AamirJeewa, MD, Editorial Fellow, Pediatrics in Review
There are certain hallmark diseases and conditions that become ingrained in the mind
of the clinician during his or her pediatric residency. Otitis media, nursemaid’s
elbow, diabetic ketoacidosis, are examples of the “bread and butter” pediatrics that
are the mainstay of most general pediatricians and hospitalists. But probably none
more so than hyperbilirubinemia or “jaundice.”
It has been more than 10 years since my own pediatric residency, and I still have
moments when I need to look up the serum bilirubin nomogram (Fig) to determine what part of the treatment algorithm is necessary for a newborn patient.
Some things you just can’t forget.
November’s Pediatrics in Review features an excellent and concise review by Drs. Debra Pan and Yolanda Rivas on the diagnosis and management of jaundice in the newborn to 2-month-old. This article details the causes of both unconjugated and conjugated hyperbilirubinemia, highlighting
the common and more rare etiologies and the best diagnostic approaches to these conditions.
Not only was I reminded of the “bread and butter” topic I had learned about during
my training, but I learned a few new things as well. I hope that you will too after
reading this review.