Newborn- Indirect Hyperbilirubinemia

Portable Peds

Today we’ll be covering Indirect Hyperbilirubinemia, going along with this month’s theme, Newborn Medicine. If you haven’t listened to our podcast before, each week we have a case-based discussion about a medical topic to help you study for the pediatric medicine board exam. Episodes are released every weekend, and the case is then reviewed and reinforced on social media throughout the week.

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Today’s Case:

A child presents to your primary care clinic, who is a three-day old exclusively breast-fed female of European descent born at 36 weeks gestation. Pregnancy, labor, delivery, and post-natal course were uncomplicated. Mom’s blood type was A+, and this is her first child. The infant was discharged at 24 hours of life, and her bilirubin level at that time was 6mg/dL, all indirect, which corresponded to a low intermediate risk level for developing severe hyperbilirubinemia. She appears jaundiced on exam, and you note that she has lost approximately 8% of her birth weight. Her current total serum bilirubin is 12mg/dL, all indirect. You continue to trend bilirubin levels in your office throughout the week. Her total bilirubin level peaks on day of life four and is down-trending by day of life six. What is the most likely etiology of her jaundice?

1. Breast milk jaundice
2. Breastfeeding jaundice
3. ABO incompatibility
4. Biliary atresia
5. G6PD deficiency

We would like to give an enormous thank you to Zack Goldmann for designing this podcast’s logo and accompanying artwork. You can find more of his work at www.zackgoldmann.com.

The intro and outro of this podcast is a public domain song obtained from scottholmesmusic.com.

Intro/Outro- Hotshot by Scott Holmes

Disclaimer:

This podcast is intended for healthcare professionals. The information presented is for general educational purposes only and should NOT be used as professional medical advice or for the diagnosis or treatment of medical conditions.

The views and opinions expressed do not represent the views and opinions of our employer or any affiliated institution. Expressed opinions are based on specific facts, under certain conditions, and subject to certain assumptions and should not be used or relied upon for any other purpose, including, but not limited to, the diagnosis or treatment of medical conditions or in any legal proceeding. Full terms and conditions can be found at portablepeds.com.

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