Hyperbili kravitz

Michelle B. Kravitz, MD June 29, 2006 NEONATAL HYPERBILIRUBINEMIA

Case 1 ,[object Object],[object Object],[object Object]

Case 2 ,[object Object],[object Object],[object Object]

Outline ,[object Object],[object Object],[object Object],[object Object],[object Object]

BILIRUBIN ,[object Object],[object Object]

BILIRUBIN PHYSIOLOGY ,[object Object],[object Object],[object Object]

BILIRUBIN PHYSIOLOGY Heme Biliverdin Heme oxygenase Bilirubin Biliverdin reductase

Bilirubin Physiology ,[object Object],[object Object]

Enterohepatic Circulation ,[object Object],[object Object],[object Object]

Conjugation ,[object Object],[object Object],[object Object]

CONJUGATED VS UNCONJUNCATED HYPERBILI ,[object Object],[object Object],[object Object]

KERNICTERUS ,[object Object],[object Object],[object Object],[object Object],[object Object]

KERNICTERUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

KERNICTERUS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

KERNICTERUS AND FREE BILIRUBIN ,[object Object],[object Object]

ALBUMIN ,[object Object],[object Object],[object Object]

ALBUMIN ,[object Object],[object Object]

RISK FACTORS FOR SIGNIFICANT JAUNDICE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

TIME COURSE OF JAUNDICE ,[object Object],[object Object],[object Object]

RISK FACTORS-RACE ,[object Object],[object Object],[object Object],[object Object]

RISK FACTORS-GESTATIONAL AGE ,[object Object],[object Object],[object Object],[object Object]

RISK FACTORS-FAMILY HX ,[object Object],[object Object]

RISK FACTORS-HEMOLYSIS ,[object Object],[object Object],[object Object],[object Object]

RISK FACTORS-PATHOLOGIC ,[object Object],[object Object],[object Object],[object Object],[object Object]

BREASTMILK/BREASTFEEDING JAUNDICE ,[object Object],[object Object],[object Object],[object Object]

BREASTMILK/BREASTFEEDING JAUNDICE ,[object Object],[object Object],[object Object],[object Object],[object Object]

ASSESSING THE RISK OF JAUNDICE BY THE NUMBERS ,[object Object]

ASSESSING THE RISK OF JAUNDICE BY THE NUMBERS ,[object Object],[object Object],[object Object],[object Object],[object Object]

ASSESSING THE RISK OF JAUNDICE BY THE NUMBERS ,[object Object],[object Object]

THERAPIES-PHOTOTHERAPY ,[object Object],[object Object],[object Object]

THERAPIES-EXCHANGE TRANSFUSION ,[object Object],[object Object],[object Object]

THERAPIES-Sn Mesoporphyrin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

THERAPIES-Sn Mesoporphyrin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Review of Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Review of Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANAGING JAUNDICE-TAKE HOME POINTS ,[object Object],[object Object],[object Object],[object Object],[object Object]

REFERENCES ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

[object Object],[object Object]

Hyperbili kravitz

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Hyperbili kravitz