DENGUE KEY POINTS UG

4 yr old child presents with fever of 3 days headache,joint pain if 2 days. He had epistaxis today but was controlled quickly by local measures

A provisional dx of dx was made keep in mind other possibilities

What is dengue?


ClinicalFeaturesof DF:

An acutefebrile illnessof 2-7days duration with two or more of the following manifestations:

Headache,retro-orbitalpain,myalgia,arthralgia,rash haemorrhagic manifestations.

This child has plt count of 90000/mm3 and pleural effusion by usg


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So this child has dengue hemorrhagic fever

This child’s fever abates and he develops cold clay extremities,weak pulse and a bp of 88/70 mm of hg


 

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So it is dhss

What is the  Natural course of dengue Infection ?


The clinical course of illness passes through the following three phases:

• Febrilephase

• Criticalphase

• Convalescentphase

 

What are features of different phase of dengue?


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What are the Differential DiagnosisofDF/DHF?

•Malaria

•Entericfever

•Pharyngitis•Tonsillitis

•Influenza•Leptospirosis

•Meningococcalinfection

•Chikungunyafever

•Epidemictyphus/scrubtyphus

•haemorrhagicfever

How is dengue classified clinically?

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How is dengue diagnosed?

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What is the management?

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What is the management of dhs 1 and 2 ?

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What is dengue shock syndrome 3 and 4 ?

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About Dr. Jayaprakash

Asst. Prof. of Pediatrics, ICH. Institute of Child Health. Gov. Medical College Kottayam. Kerala, India.

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