Category Archives: Uncategorized

Health on the Net bloggers code

Uncategorized

This site has been assessed by the Health on the Net team in Switzerland who stipulate some ground rules for using a blog site such as this.  Please see below:

Authority

All comments posted on this site are moderated by me personally. I check the site most days, even when on annual leave.  Internet users posting comments on this blog are, in the main, health professionals.  Please state your position when leaving comments as it helps other users to evaluate the contribution you have made to their  learning.

Complementarity

Comments posted on this Blog should be designed to support, not replace, the relationship that exists between a patient/site visitor and his/her existing physician.  I do not expressly invite comments from non-health professionals but this is an open site and I remind health professionals that their comments can be seen by any member of the public.

Confidentiality

We remind you that everyone can read and use your comments. You do not have the possibility to erase your own comments.  Please click here for our privacy policy.

Comments

Internet users commenting on my blog must behave with professionalism, respect and honesty at all times.  Please only disseminate information that is true and correct to the best of your knowledge and provide links and references to the evidence-base as far as is possible or state if your comments are based on personal experience.

Internet users may not post any commercial/advertising comment but may provide a link to other websites with a continuing professional development aim.

As the only moderator, I reserve the right to erase, without notification, any comment I judge to be inappropriate.  Please note that you can contact me at the e-mail address at the top of the most recent newsletter.  I will not be offering any medical advice via e-mail; please see your own GP for any personal health concerns or concerns about your child’s health.

Last modification date : 6th April 2016

Let’s try and keep prolonged jaundice out of A and E!!

For General Practitioners, Uncategorized

Most babies who are still jaundiced at 2-3 weeks of age are well.  It is important not to miss biliary atresia  which presents as CONJUGATED hyperbilirubinaemia.  The baby will usually, though unfortunately not always, have pale, putty-coloured stools and it is important to pick them up early as the treatment is surgical and has a better outcome if carried out around the age of 6 weeks.  The community midwives in Waltham Forest do the first line investigations for prolonged jaundice.  The following documents are downloadable here:

1)  Prolonged jaundice guideline for midwives

2)  Investigation sheet for prolonged jaundice

We try very hard to keep these babies out of the Emergency Department as they run the risk of coming in well and going out with something they’ve caught while waiting to see us.  They also have to be put in a cubicle and then there is no room for A and E to see all the other children in the department.