Case challenge · Neonatology / Pediatrics · teaching

Neonatal Jaundice Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on AAP 2022

Case #1Neonatology / Pediatrics

📋 Case data

Stratify against the nomogramAt phototherapy threshold

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Stratify against the nomogram

Transcutaneous/serum bilirubin against the AAP nomogram — which treatment threshold is reached?

💡 Neonatal unconjugated hyperbilirubinemia, untreated can cause acute bilirubin encephalopathy → kernicterus. Screen TcB/TSB in the first 24–48 h, by the hour-specific nomogram (AAP 2022, separate curves for gestational age ≥35 weeks). Neurotoxicity risk factors: gestational age <38 weeks, albumin <3.0, isoimmune hemolysis (ABO/Rh, DAT positive), G6PD deficiency (common in southern China), sepsis, instability. Test for hemolysis (ABO/Rh/G6PD); onset <24 h/rapid rise/prolonged (>2–3 weeks check direct bilirubin to exclude biliary atresia) needs further evaluation.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.