DENGUE. You will be a frog under a coconut shell (katak di bawah tempurung) if you haven't heard about it. Throw a stone randomly and it will hit at least one person who had Dengue. I had Dengue back in 2007 when I was still a student. It was bad. It was the worse fever I have ever experienced. I was aching everywhere. Thankfully it was just Dengue Fever.
Despite all the awareness campaign initiated by HE WHO SHALL NOT BE NAMED, there are still some misconceptions about Dengue.
1. Definition
Doktor, saya mau check darah. Takut kene Denggi
No fever. No myalgia and arthalgia. No headache. Not from Dengue endemic area.
In an ideal world, where resources are unlimited and chemical reagents are as cheap as a bottle of mineral water, I can kau tim and do it. Mo man tai! But the truth is, HE WHO SHALL NOT BE NAMED's resources are already stretched to its limit.
The reason why it is called Dengue FEVER or DEMAM Denggi is because...your typical presentation would be to have FEVER.
Dengue fever goes through 3 phases; febrile phase, critical phase and recovery phase.
Doctors will usually perform lab tests after Day 3 of fever. As per diagram, hematocrit and platelet levels will only derange after Day 3. That's it is important for patients to tell properly when they had the onset of fever instead of dah lama daaaaahhhh!!!! and ish, doktor ni mana la saya ingat!
Updated on 27/2/2014
Despite all the awareness campaign initiated by HE WHO SHALL NOT BE NAMED, there are still some misconceptions about Dengue.
1. Definition
Doktor, saya mau check darah. Takut kene Denggi
No fever. No myalgia and arthalgia. No headache. Not from Dengue endemic area.
In an ideal world, where resources are unlimited and chemical reagents are as cheap as a bottle of mineral water, I can kau tim and do it. Mo man tai! But the truth is, HE WHO SHALL NOT BE NAMED's resources are already stretched to its limit.
The reason why it is called Dengue FEVER or DEMAM Denggi is because...your typical presentation would be to have FEVER.
Dengue fever goes through 3 phases; febrile phase, critical phase and recovery phase.
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| Self explanatory diagram |
Updated on 27/2/2014
- Despite it being common practice to take FBC on Day 3 of fever, it IS recommended for FBC to be taken to get a baseline hematocrit and platelet. Hemoconcentration is when it is elevated more than 20% of the baseline value. Increase in hematocrit with concurrent rapid decrease in platelet IS A WARNING SIGN.
