need help with your account or subscription? click here to email us (or see the contact page)
join telegramNEW! discord
jump to exam page:
search for anything ⋅ score predictor (โ€œpredict me!โ€)

NBME 19 Answers

nbme19/Block 2/Question#37 (reveal difficulty score)
2 day old newborn with jaundice
Conjugation of bilirubin to glucuronic acid ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags:

 Login (or register) to see more


 +0  upvote downvote
submitted by โˆ—cassdawg(1780)
get full access to all contentpick a username

This is neonatal physiologic jaundice (FA2020 p393), which is primarily due to immature UDP-gluconuryosyltransferase causing an unconjugated bilirubinemia. The mechanism is decreased conjugation of bilirubin.

get full access to all contentpick a username
surgerydoctorca_sgu  Also, keep in mind a few other things with physiological jaundice: It occurs after first 24 hours of life and usually is self resolving after 1-2 weeks. Treatment involves phototherapy (non-UV) isomerizes unconjugated bilirubin to water-soluble form. +



Must-See Comments from nbme19

aliyah on Retinal cells
ajguard26 on Confined placental mosaicism
blueberriesyum on Frontal lobe disinhibition
ajguard26 on Omeprazole
cassdawg on Basophilic stippling
cassdawg on Anemia
aliyah on CD8+ T lymphocyteโ€“mediated killing
peteandplop on Coronary vasospasm due to alpha1-adrenergic ...
cassdawg on Histamine
shadowbox on 1 in 600
drdoom on Libido: decreased; Noctural erections: normal
cassdawg on Ewing sarcoma
corndog on Decreased lysosomal hydrolase activity
cassdawg on Decreased functional residual capacity

search for anything NEW!