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 2-week-old female newborn is brought to the physician because of increasing yellow discoloration of her eyes and skin for 2 days. She was born at 39 weeks' gestation and weighed 3066 g (6 lb 12 oz); she now weighs 3200 g (7 lb 1 oz). She is exclusively breastfed. Her older brother died 3 months after liver surgery. Her temperature is 37.1°C (98.8°F), pulse is 145/min, and respirations are 40/min. Examination shows yellow discoloration extending to the palms and soles. The liver is palpated 1 cm below the right costal margin. Laboratory studies show:
Hematocrit 51%
Serum
Bilirubin
Total 16.1 mg/dL
Direct 0.7 mg/dL
Alkaline phosphatase 22 U/L
AST 12 U/L
ALT 12 U/L
Which of the following is the most likely diagnosis?"
assistant
Breast milk jaundice