Showing posts with label COMMUNICABLE DISEASE. Show all posts
Showing posts with label COMMUNICABLE DISEASE. Show all posts

Saturday, January 1, 2011

Dengue Hemorrhagic Fever


DEFINITIONS
Dengue Hemorrhagic Fever is an acute febrile illness caused by viruses of the genus Flavivirus, family laviviridae.

DIAGNOSTIC STEPS

1. Anamnesis
Fever is a major sign of sudden high place, as long as 2-7 days. Accompanied lethargic, not eating and vomiting. In the big kids can complain of headache, muscle aches and abdominal pain. Diarrhea sometimes - sometimes to be found. Bleeding is the most common skin hemorrhage and nosebleeds.


2. Physical examination
- Clinical symptoms of dengue fever begins suddenly high, facial flush, vomiting, headache, sore muscles and joints, sore throat with pharyngeal hiperemis, pain under right rib arch. Accompanying symptoms are more prominent in the DD than DHF.
- Meanwhile, hepatomegaly and abnormal liver function more frequently found in DHF.
- The difference between DD and DHF occur in DHF is increased capillary permeability, causing plasma leakage, hypovolemia and shock.- Seepage resulted in extravasation of plasma fluid into the pleural cavity and peritoneal cavity for 24-48 hours.
- Critical phase around day 3 to the 5th course of the disease. At this time the temperature falls, which can be the beginning of healing in namaun mild infection in severe DHF is an early sign of shock.
- Bleeding can be ptekie, epistaxis, melena, or hematuria.