Clinical Case Study Neonatal Jaundice Case Presentation Martin and pregnancy and

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Clinical Case Study Neonatal Jaundice Case Presentation Martin and pregnancy and evening, mother evening at feedin Kim were both twenty-five when they had Michael, their first child. Kim remained very healthy during her went into labor at 9:00 a .m., just 3 days after her due date. Delivery went quite smoothly, and that and child rested comfortably. Two days later, Kim and Michael were released from the hospital. That 9 time, Kim noticed that the whites of Michael's eyes seemed just slightly yellow, a condition that noticeably by the next morning. Kim called the pediatrician and made an appointment for that morning Upon quite common in neonatal jaundice newborn's liver told the parents he bilirubin concentration drop instructed them to the pediatrician informed Martin and Kim that the infant had neonatal jaundice, a condition newborns and one that need not cause them too much concern. The physician explained that was the result of the normal destruction of old or worn fetal red blood cells and the inability of the to effectively process bilirubin, a chemical produced when red blood cells are destroyed. The physician would like to see Michael every other day in order to monitor blood bilirubin concentration until the place Michael in sunlight whenever possible. ped into the normal range. He recommended that Kim feed Michael frequently and Case Background in a disorder that affects nearly 50% of all newborns to at least a small degree. The yellow Neonatal jaundice coloration of the skin and sclera of the to collagen fibers. In neonatal jaundice, the excess bilirubin is not due to an abnormal level of red blood cell destruction. It is due to the inability of the young liver cells to conjugate bilirubin, or make it soluble in bile, so that it can be excreted and removed as the liver cells synthesize the conjugation enzymes. If uncorrected, sufficiently high bilirubin concentrations can cause brain damage. Frequent feedings of a newborn with jaundice increase gastrointestinal tract motility and decrease the likelihood of reabsorbing significant amounts of bilirubin in the small intestine. Radiation from sunlight alters the chemical form of bilirubin, making is easier for the liver to excrete. eyes is due to the accumulation of bilirubin in adipose tissue and its adherence from the body by the digestive tract. This inability is corrected, usually within one week 1 Which organs are primarily responsible for removing old or worn red blood cells from circulation? 2 List the normal sequence of steps in the breakdown of hemoglobin. 3 Why would you expect the sclera of the eyes to turn yellow as a resul t of jaundice? lhighered mheducation.com/sites/0072351187/student_viewOichapter 12/clinical case study

Explanation / Answer

1. The organs that are involved in removal of red blood cells from the body-

2. The steps of breakdown of hemoglobin are as follows-

3. In juandice, the ability of live to conjugate the bilirubin is lost, which means bilirubin doesnt exit the body and stays as excess. This excess bilirubin enters the blood stream and travels to various parts of the body , like sclera of the eyes, which then turns yellow in its effect.

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