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Neonatal Cholestasis

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Physical Exam<br />

Weight measurement<br />

General appearance<br />

Ill-appearing: infection, metabolic disease<br />

Well-appearing: biliary atresia<br />

Fundoscopic exam (congenital infection)<br />

Cardiac murmur<br />

Abdominal exam<br />

Ascites, abd wall veins, liver, spleen<br />

Stool/urine for color<br />

Skin exam<br />

Bruising, petechiae<br />

Dysmorphic features<br />

Broad nasal bridge, triangular facies, deep set eyes (Alagille)

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