TY - CHAP M1 - Book, Section TI - Bilirubin Encephalopathy, Chronic (Kernicterus) A1 - Hay, Jr, William W. A1 - Levin, Myron J. A1 - Deterding, Robin R. A1 - Abzug, Mark J. PY - 2017 T2 - Quick Medical Diagnosis & Treatment Pediatrics AB - Kernicterus is an irreversible brain injury characterized by choreoathetoid cerebral palsy and hearing impairmentIntelligence is probably normal but may be difficult to assess because of associated hearing, communication, and coordination problemsInfants with visible jaundice on the first day of life or who develop excessive jaundice require the following:Feeding and elimination historyBirth weight and percent weight change since birthExamination for sources of excessive heme breakdownAssessment of blood type, Coombs testing, complete blood cell count (CBC) with smear, serum albumin, and total serum bilirubin (TSB)G6PD test if jaundice is otherwise unexplained, and in African-American infants with severe jaundiceFractionated bilirubin level in infants who appear ill, those with prolonged jaundice, acholic stool, hepatosplenomegaly, or dark urine to evaluate for cholestasis SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/10/09 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1145454022 ER -