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Neonatal jaundice, day 3

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Teaching point — how the wording changes the answer

Physiological jaundice appears >24 h, peaks day 3-5 in a WELL, feeding baby. Red flags for pathological: onset <24 h, weight loss, lethargy/poor feeding, unwell. Well baby -> measure serum bilirubin and plot on age-hour nomogram (reassure if below line); red flags -> serum bilirubin +/- septic screen; above treatment line -> phototherapy.

Q22 3-day-old, jaundiced, mother concerned, baby crying, appears yellow. What to do?
Key clue Crying, otherwise vague stem
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Check serum bilirubin
Q42 Day 3 jaundice, mother noticed yellow skin (reassure / check bili / admit / phototherapy)
Key clue Bare stem, no red flags or treatment threshold given
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Check bilirubin (measure before deciding)
Q77 Newborn day 3 jaundice, no other abnormal findings. Initial investigation?
Key clue Explicitly no abnormal findings
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Serum bilirubin
Q135 3-day-old jaundice. Management
Key clue Feeding well implied, well baby
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Reassurance (after measuring/plotting bilirubin)
Q139 3-day jaundice, feeding well, icterus O/E, NO LFT values given
Key clue Feeding well; earlier recall had liver values, this one stripped them
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Serum total bilirubin (then reassure/review)
Q157 3-day jaundice, feeding well
Key clue Feeding well
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Check serum bilirubin / reassure & review tomorrow
Q166 3-day jaundiced, feeding well, afebrile
Key clue Feeding well + afebrile (most reassuring variant)
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Reassure / review in 2 days (measure bilirubin)
Q262 3-day jaundice, birth weight DOWN 200 g
Key clue Weight loss -> pushes toward pathological / dehydration
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Serum bilirubin TODAY
Q335 Young mother, 3-day jaundice (previous recall)
Key clue Standard stem
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Serum bilirubin
Q428 Day 3 newborn jaundice
Key clue Standard stem
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Serum bilirubin
Q440 3-day newborn jaundice, crying
Key clue Crying
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Serum bilirubin
NA-2 3rd-day neonate jaundice, investigation
Key clue Newly-added duplicate
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Serum bilirubin (1st step)