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Bilirubin
Ligandin
(Y - acceptor) Intestine
Bilirubin
glucuronidase Bil
Bil glucuronide glucuronide
β glucuronidase
bacteria
Bilirubin
Stercobilin
Bilirubin metabolism
Teaching Aids: NNF NJ - 2
Clinical assessment of
jaundice
15
Bilirubin level
10
mg/dl
Term
Preterm
1 2 3 4 5 6 10 11 12 13 14
Age in Days
Teaching Aids: NNF NJ- 6
Pathological jaundice
Appears within 24 hours of age
Increase of bilirubin > 5 mg / dl / day
Serum bilirubin > 15 mg / dl
Jaundice persisting after 14 days
Stool clay / white colored and urine
staining clothes yellow
Direct bilirubin> 2 mg / dl
Physiological
Blood group incompatibility
G6PD deficiency
Bruising and cephalhaematoma
Intrauterine and postnatal infections
Breast milk jaundice
450-460nm
Native bilirubin Photo isomers of bilirubin
of light
Insoluble Soluble
<5 All
Phototherapy
5-9 All
if hemolysis
< 2500g Phototherapy PHOTOTHERAPY
10-14 if hemolysis Investigate if bilirubin
> 2500g
> 12mg%