How to determine if your baby has kernicterus

In fact, many parents are not very clear when their baby has kernicterus. At this time, it is necessary to make a judgment based on a series of symptoms that occur in their baby. Most children will have a fever, and the high fever will not subside. This is a very common symptom of jaundice, and it will also cause their skin to turn yellow, and even the sclera will turn yellow.

1. Medical history

Understanding the patient's age, gender, family history, onset, duration of illness, whether certain medications or blood transfusions have been taken, and history of chills, fever, and abdominal pain are important for the diagnosis of jaundice.

(II) Associated symptoms

1. Jaundice with fever is seen in acute cholangitis, liver abscess, leptospirosis, sepsis, and lobar pneumonia. Viral hepatitis or acute hemolysis may first cause fever and then jaundice.

2. Jaundice accompanied by severe upper abdominal pain may be seen in bile duct stones, liver abscess or biliary ascariasis. Persistent dull pain or bloating in the right upper abdomen may be seen in viral hepatitis, liver abscess or primary liver cancer.

3. Jaundice accompanied by mild to moderate liver enlargement, soft texture or medium hardness, and smooth surface is seen in viral hepatitis, acute biliary tract infection or biliary obstruction. Obvious enlargement of the liver, hard texture, uneven surface and nodules are seen in primary or secondary liver cancer. Mild enlargement of the liver with a hard texture, irregular edges, and small nodules on the surface is seen in cirrhosis.

4. Jaundice accompanied by enlarged gallbladder indicates obstruction of the common bile duct, which is common in pancreatic head cancer, ampullary cancer, common bile duct cancer, etc.

5. Jaundice with splenomegaly can be seen in viral hepatitis, leptospirosis, sepsis, malaria, portal or biliary cirrhosis, hemolytic anemia caused by various reasons, and lymphoma.

6. Jaundice accompanied by gastrointestinal bleeding can be seen in cirrhosis, severe hepatitis, and ampullary cancer.

7. Patients with jaundice and ascites. Seen in. The main diseases are hepatitis, decompensated cirrhosis, liver tumors, etc.

3. Physical examination

1. Changes in skin, sclera, and mucous membrane color

Skin color is mainly determined by the type of jaundice and how long it lasts. The skin appears lemon-colored in hemolytic jaundice, light yellow or golden yellow in viral hepatitis, and yellow-green, dark green or brown in obstructive jaundice that lasts for a long time.