Dengue cases day by day of illness: the WHO warning signs, the platelet and haematocrit trend, and the fluid chart.
Offered in: India only.A dengue patient followed by day of illness, counted from the day the fever began, because the critical phase follows a pattern and a warning sign on the expected day needs a faster look. The doctor opens a case with how it was confirmed (NS1, IgM, clinical) and their classification: dengue without warning signs, with warning signs, or severe dengue (WHO, 2009, cited). At every review a nurse or doctor ticks the WHO warning signs found — abdominal pain, persistent vomiting, fluid accumulation, mucosal bleeding, lethargy, liver enlargement, a haematocrit rising as platelets fall — with blood pressure and pulse. Platelets and haematocrit are read from the lab’s own results for the patient; a bedside or outside value can be typed with where it came from. For an admitted patient the fluid chart is FluidBalance’s, shown by ward day. A sign found by a nurse stays flagged until a doctor reviews and classifies.
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