رضيع عمره ٥ أسابيع ما زال عنده يرقان، وبرازه فاتح كالطين، وبوله غامق. ما الأهمية الأكبر لهذه الملاحظة؟

A 5-week-old infant is still jaundiced with pale clay-coloured stools and dark urine. What is the main significance?

1. It is normal breast-milk jaundice needing no follow-up
2. Needs urgent assessment for possible biliary atresia
3. Daily sun exposure at home is sufficient
4. It will resolve by stopping breastfeeding

Answer: B) Needs urgent assessment for possible biliary atresia. Jaundice beyond two weeks with pale stools and dark urine indicates cholestasis. Biliary atresia needs early surgery (usually before 2 months) for a better outcome.