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 |