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
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)|
|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|