hyperbilirubinemia is potentially neurotoxic, and conjugated-direct hyperbilirubinemia often signifies a serious hepatic or systemic illness. Jaundice is observed during the 1st week of life in approximately 60% of term infants and 80% of preterm infants.
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