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Annotated abstract

Easily missed?: Early recognition of biliary atresia

bmj · 2026-06-25 · canonical JSON source

2 visible annotations · policy: published · automated confidence ≥ 75.00%

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A boy is born at full term with no complications during pregnancy or delivery. At a routine two week visit with his GP, he is jaundiced with yellow stools but is gaining weight. The GP attributes jaundice to breast milk and recommends to continue breastfeeding. At four weeks, his mother notes occasional pale-yellow coloured stools on several days. The GP reviews photographs of the stool, and the stools appear pigmented in some photos and lacking pigment in others. He advises the mother to continue observing. Jaundice persists at two months, and when the child attends for his first set of immunisations, the mother reports that all stools have become chalk coloured.