CPHAP 009 Ictericia Neonatal

Ictericia Neonatal PEDIATR Í A Dr. Héctor Cuevas Castillejos Dra. Ma. Alejandra Gonz á lez Pati ñ o

Pregunta 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pregunta 5 ,[object Object],[object Object],[object Object],[object Object]

Producción y Metabolismo de la Bilirrubina ,[object Object],[object Object],[object Object],[object Object],[object Object],ALASTAIR J, N Engl J Med, vol. 344, No. 8, 2001

Transporte plasm á tico de la Bilirrubina ,[object Object],[object Object],[object Object],[object Object],[object Object],Pediatrics 2006;117:474-485

CO Fe³  Heme oxigenasa Biliverdina reductasa Ligandina* (Prot Y o Glutati ó n S- transferasa ) Albúmina Hemólisis Glucuronosiltransferasas NADPH NADP MRP2 β Glucuronidasas bacteriales Heces- Estercobilina Monoglucuronida Diglucuronida Circulación Enteropática Ac. Glucorónico Urobilina

Aumento en la Producción de Bilirrubina en el Neonato ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RUDOLPH, Pediatría, 2004

Estudio cl í nico de ictericia neonatal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],RUDOLPH, Pediatría, 2004

Ictericia NO fisiológica (Criterios de Maisels) ,[object Object],[object Object],[object Object],[object Object],[object Object],RUDOLPH, Pediatría, 2004

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],EXPLORACI Ó N

Ictericia Fisiol ó gica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Enfermedad hemolítica aloinmune del recién nacido ,[object Object],[object Object],[object Object],[object Object],Prasad M, Krugh D, Rossi K, et al, Anti-D in Rh postive pregnancies, Am J Obst Gyn. 2006; 195:1158-1162

[object Object],[object Object],[object Object],[object Object],[object Object]

ISOINMUNIZACIÓN ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Shaver S, isoimmunization in pregnancy. 2004: 16 (2): 205-209.

HEMÓLISIS ,[object Object],[object Object],[object Object],[object Object],Tratamiento

[object Object],[object Object],[object Object],[object Object],[object Object],HEMOLISIS

Aumento producción Hepática ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prevenci ó n de la ictericia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pediatrics 2004

[object Object],[object Object]

Hiperbilirrubinemia Neonatal Tratamiento

Fototerapia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fototerapia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fototerapia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fototerapia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exanguinotransfusión ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exanguinotransfusión ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Exanguinotransfusión ,[object Object],[object Object],[object Object]

Exanguinotransfusión ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Terapia Farmacológica ,[object Object],[object Object],[object Object],[object Object],[object Object]

Terapia Farmacológica ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Isoinmunización Rh ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Isoinmunización Rh ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MANEJO ,[object Object],[object Object],[object Object],Protocolos diagnósticos y terapéuticos en pediatría España 2002; Asociación Española de Pediatría

Protocolos diagnósticos y terapéuticos en pediatría España 2002; Asociación Española de Pediatría

Caso Clínico ,[object Object]

FOTOTERAPIA Academia Norteamericana de Pediatría (AAP)

BIBLIOGRAFÍA ,[object Object],[object Object],[object Object],[object Object]

CPHAP 009 Ictericia Neonatal

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CPHAP 009 Ictericia Neonatal