Minimal Conjugated Fraction in Pediatrics — Case | Neonatology | SMLE Q#17880

SMLE Question #17880

Pediatrics Neonatology

Objective: OBJ-NEO-01

Last updated: February 2026
On day 6 of life, a 34-week preterm male has worsening jaundice, poor feeding, and lethargy despite intensive phototherapy. Examination shows decreased tone and a high-pitched cry. Total bilirubin remains markedly elevated with a minimal conjugated fraction. What is the most appropriate next step in management?

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