Dengi

Question 1

Classification. Features of different stages?

Answer 1

4 types

3 phases

Question 2

How to diagnose dengi at OPD?

Answer 2

7

Question 3

Criteria for admission in dengi?

Answer 3

Plt, signs 7 ,special categories

Question 4

Home Mx of dengi?

Answer 4

7

Question 5

How FBCs are done?

Answer 5

3 p

Question 6

How to detect plasma leakage?

Answer 6

7 p

Question 7

Compensated,decompensentated,profound shock def?

Question 8

Symptoms and signs suggestive of preshock/shock? (From 3rd day of illness)

Answer 8

Symptoms-6

Signs- 8

Question 9

Monitoring of the patient?

Answer 9

Clinically stable on admission and suspect DF/DHF

• temp 4 hourly
• FBC daily
• access vital signs

When plt count drop below 130,000

• temp 4 hourly
• vitals 4 hourly
• FBC twice
• HCT 6 hourly

When in the critical phase

• vitals hourly
• fluid balance chart 3 hourly
• HCT 3 hourly

Evidence of shock

• vitals every 15 mins
• HCT 2-3 hourly, immediately before and 15 mins after fluid bolus

Question 10

Fluid Mx in critical and non critical phase?

Answer 10

Non critical-
18G cannula
2.5l/24hr

Critical-
M+5%/48hrs

Question 11

Compensated Shock algorithm?

Question 12

Decompensated algorithm?

Question 13

Features of fluid overload and Mx?

Answer 13

Hemodynamically unstable,
High HCT
N or low HCT

Hemodynamically stable,
High HCT
N or low HCT

Question 14

ABCS and Ix?

Question 15

Indications of blood transfusion?

Answer 15

4

Question 16

Bleeding on early phase and late phase causes?

Answer 16

Early -drugs

Late -DIC

Question 17

Discharge criteria?

Answer 17

8

Question 18

Diagnosis of dengi?

Answer 18

Dengue virus isolation- during 4-5 days of illness
NS1 Ag- in first 5 days (ELISA,immune chromatographic format)
Ab- after day 6