Dengue Hemorrhagic Fever (viral)

Question 1

break bone fever

Answer 1

Denge Fever

first day- patient may experience myalgia and arthralgia

Question 2

pain in a muscle or group of muscles.

Answer 2

myalgia

Question 3

pain in a joint.

Answer 3

arthralgia

Question 4

Causative agents of DHF

Answer 4

1. Dengue Virus 1 2 3 4
2. Chikungunya Virus
3. O’nyong-yong Virus

Question 5

DHF source of infection

Answer 5

Female aedes aegypti infected mosquito

belong to the family of flavo virus

Question 6

Incubation period of DHF

Answer 6

6 to 7 days

Question 7

Mode of transmission of DHF

Answer 7

Bite of mosquito

Question 8

Peak months of DHF

Answer 8

September to October

Question 9

Characteristics of female mosquito

DLSU

Answer 9

• Day biting (3-4pm)
• Low flying
• Stagnant Water
• Urban area

Question 10

Diagnostic tests for DHF

Answer 10

• Torniquet test/Rumper leads Test/Capillary Fragility Test
• Serologic Test (IgM followed by IGg after 3 to 4 days)

Question 11

Normal Platelet

Answer 11

150,000 to 400,000

Question 12

Herbal Medication for DHF

Answer 12

Tawa-Tawa

Question 13

DHF stage 1 s/sx

FEBRILE OR INVASIVE STAGE

Answer 13

• 1-3 days: high fever
• 3rd day: pruritic rash, n/v, abdominal pain, headache, myalgia, athralgia

Question 14

DHF stage 2 s/sx

TOXIC OR HEMMORHAGIC STAGE

Answer 14

4 to 7 days: epistaxis, gum bleeding
melena, hypotension, narrowed pulse pressure,

Question 15

DHF stage 3 s/sx

CONVALESCENT OR RECOVERY STAGE

Answer 15

7 or 8 to 10 days: The person returns to pre-normal state. The patient may experience general flushing

Question 16

DHF grade level 1 s/sx

Answer 16

Prurituc rash & positive tourniquet tests, headache , n/v, anorexia

Question 17

DHF grade level 2 s/sx

Answer 17

s/sx of spontaneous bleeding: epistaxis, gum bleeding, melena

Question 18

DHF grade level 3 s/sx

Answer 18

s/sx of circulatory collapse, hypotension, tachycardia, tachypnea, restlessness, decreasing level of consciousness
narrowed pulse pressure, oliguria, weak and diminished pulses

Question 19

DHF grade level 4 s/sx

Answer 19

S/sx of severe and profound shock, obliterated pulses, hard to wake up

Question 20

DHF diet

Answer 20

• increase vit C
• increase OFI
• high proteins
• high fiber
• low fat

Question 21

DHF diet, what to avoid?

Answer 21

• dark-colored food and beverages (masks bleeding)
• ASA (increase risk for bleeding)

Question 22

relieves pruritic rash in DHF

Answer 22

• Calamine lotion
• small amount of boric acid or saline compress

Question 23

Home-made oresol

Answer 23

1L water mixed with 4 tsp sugar and 1 tsp of salt

Question 24

DOC for fever in DHF

Answer 24

Paracetamol

Question 25

DOC for myalgia and severe headache in DHF

Answer 25

Codeine