Question
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
Show Answer
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Correct Answer » B
Explanation
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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 |
