01-20-2009, 05:19 AM
18 day old male , full term delivery-uncomplicated pregnancy, develops jaundice,pale stool, formula fed, normal behavior for age. O/E: icterus upto sole, Vitals- normal for age, P/A: Hepatomegaly. others-Normal.
CBC/Electrolyte-N
T. Bilirubin-22
Direct-19
Coombs -ve
TSH-normal
Work up for inborn error-negative
Usg-hepatomegaly, Gall Bladder not visualised
Next step?
1. Liver biopsy and Surgery
2.HIDA scan
3.Liver Trl
4.exchange transfusion
CBC/Electrolyte-N
T. Bilirubin-22
Direct-19
Coombs -ve
TSH-normal
Work up for inborn error-negative
Usg-hepatomegaly, Gall Bladder not visualised
Next step?
1. Liver biopsy and Surgery
2.HIDA scan
3.Liver Trl
4.exchange transfusion