What is the Differential Diagnosis of Direct Hyperbilirubinemia? | 合法醫療器材資訊網

2009年2月9日—Directorconjugatedhyperbilirubinemiaisdefinedasdirectbilirubin>2.0mg/dLandis>10%ofthetotalbilirubin.Ageatpresentation, ...

Patient Presentation A 4-day-old male was transferred to a regional children’s hospital for direct hyperbilirubinemia. The infant was full term, was discharged at 2 days of life, and returned that morning to his private medical doctor’s office for routine followup. Mother reports that he had been breastfeeding sluggishly, was urinating well and had stools that were yellow-colored. The past medical history showed a normal pregnancy and delivery. The family history was negative for congenital, metabolic, or gastrointestinal abnormalities. The review of systems was negative. The pertinent physical exam showed a jaundiced infant with a slightly protuberant abdomen. The vital signs and growth parameters were normal. He was jaundiced over the entire body including the eyes and he had no prominent cutaneous abdominal vasculature. His liver was palpable 2-3 cm below the right costal margin and there was no s...