Afghanistan Medical Exit Exam

Practice session

A full-term male infant born to an O-positive mother develops visible jaundice at 16 hours of life. Total serum bilirubin is 14.5 mg/dL (predominantly unconjugated/indirect). The infant's blood group is A-positive, and direct antiglobulin test (Coombs test) is strongly positive. Hemoglobin is 11.2 g/dL with reticulocytosis (8%). What is the diagnosis and primary concern if untreated?

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