Direct Coomb positives? High reticulocytes? Immune hemolysis? How to diagnose and treat hyperbilirubinemia. Part four (and final) series- unless you have more questions!

**TIMESTAMPS**
00:40 Recap
01:28 When is a higher bilirubin more concerning
01:51 Nomogram
04:33 Is the infant at a high risk of developing kernicterus
05:05 Blood-brain barrier and free indirect bilirubin
06:13 Determine if hemolytic or non-hemolytic
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Dr. Tala is a board-certified neonatologist, and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.

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References:
Kuzniewicz et al. Predicting the need for phototherapy after discharge. Pediatrics, May 2021.
Bahr et. al. An new hour-specific serum bilirubin normogram for neonates more than 35 weeks of gestation. The journal of pediatrics. 2021 1-6.


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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.