Hi so I am doing a presentation on jaundice that has caused kernicterus and I am

Question

Hi so I am doing a presentation on jaundice that has caused kernicterus and I am to include lab test resutls requested by the class. I have done some of the result sbut need help in completing the rest if possible help me out for again a jaundice case of a 9 day old who is developing kernicterus. I need the values of a patient who would have this diagnosis, please complete the remaining lab test results, or provide some insight on what the lab test results would be, I partially filled out what I could.

complete CBC HgB-low 10.9g/dl Het-37% -Leukocytes-elevated 14.53 10A9/L -Neutrophils-38% Lymphocytes-42.8% Monocytes Eosinophils Basophils CRP-1.4 mg/l -Platelets-343 10 9/L RBC-2.99 10412/L Complete CMP Liver enzymes Glucose-very low-normal is >45 mg/dl Creatinine Liver panel Electrolyte panel NAt .K+-increased -Ca++-slightly decreased mEg PaO2 PaCO2 Urine Drug Screen Lactate-increased BUN Acid Base Status Coagulation function Renal panel Phenylketonuria (PKU) test Urine analysis LDH Breast Milk analysis (Color, consistency, Gram stain, etc) Prothrombin Time (PT) Creatinine Kinase Blood urea nitrogen

Explanation / Answer

1. The lab values of kernicterus babies is altered in

Total serum bilirubin level 20.7 to 59.9 mg/dl

Reticulocyte count > 7mg/dl

Sodium level > 194 mEq/dl in case of severe kernicterus

Mother blood type and new born blood type

these are the common changes seen in new born with kernicterus in blood analysis

other lab values are non significant

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