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- 2. Probable Dengue Fever • Live in / Travel to Dengue endemic area • Acute high-graded fever for 2-7 days • 2 or more of the following • Pain : Headache, Retroorbital pain, Arthralgia, Bone pain, Myalgia • Bleeding :Tourniguet test positive, Petechiae, GI bleeding, Epitaxis, Heavy/ Prolonged menstrual bleeding • Maculopapapular rach • WBC< or = 5,000 cell/mm3 • Platelet < or = 150,000 cell/mm3 • Increase Hct 5-10%
- 3. Confirm Dengue Fever • Probable Dengue Fever • Lab Confirmation : • NS1 Ag • Dengue IgM , IgG • Rising convalescent HAI IgG > or = 4Times
- 4. POSITIVE DAY 1-4 NS1 Antigen DAY 3+ Dengue IgG/IgM
- 5. Dengue Hemorrhagic Fever • Acute high-graded fever for 2-7 days • Platelet < 100,000 cell/mm3 • Increase Hct > or = 20% From baseline or Sign of plasma leakage • Pleural effusion • Ascites • Hypoalbuminemia • Bleeding : Tourniguet test positive, Petechiae, GI bleeding, Epitaxis, Heavy/ Prolonged menstrual bleeding
- 6. Grading of DHF • I : No shock, No spontaneous bleeding. (Only Tourniquet test positive , Easy bruising) • II : No shock , Spontaneous bleeding. (Ex: Petechiae, Epitaxis, GI bleeding) • III : Compensated shock Weak and rapid pulse + one of….. • CRT > or = 2 sec. • Pulse pressure < or = 20mmHg • SBP < 80 mmHg ( Age < 5 yrs ) • SBP < 90 mmHg ( Age >or = 5 yrs) • IV : Profound / Hypotensive shock. (Undetectable BP and Pulse)