THE MORNING REPORT

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When Your Bilirubin is Higher Than Your Age: A Case of Pediatric Hyperbilirubinemia

A 5 day old male, ex-36.6 weeker, presents to the emergency department with jaundice. The patient’s mother states that he has turned more and more yellow over the last couple days. The patient has had good oral intake and wet diapers since birth. The patient was born by vaginal delivery after mother was induced due to polyhydraminos and separation of the amniotic sac from the uterine wall. The patient had a 1 day stay in the NICU and was discharged home with a total bilirubin of 10. In the ED, the patient was noted to have severe jaundice, lethargy, and sunsetting of the eyes concerning for kernicterus (Image 1). Two IV lines were placed, labs sent, fluid boluses started, phototherapy commen

Stony Brook
EMergency Medicine

(631) 444-3880

 

101 Nicolls Road,

Stony Brook, NY 11794

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