Neonatal jaundice practice

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Paediatricscommon

A 4-week-old girl born at term is reviewed because she is still visibly jaundiced. The jaundice was first noticed on day three of life; she is fully breastfed, feeding well and gaining weight along her birth centile. Over the past week her stools have become progressively paler and are now a uniform cream colour, and her urine leaves a dark yellow stain in the nappy. Serum total bilirubin is 180 micromol/L with a conjugated fraction of 95 micromol/L. Which one of the following is the most likely diagnosis?