Thank you for these lectures.I am doing my residency in family medicine and left medical school close to 9 years ago and have been thinking of how to cover my syllabus. I have my boards coming up next year and the thought of reading the volume of books needed scares me. But these series have given me the confidence that i will succeed. will definitely come back to inform you of my success next year. I usually don't sign in to online forums but these series have changed my mind. I have subscribed, downloaded you tube app, gotten a you tube channel name all because of Mr Paul Bolin's review series. May God bless you. All the way from Nigeria, THANK YOU.

@m.haruniqbalqurashi267

4 жыл бұрын

TELL US ABOUT YOUR SUCCESS !!

@nafeejal

3 жыл бұрын

Tell ussss

Your videos are truly so helpful, you make life so easy by explaining everything in an organised way. Thank you very much! Dr Paul, I wish you the best always!

Thanks again Dr Bolin :) emergency physician doing a stint in neonatology at the moment: you have helped me so much more than my textbooks!

Thanks so much daktari for your very informative lecture simple, english for us who are not English speaking. Your lecture are wholesome and very well researched. Lovely day.

Thank you. Everything was simplified for me.

This is an excellent lecture on neonatal jaundice. The last half is what you need to know for Steps 2 and 3.

thanks man,simple and informative.great way to organise for start in your brain and move further if you so want.

Thank you! Just one small thing: at 18:42 You say: UV phototherapy if necessary. I checked this at: en.wikipedia.org/wiki/Neonatal_jaundice#Phototherapy where they say: "The phototherapy involved is not ultraviolet light therapy but rather a specific frequency of blue light."

@demigodsrivats5027

3 жыл бұрын

Rita Sallai ur correct

Thank you so much

paul can you collect all files and put it on torrent , thank you man for every video

Thank you. Excellent 😊

You are the best indeed

Legend from uv gcm 😅 Edit : pro legend watching for assignment 🔥

@SitharthanGautham

2 жыл бұрын

same blood uv gcm here hahaha

thank you so much! 18/11/2020

@qoranemaxamed5695

3 жыл бұрын

Cool

thanks

what should i suspect if a 2 week old, A+ (same as mother) full term baby who was jaundice. feeding breast milk initially but stopped for about 4 days and still with scleral icterus. first week of life conj. bili was 11 and when I saw them was 8, no unconjucated. why would the baby still be jaundice? can physiologic jaundice/breastmilk jaundice last longer than 2 weeks?

@pwbmd

8 жыл бұрын

+asheLARRY jones It's hard for me to say without seeing the patient, knowing a family history, or seeing any lab values that are present; I'm going to assume here there are no other major symptoms (light stools, dark urine) are present. But, I can say a few things off the bat. Physiologic NN jaundice never lasts two weeks. The bilirubin levels with breast milk jaundice usually peaks around 2 weeks of life, but the lack of unconjugated bilirubin is unusual in this case. Some of the conjugated jaundices are tested for on the newborn screen, so make sure that's normal. One thing I might consider testing for is alpha-1 antitrypsin deficiency. Although it's rare, it's possible and I'm pretty sure not covered with the newborn screen (though I'm not a pediatrician, so check the screen results). Let me know what you find out.

@ashelarryjones5207

8 жыл бұрын

Thanks!... I actually saw the patient in the emergency room and I was so confused bc the baby looked so well, fed, had normal colored urine/stools. They have an appointment with gi this week... but I felt so silly for not having an answer to why the baby had icterus

@pwbmd

8 жыл бұрын

+asheLARRY jones No worries! Statistically, it's most likely idiopathic and will resolve on its own (as it sounds like it is with the labs, at least). Some causes of jaundice can be notoriously hard to diagnose, so it was a smart move sending baby off to GI...some of the more serious causes need to be definitively ruled out. There are a lot of adults who walk around with subclinically disturbed liver enzymes that have A1ATD who don't even know it until they develop emphysema later on and tell you they've never smoked..or they do smoke but are way too young for COPD yet. Hopefully GI will have some answers.

thanks u

Dublin Johnson syndrome,' Conjugated hyperbilirubinemia.due to mutation of the MRP2 channel responsible for transporting conjugated bilirubin into the biliary canaliculi.it is inherited autosomal recessive.

What about a baby being born with G6pd Deficiency?

How would Rh incompatibility work in case of an RH - female (with an Rh + male) who never delivered du to 2 abortions ?

@gabrielsticks2829

8 жыл бұрын

she needs to receive rh D antibodies maybe she developed reaction and antibodies

@SaiKrishna-ew2wr

5 жыл бұрын

There is a risk of feto-maternal blood inutero due to abortion. So there is a risk of Rh-incompatibility.

❤❤❤❤

Too bad we use SI Units (mmol/L) for bilirubin in my country.

@jaritshyortega5606

7 жыл бұрын

Hahahahahha just convert them. dont wine

@hrush437

5 жыл бұрын

Exactly my thought.

Total bilirubin should be of no more than 12.9mg/dl in physiological jaundice , u said its 5mg/dl at 9:55 .

@drmiskfs

7 жыл бұрын

the "rate of rise" should not be more than 5mg/dl/day and the "peak level" should not be more than 12mg/dl