Physiologic Jaundice

Jul 1, 2016 by in OBSTETRICS Comments Off on Physiologic Jaundice

Physiologic Jaundice Because at some point during the first week of life almost every newborn has a total serum bilirubin (TSB) level that exceeds 1 mg/dL (17 μmol/L, the upper…

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Physiologic Mechanisms of Neonatal Jaundice

Jul 1, 2016 by in OBSTETRICS Comments Off on Physiologic Mechanisms of Neonatal Jaundice

Physiologic Mechanisms of Neonatal Jaundice At any time in the infant’s first few days after birth, the serum bilirubin level reflects a combination of the effects of bilirubin production, conjugation,…

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Fetal Bilirubin Metabolism

Jul 1, 2016 by in OBSTETRICS Comments Off on Fetal Bilirubin Metabolism

Fetal Bilirubin Metabolism Bilirubin can be detected in normal amniotic fluid after about 12 weeks of gestation, but it disappears by 36 to 37 weeks’ gestation. The ability of human…

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Neonatal Bilirubin Metabolism

Jul 1, 2016 by in OBSTETRICS Comments Off on Neonatal Bilirubin Metabolism

Neonatal Bilirubin Metabolism Bilirubin Production The normal destruction of circulating erythrocytes accounts for about 75% of the daily bilirubin production in the newborn. Senescent erythrocytes are removed and destroyed in…

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Formation, Structure, and Properties of Bilirubin

Jul 1, 2016 by in OBSTETRICS Comments Off on Formation, Structure, and Properties of Bilirubin

Formation, Structure, and Properties of Bilirubin Detailed reviews of the chemistry and metabolism of bilirubin are found elsewhere (3,4,5,6,7). Bilirubin is the end product of the catabolism of iron protoporphyrin…

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Introduction

Jul 1, 2016 by in OBSTETRICS Comments Off on Introduction

Introduction Jaundice is the most common and one of the most vexing problems that can occur in the newborn. As Hansen points out in an elegant historical review (1), “neonatal…

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Second-Degree Atrioventricular Block

Jul 1, 2016 by in OBSTETRICS Comments Off on Second-Degree Atrioventricular Block

Second-Degree Atrioventricular Block Second-degree AV block is defined as intermittent failure of conduction of some atrial depolarizations to the ventricles. Second-degree AV block is subdivided into Mobitz type I (Wenckebach)…

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Atrioventricular Block

Jul 1, 2016 by in OBSTETRICS Comments Off on Atrioventricular Block

Atrioventricular Block First Degree Atrioventricular Block First degree A-V block is characterized by an abnormally prolonged P-R interval for age and heart rate. Most commonly, this is as a result…

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Junctional Ectopic Tachycardia

Jul 1, 2016 by in OBSTETRICS Comments Off on Junctional Ectopic Tachycardia

Junctional Ectopic Tachycardia Junctional ectopic tachycardia is a rare, often incessant, tachyarrhythmia due do to enhanced automaticity in the A-V node or bundle of His. There is generally a normal…

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