Image Based Question – 66848

Dermal Zones shown in the image are used for estimation of :

A. Serum Hemoglobin levels

B. Serum Bilirubin levels

C. Serum Calcium levels

D. Serum Glucose levels

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Correct Answer » B Explanation

Ans:B. Serum Bilirubin Levels

Clinical assessment of Hyperbilirubinemia in newborns.

• The prevention of Kernicterus is dependant upon the early recognition of neonatal jaundice and its severity.

• However,laboratory facilities for determination of serum bilirubin are nor readily available in rural areas.

• A reliable clinical method for the estimation of serum bilirubin levels in jaundice patients is needed.

• Progressive hyperbilirubinemia in newborn infants is accompanied by a cranial-caudal advancement of dermal icterus and showed a good correlation between dermal icteric zones and serum bilirubin levels.

Grade	Extent of Jaundice	Bilirubin range(mg/dl)
0	None
1	Face and Neck only	4-6
2	Chest and back	8-10
3	Abdomen below umbilicus to knees	12-14
4	Arms and legs below knees	15-18
5	Hands and feet	15-20