Being Well Organization

13/10/2022

Monitoring the haematocrit (Hct) in Dengue:

The haematocrit (and not the haemoglobin) is the only test that shows haemoconcentration or increased vascular permeability (plasma leakage). The Hct reflects disease evolution and suggests therapeutic response.
In children and pregnant women and if possible, in all patients, measure a reference Hct (Hct 0) at the first visit (during the febrile phase or before the critical phase).
Measure baseline Hct on admission before administering fluid boluses (Hct 1) for all patients and then minitor Hct. An increase in the Hct with a rapid drop in the platelet count (≤ 100 000/mm3) is a warning sign. In case of hemodynamic instability or signs of shock:
An increased or a persistently high Hct (> 50% in men or an increase relative to the previous Hct in women and children) indicates severe plasma leakage;
A decrease in Hct (< 40-45% in men, < 35-40% in women and children 1 year and older, < 30-35% in children under 1 year) may indicate a haemorrhage.
Leukopenia (< 5 000/mm3) is frequent.

On this page Dengue fever is an arbovirus transmitted to humans by the bite of a mosquito (Aedes). Transmission by transfusion of contaminated blood and transplacental transmission to the foetus have also been reported. Four different serotypes of dengue have been described. Infection with one serot...

11/10/2022

Dengue is a viral infection transmitted by the bite of an infected mosquito. There are four closely related but antigenically different serotypes of the virus that can cause dengue (DEN1, DEN2, DEN3 and DEN4). Dengue has a wide spectrum of infection outcomes (asymptomatic to symptomatic). Symptomatic illness can vary from undifferentiated fever (viral syndrome), dengue fever (DF), dengue haemorrhagic fever (DHF) and dengue with unusual manifestations. DF and DHF comprise the bulk of symptomatic illness while unusual dengue is a rare entity (usually 2cm; Rising HCT with rapid decrease in platelet count in FBC; Clinical signs of plasma leakage: pleural effusion, ascites (late sign)

Clinical (improved well-being and appetite with normal urine output) and haemo-dynamical stability with no fever for 48 hours indicates recovery from Dengue illness.

10/06/2022

18/02/2022

02/02/2022

https://www.covid19treatmentguidelines.nih.gov/management/clinical-management/nonhospitalized-adults--therapeutic-management/

02/02/2022

Abs are revealed in the kitchen only.

23/01/2022

If you are worried about your health book yourself online appointment Dr Waseem now!

08/12/2021

Don't focus on the outcome.

Focus on consistently executing the habits that will guarantee your outcome.

29/10/2021

Dengue Alert:
If you have high grade fever above 101-102 and accompanied by at least two of the following symptoms:
Nausea and/or Vomiting
Headaches
Pain behind eyes
Joint, bone or muscle pains
Swollen glands
Rash
get your complete blood count (CBC) done.

Most patients are getting false negative NS1 on initial days (1-5 days of fever) so CBC is the most important test for diagnosis provided it should be complete. Most labs are doing it incomplete (4 components only) which does not serve any purpose.

Avoid NSAIDS (increase the risk of bleeding) and antibiotics.

Dengue is a mosquito-borne viral infection causing a severe flu-like illness and, sometimes causing a potentially lethal complication called severe dengue. The incidence of dengue has increased 30-fold over the last 50 years. Up to 50-100 million infections are now estimated to occur annually in ove...