This educational guide provides a much-needed subspeciality-specific learning resource for pediatric hospital medicine. Featuring 50 of the most commonly presenting topics encountered by pediatric hospitalists, this book brings readers into the morning meeting and walks them through patient presentation, diagnosis, treatment, and resolution, providing realistic examples in an engaging case-based format. Available for purchase at https://shop.aap.org/pediatric-hospital-medicine-a-case-based-educational-guide-paperback/
Case 5: John, a 4-Day-Old Boy with Hyperbilirubinemia
"John, a 4-Day-Old Boy with Hyperbilirubinemia", Pediatric Hospital Medicine: A Case-Based Educational Guide, American Academy of Pediatrics, Melissa G. Cossey, MD, FAAP, Lauren K. Gambill, MD, MPA, FAAP
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John is a 4-day-old boy who presents as a direct admission from his pediatrician’s office for hyperbilirubinemia. He was born at an estimated gestational age (EGA) of 37 weeks. His pediatrician does not have access to the maternal records, and John’s mother does not recall her blood type. Today, following the pediatrician visit, John was found to have an elevated bilirubin level of 17.9 mg/dL (306.16 μmol/L) with a direct bilirubin of 0.8 mg/dL (13.68 μmol/L), and he is noted to have lost nearly 13% of his birth weight. Based on these findings, his pediatrician asked John’s family to take him directly to the inpatient unit.