system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 4-day-old male newborn is brought to the physician because of increasing yellowish discoloration of his skin for 2 days. He was born at 38 weeks' gestation and weighed 2466 g (5 lb 7 oz); he currently weighs 2198 g (4 lb 14 oz). Pregnancy was complicated by pregnancy-induced hypertension. The mother says he breastfeeds every 3 hours and has 3 wet diapers per day. His temperature is 37°C (98.6°F), pulse is 165/min, and respirations are 53/min. Examination shows jaundice and scleral icterus. The anterior fontanelle is mildly sunken. The abdomen is soft and nontender; there is no organomegaly. The remainder of the examination shows no abnormalities. Laboratory studies show:
Hematocrit 58%
Serum
Bilirubin
_ Total 20 mg/dL
_ Conjugated 0.8 mg/dL
Which of the following is the most likely cause of these findings?"
assistant
Inadequate breastfeeding