Baffling jaundice at 5 weeks: Are you being watched, Doctor?

The 5-week-old girl just admitted to your pediatric service is here for evaluation of lethargy, jaundice, and poor weight gain after hardly a month at home. Admission came at the request of the gastroenterologist to whom she had been referred by her primary care pediatrician because of rising direct hyperbilirubinemia.

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Jessica Peck
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