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Approach to the neonate with jaundice

#Diagnosis #Peds #Pediatrics #Neonatal #Jaundice #Algorithm #Differential #Workup

** GrepMed Recommended Text:
Approach to the neonate ... with jaundice ... Peds #Pediatrics #Neonatal ... #Jaundice #Algorithm ... #Differential #Workup
Approach to Neonatal Jaundice

Causes of pathologic hyperbilirubinemia can be classified as due to (1) increased bilirubin
Approach to Neonatal ... Jaundice Causes ... Peds #Pediatrics #Neonatal ... #Jaundice #Algorithm ... #Differential #Workup
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... Bruising, Edema #biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... cholestasis → Cirrhosis/Liver ... hyperpigmentation • Jaundice ... or higher • Liver ... cholangitis #diagnosis #workup
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... discomfort Signs: Jaundice ... Liver biopsy findings ... #PBC #Primary #Biliary
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... Important findings: jaundice ... disease work up ... - Liver US ... - Prior liver biopsy
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
compression of biliary ... RUQ pain, fever, jaundice ... Mirizzi #Syndrome #Liver ... Clinical #Transverse #Biliary
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
90%) • Other: Jaundice ... Imaging findings Workup ... • Imaging: US (biliary ... MRCP (necrosis, biliary