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Teaching Cases

Anemia and Jaundice in a Newborn – Charles T. Quinn, MD
UT Southwestern Medical Center, Dallas, TX

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.


I. HistoryII. Physical ExamIII. Laboratory DataIV. Differential Diagnosis
V. PathophysiologyVI. Prognosis/Clinical CourseVII. Teaching PointsVIII. Bibliography

II. PHYSICAL EXAM

You perform a complete physical examination. The vital signs are normal. The baby is vigorous and alert. She has scleral icterus. There is no adenopathy. A I-II/VI systolic ejection murmur is heard at the left sternal border without radiation. No abdominal masses are palpated. Tone and reflexes are normal.

What additional findings on physical examination might be helpful in making the diagnosis? Select the findings that you believe would be most helpful for making a diagnosis.

A palpable liver
Palpable kidneys
A palpable spleen
Abnormal pigmentation of the skin
A single palmar crease


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