RT Book, Section A1 Hay, Jr, William W. A1 Levin, Myron J. A1 Deterding, Robin R. A1 Abzug, Mark J. SR Print(0) ID 1145454022 T1 Bilirubin Encephalopathy, Chronic (Kernicterus) T2 Quick Medical Diagnosis & Treatment Pediatrics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781264257614 LK accesspediatrics.mhmedical.com/content.aspx?aid=1145454022 RD 2024/10/13 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