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Incompatibilidad RH
Nombres alternativos:
Enfermedad hemolÃtica del neonato inducida por Rh; hidropesÃa fetal
SÃntomas:
Signos y exámenes:
Incompatibilidad Rh leve:
-
Coombs directo
positivo
-
Evidencia de hemólisis en la sangre del neonato
-
Bilirrubina elevada en la sangre del cordón
HidropesÃa fetal:
-
Anemia severa
-
Insuficiencia cardÃaca (falla cardÃaca)
-
Agrandamiento del hÃgado (
hepatomegalia
)
-
Dificultad respiratoria
-
Contusiones o lesiones semejantes a hematomas de color púrpura en la piel (
púrpura
)
Kernicterus temprano:
-
Nivel de bilirrubina alto (superior a 18 mg/cc)
-
Ictericia extrema
-
Reflejo de Moro (alarma) ausente
-
Succión o lactancia deficiente
-
Letargo
Kernicterus leve:
-
Llanto agudo
-
Espalda arqueada con cuello hiperextendido hacia atrás (
opistótonos
)
-
Fontanela abultada (punto blando)
-
Convulsiones
Kernicterus tardÃo (sÃndrome neurológico completo):
-
Fecha de revisión: 8/18/2006
-
Versión en inglés revisada por: Benjamin W. Van Voorhees, MD, MPH, Assistant Professor of Medicine and Pediatrics, The University of Chicago, Chicago, IL. Review provided by VeriMed Healthcare Network.
-
Traducción y localización realizada por: DrTango, Inc.
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