Clerkship Ready: Pediatrics is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Pediatrics. It covers topics including Your Pediatric Survival Guide - Tips and Tricks, Before Your First Well-Child Check, Peds GI Clinic, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
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Clerkship Ready: Pediatrics is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Pediatrics. It covers topics including Your Pediatric Survival Guide - Tips and Tricks, Before Your First Well-Child Check, Peds GI Clinic, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
##Legal Disclaimer##
The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.
In this episode, we discuss things you’ll need to know and think about before seeing an infant with jaundice. We will focus on infants from birth to 2 months of age. We will discuss the pathophysiology of hyperbilirubinemia, the difference between unconjugated and conjugated hyperbilirubinemia, the differential diagnosis, key elements of the history and physical exam, laboratory and imaging workup, and management.
Introduction to jaundice and hyperbilirubinemia
Jaundice is the yellowing of skin, sclerae, and mucous membranes caused by hyperbilirubinemia
Hyperbilirubinemia can be further separated into unconjugated or conjugated forms, which allows us to further differentiate etiology
Review of bilirubin breakdown pathway, to include enterohepatic circulation
Unconjugated hyperbilirubinemia etiologies:
Excessive or increased production of bilirubin
Cephalohematomas
Hemolysis: ABO and Rh incompatibilities; Red Blood Cell (RBC) membrane or enzyme defects, RBC oxidative stress (secondary to sepsis, asphyxia, and acidosis)
Decreased clearance of bilirubin
Breast milk jaundice
Prematurity
Hypothyroidism
Gilbert Syndrome
Crigler-Najjar Syndrome
Suboptimal Intake Jaundice
Medications
Combination of both
Physiologic jaundice
Conjugated hyperbilirubinemia etiologies:
Always pathologic
Biliary atresia
Briefly mentioned the vast range of other etiologies: infectious, genetic, metabolic, and anatomic
Key elements of history and physical examination for a jaundiced infant
History:
Onset
Feeding patterns (what, how much/often, quality of feeding)
Urine and stool diapers
Prenatal history
Delivery history
Family history
Physical exam:<...
Clerkship Ready: Pediatrics
Clerkship Ready: Pediatrics is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Pediatrics. It covers topics including Your Pediatric Survival Guide - Tips and Tricks, Before Your First Well-Child Check, Peds GI Clinic, and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the clinical questioning that’ll occur, and sets you up to overall Honor the rotation!
Email podcasts@procedureready.com with comments, questions, and episode ideas.
##Legal Disclaimer##
The opinions expressed within this content are solely the speakers' and do not reflect the opinions and beliefs of their employers or affiliates.