1. Dengue disease condition ppt.........

Dengue disease condition ppt.

2. Hemorrhagicdengue
Dengueshocksyndrome
Philippinehemorrhagicfever
Thaihemorrhagicfever
Singaporehemorrhagicfever

3. DengueHemorrhagicFeverisanacute
infectiousviraldiseaseusuallyaffectinginfants
andyoungchildren.Thisdiseaseusedtobe
calledbreak-bonefeverbecauseitsometimes
causesseverejointandmusclepainthatfeels
likebonesarebreaking.
isasevere,potentiallydeadlyinfectionspread
bycertainspeciesofmosquitoes(Aedes
aegypti).

5. Anacutefebrileinfectionofsudden
onsetwithclinicalmanifestationof3
stages:

6. highfever
Abdominalpainandheadache
Laterflushingwhich may
accompanied by vomiting,
conjunctivalinfectionandepistaxis

7. Loweringoftemperature
Severeabdominalpain
Vomitingandfrequentbleedingfrom
gastrointestinaltractintheformof
hematemesisormelena
UnstableBP
Narrowpulsepressure
shock

8. Generalizedflushingwithintervening
areasofblanchingappetiteregained
Bloodpressurealreadystable

10. Severe,franktype–withflushing,suddenhigh
fever,severehemorrhage,followedbysudden
dropoftemperature,shockandterminatingin
recoveryordeath.
Moderate–withhighfever,butless
hemorrhage,noshock
Mild–withslightfever,withorwithoutpetechial
hemorrhagebutepidemiologicallyrelatedto
typicalcasesusuallydiscoveredinthecourseof
investigationoftypicalcases.

11. PETECHIAE

12. BRUISES

14. Flavivirus,DengueVirusTypes
1,2,3,&4
ChikungunyaVirus

16. Vectormosquito
AedisAegypti,
Aedisalbopictus,
Theinfectedperson

17. INCUBATIONPERIOD
UNCERTAIN.Probably6daysto1
week
PERIODOFCOMMUNICABILITY
Unknown.Presumedtobeonthefirst
weekofillnesswhenvirusisstillpresent
intheblood.

19. PhysicalExaminationmayrevealthefollowing:
LowBP
Aweak,rapidpulse
Rash
Redeyes
Redthroat
Swollenglands
Enlargedliver(hepatomegaly)

20. Testmayicludethefollowing:
Hematocrit
Plateletcount
Electrolytes
Coagulationstudies
Liverenzymes
Bloodgases
Torniquettest(causespetechiaebelowthetorniquet)
X-rayofthechest(maydemonstratepleuraleffusion)
Serologicstudies(demonstrateantibodiestoDengue
viruses)
Serumstudiesfromsamplestakenduringacuteillnessand
convalescence(HighintitertoDengueantigen)

21. POSITIVE TORNIQUET
TEST

23. MostpeoplewhodevelopDHFrecover
completelywithin2weeks.Some,however,
maygothroughseveralweekstomonthsof
feelingtiredand/ordepressed.Othersdevelop
severebleedingproblems.Thiscomplication,
DHF,isaseriousillnesswhichcanleadto
shock(verylowBP)andissometimesfatal
especiallytochildrenandyoungadults.

24. Othercomplicationsarethe
following:
Shock
Encephalopathy
Residualbraindamage
Seizures
Liverdamage

26. Supportiveandsymptomatictreatmentshouldbe
provided
Forfever,giveparacetamolformusclepains.For
headache,giveanalgesic.DON’TgiveASPIRIN.
Rapidreplacementofbodyfluidsistrhemost
importanttreatment
Includesintensivemonitoringandfollow-up.
GiveORESOLtoreplacefluidasinmoderate
dehydrationat75ml/kgin4-6hoursorupto2-3Lin
adults.ContinueORSintakeuntilpatient’scondition
improves.

28. Theinfectedindividual,contactsandenvironment:
Recognitionofthedisease.
Isolationofpatient(screeningorsleepingunderthe
mosquitonet)
Epidemiologicalinvestigation
Casefindingandreporting
HealthEducation

30. 1.Eliminatethevectorby:
Changingwaterandscrubbingsidesoflower
vasesonceaweek.
Destroybreedingplacesofmosquitobycleaning
surroundings
Properdisposalofrubbertires,emptybottlesand
cans.
Keepwatercontainerscovered.
2.Avoidtoomanyhangingclothesinsidethehouse.
3.Residualsprayingwithinsecticides

32. 1.Searchanddestroy
2.Selfprotection
3.Seekearlyconsultation
4.Saynotoindiscriminatefogging