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Old 01-22-2015
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Default Help with Rh question on Peds Step 2 shelf

For those people who are strong in Rh force ... This is from a Peds 2 Shelf ... It looks like Hemolytic anemia but what would cause it? I thought if mom is Rh postive all is good for the baby ... Any help would be appreciated!

8 hour newborn has jaundice. Born to a woman, gravida 2, para 1; The mother's blood group is O, Rh-positive. Baby is alert. Examination shows jaundice of the face and chest. The abdomen is soft. The liver edge is palpated 1 cm below the right costal margin, and the spleen tip is palpated 1 cm below the left costal margin. Total bilirubin concentration is 11 mg/dL with a direct component of 0.1 mg/dL Which of the following is the most likely diagnosis?
D is wrong for sure

A) Breast-milk jaundice
B) Galactosemia
C) Hemolytic disease of the newborn
D) Physiologic jaundice of the newborn
E) Sickle cell disease
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Old 01-22-2015
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This is hemolytic disease of the newborn. It is obvious as the patient has indirect hyperbilirubinemia.


Breastmilk jaundice will have to occur later, around 1 week. Galactosemia usually will manifest after 3 days.

Physiologic jaundice will occur at 3 days. Sickle cell will not usually cause hemolysis in newborns.
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The above post was thanked by:
aks1987 (01-23-2015), thomasfx10 (01-23-2015)



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