Sunday, June 26, 2011

Pediatric Case 6

     
      A 4week-old, fullterm, breast fed girl has worsening yellowish discolouration of the skin, that the parents first noticed 15 days ago. On her examination, she is well appearing with good suckling and reflex activity, and is noted to have a liver edge 4cm below her costal margin. Her total bilirubin is 12 and direct bilirubin is 9.

What is the most likely diagnosis .
a. Biliary atresia .
b. Cholecystitis .
c. Sepsis .
d. Breast milk jaundice
 .