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What is All are true about physiological jaundice EXCEPT and explain in detail?
D. (Persist beyond 10 days of jaundice) (170- 7 -Ghai 6th) (147- 48-Ghai 7th)PHYSIOLOGICAL JAUNDICE* Develop visible jaundice due to elevation of unconjugated bilirubin concentration during their first week* Phase one last for five days in term infants and about seven days in preterm, when there is a rapid rise of serum bilirubin level to 12 and 15 mg/dL* Phase two - There is decline to about 2 mg/dL which lasts for two weeks, after which adult values are attained* Phase two may last for more than a month in preterm infacts and those babies who receive exclusive breast feeding* Under normal circumstances the level of indirect reacting bilirubin in umbilical cord serum is 1 - 3 mg/dL and rises at a rate of <5 mg/dL/24 hr thus , jaundice become visible on the 2-3rd day, usually peaking between the 2nd and 4th days at 5 - 6 mg/dL and decreasing to below 2 mg /dL between the 5"1 and 7th days of life (758 -Nelson 18th)* Inspissated bile syndrome is usually seen in excessive haemolysis in infancy**