A full term 80 hours old new born baby develops jaundice and is kept in an apparatus as shown in the picture below.
What should be the minimum level of serum bilirubin to start up with the apparatus as shown below ?
A. 20 mg%.
B. 12.5 gm%.
C. 18 mg%/.
D. 15 mg%.
The apparatus shown in the picture above represents Phototherapy which is the most common treatment for reducing high bilirubin levels that cause jaundice in a newborn.
- Causes of unconjugated hyperbilirubinemia:
- Criggler Najjar syndrome I & II,
- Physiological jaundice,
- Gilbert syndrome
- Breast milk jaundice etc.
- Causes of conjugated hyperbilirubinemia: Biliary atresia (extrahepatic/ intrahepatic),
- MC cause of conjugated bilirubinemia in newborn: Idiopathic infantile hepatitis
- Physiological jaundice appears on: 3rd day (lasts upto 7th day)
- MC cause of jaundice within 24 hours after birth: Erythroblastosis fetalis
- Breast milk jaundice is due to: Pregnandiole
- Kernicterus: Unconjugated bilirubin, in basal ganglia
- Rise in level of bilirubin in physiological jaundice: Less than 5 mg/ dl/ day.