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It is important to inquire about fever or other signs of illness in jaundiced newborns because septic infants can have jaundice (with elevated total and direct bilirubin) as one sign of serious infection, along with other clinical manifestations, such as:
Temperature instability Respiratory distress Apnea Irritability Lethargy Poor tone Vomiting Poor feeding
When jaundice is the only clinical finding, sepsis is highly unlikely as the cause of the increased bilirubin levels.
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CLIPP 8 - neonatal jaundicein congenital infection and intrauterine growth restriction (IUGR). The consequence may be a newborn who is born small for gestational age (SGA) with risk of direct hyperbilirubinemia.
Signs of illness in the newborn
<span>It is important to inquire about fever or other signs of illness in jaundiced newborns because septic infants can have jaundice (with elevated total and direct bilirubin) as one sign of serious infection, along with other clinical manifestations, such as:
Temperature instability Respiratory distress Apnea Irritability Lethargy Poor tone Vomiting Poor feeding
When jaundice is the only clinical finding, sepsis is highly unlikely as the cause of the increased bilirubin levels.
Differential Diagnosis for Jaundice in the Newborn
Diagnosis Comment
Breast milk jaundice
Begins in the middle of the first week of l Summary
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