Yellow 2

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This infant has presented with prolonged jaundice - a very common clinical scenario. In the vast majority of these patients, the jaundice is physiological in origin (due to causes such as breast milk jaundice).\n\nHowever, note that physiological jaundice typically manifests around 3 to 5 days following birth and usually disappears by 2 weeks of age. Physiological jaundice at 5 weeks of age would be somewhat unusual - thus she requires further evaluation.\n\nWhile the history of normal appetite and growth initially appears reassuring, examination reveals an alarming finding : hepatosplenomegaly.\n\nThis is highly suggestive of cholestatic jaundice, with the most likely etiologies being bile duct abnormalities (such as biliary atresia or a choledo"}]}

Want to continue playing?

Open your Clinical Odyssey account today.

Enjoy unlimited access to 600+ simulations.
Safely improve your skills, anytime and anywhere.
Get answers to your follow-up questions from practicing physicians.