The mnemonic
Day 1 Haemolysis, Day 2-7 Physiological, After week 2 Obstructive
What each word stands for
- Day 1 HaemolysisAlways pathological: Rh or ABO incompatibility
- Day 2-7 PhysiologicalPhysiological jaundice, also sepsis
- After week 2 ObstructiveProlonged jaundice: biliary atresia, hypothyroidism, breast milk
Why it matters clinically
Time of onset narrows the differential for neonatal jaundice.
Where it stops being reliable
Overlaps exist; sepsis and G6PD deficiency can present at any time.
Teaching aid, still awaiting independent review. Confirm facts in a standard source.