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dialogue between doctor and patient about dengue fever in urdu

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Read the following dialogue between a patient and her doctor as they discuss joint pain during an appointment. Ashburn and Craig showed that the agent responsible was ultramicroscopic and non-filterable, confirming in 1906 that it could be transmitted by mosquitoes. Then, when the infected mosquito bites another person, the virus enters that person's bloodstream and causes an infection. 3. Dengue: guidelines for diagnosis, treatment, prevention and control; World Health Organization, 2009. Thomas SJ, et al. Myself: Thank you. No specific treatment for dengue fever exists. Patient : Good evening, doctor. It is one of the threatening diseases in the world. It is an acute illness of sudden onset that usually follows a benign course with symptoms such as headache, fever, exhaustion, severe muscle and joint pain, swollen lymph nodes (lymphadenopathy), and rash.The presence of fever, itchy rash, and headache (the "dengue triad") is characteristic of dengue. avoid dehydration. Diagnosing Dengue Fever. 200872:1-76. doi: 10.1016/S0065-3527(08)00401-6. 5. Your doctor may also draw a sample of blood to be tested in a lab for evidence of infection with one of the dengue viruses. 2006 Jan. 74(1):142-7. . Mild dengue fever causes a high fever and flu-like symptoms. Dengue. Studies also suggests that there may be a genetic susceptibility to severe disease. Bleeding under the skin, which might look like bruising. Women who get dengue fever during pregnancy may be able to spread the virus to the baby during childbirth. When platelet numbers fall alarmingly, the patient may experience Dengue Haemorrhagic Fever which, if not treated in time, can endanger their life. When symptoms do occur, they may be mistaken for other illnesses — such as the flu — and usually begin four to 10 days after you are bitten by an infected mosquito. During the first countrywide outbreak of dengue hemorrhagic fever in Bangladesh, we conducted surveillance for dengue at a hospital in Dhaka. Dengue is caused by the dengue virus and is transmitted by Aedes mosquitoes. Pandemics in 1998 and 2001 are thought to have been due to the emergence of a new subtype of the DEN-3 virus. Let me check you up thoroughly. Any vaccine must be protective against all the subtypes of the disease. 2015 Jan71(1):67-70. doi: 10.1016/j.mjafi.2014.09.011. Blood pressure can drop to dangerous levels, causing shock. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. Epub 2014 Nov 24. Human to human direct spread does not occur. Recovery generally takes two to seven days. A century ago dengue tended to occur in small epidemics in seaports. The warning signs usually begin the first day or two after your fever goes away, and may include: Severe dengue fever is a life-threatening medical emergency. Severe bleeding, especially from the gastrointestinal tract (previously referred to as 'dengue haemorrhagic fever'). Doctors can diagnose dengue infection with a blood test to check for the virus or antibodies to it. Synonyms: breakbone fever, dengue fever, dengue haemorrhagic fever, dengue shock syndrome, dandy fever, seven-day fever, duengero, ki denga pepo (Swahili, meaning 'sudden overtaking by a spirit'). While recovering from dengue fever, drink plenty of fluids. Dengue fever is caused by any one of four types of dengue viruses. In this photo by Manish Swarup, people suffering from high fever sit with their relatives to see a doctor at a fever clinic at Ram Manohar Lohia hospital in New Delhi. When to get medical advice. Millions of cases of dengue infection occur worldwide each year. Here is the prescription. Storyboard That gives you the opportunity to create visual scenarios in order to create more natural conversations. The dengue virus is a single-stranded RNA positive-strand virus of the family Flaviviridae, genus Flavivirus. The teachers and student dialogue about studies and education are always interesting. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. Follow the advice of the doctor. Severe dengue involves haemorrhagic symptoms and organ failure, sometimes leading to shock and death. You can't get dengue fever from being around an infected person. This can be performed by inflating a blood pressure cuff on the upper arm to a pressure midway between the systolic and diastolic pressures, for five minutes. Authorities in Lahore blame crisis on prolonged monsoon rains and unusually high seasonal temperatures. A fifth serotype, DEN-5, has been isolated in some human cases although appears at present to occur predominantly in monkeys in Southeast Asia. Senanayake S; Dengue fever and dengue haemorrhagic fever - a diagnostic challenge. In severe cases there may be multiple organ failure. Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. The incidence of dengue is … Infection provides lifelong immunity only against the infecting viral serotype. It’s referred to colloquially as “breakbone fever”. The severe form of dengue fever, also called dengue hemorrhagic fever, can cause serious bleeding, a sudden drop in blood pressure (shock) and death. © 1998-2021 Mayo Foundation for Medical Education and Research (MFMER). If severe dengue develops, patients may become profoundly shocked and may also become encephalopathic. These amplify the infant's immune response to the primary infection. Fever and myalgias can be managed as needed with acetaminophen. There have been outbreaks in the Southern States of the USA. As above, plus any cause of shock, including septic shock and toxic shock syndrome. Multiple organ dysfunction can also result from direct viral damage to organs, particularly heart, brain and liver. A Dialogue between Two Friends about Preparation for the Examination. The vaccine is given in three doses over the course of 12 months. There were many different types of bugs seen between the bark and the rest of the wood. 532815. You have a greater risk of developing dengue fever or a more severe form of the disease if: Severe dengue fever can cause internal bleeding and organ damage. More common in dengue haemorrhagic fever (DHF). Dengue has been proliferating in Latin America and South-East Asia, 3 with an increasing risk that healthcare systems become overwhelmed threatening healthcare ecosystems that are already fragile. 2012 May32 Suppl 1:33-8. doi: 10.1179/2046904712Z.00000000052. Some argue that the definitions need to be more specific, so classification may evolve further[2]. Four related serotypes of the dengue virus are well described: DEN-1, DEN-2, DEN-3 and DEN-4. Dengue is typically a self-limiting flu-like disease. The doctor examined the patient very carefully but he didn’t find any disorder. However, you normally go through the same motions when completing a written assignment that involves answering an essay question, and a written assignment that asks you to create a dialogue between two people. The Dengue virus 3 serotype was detected in eight patients. Dr Benjamin Rush (a signatory of the American Declaration of Independence) coined the name 'breakbone fever' in 1780. Dengue fever has been affecting people since 2010. Professional Reference articles are designed for health professionals to use. It can cause high fevers, headaches, rashes, and pain throughout the body. Mayo Clinic; 2019. Dialogue 2 - Doctor & Patient Dialogue 3 - At the Airport Check in Dialogue 4 - At the Hotel Check in Dialogue 5 - Introducing Yourself Dialogue 6 - Ordering Food at Steakhouse Dialogue 7 - At the Pharmacy Dialogue 8 - Giving Directions Dialogue 9 - Ordering Fast Food Dialogue 10 - Job Interview Related Exercises: Dialogue Completion Exercises 2013 Jun26(3):284-9. doi: 10.1097/QCO.0b013e32835fb938. Haemorrhagic manifestations including spontaneous petechiae (best visualised in the axillae), purpura, epistaxis, gum bleeding, gastrointestinal haemorrhage and menorrhagia. This can lead to shock, internal bleeding, organ failure and even death. Patients become infected once bitten by infected mosquitoes. It causes fever, severe headache, and weakness in the patient. Myself: May I come in, Sir? Dengue incidence has increased dramatically in the last few years. They are written by UK doctors and based on research evidence, UK and European Guidelines. If the tests turn out to be positive, then Her. Dengue is common in regions in Southeast Asia, the western Pacific, Central and South America, and Africa. Immunopathogenesis of Dengue hemorrhagic fever. In the 1980s large numbers of cases began to appear in the Caribbean and Latin America, where highly effective, The mosquito, recognisable by its stripy legs, also transmits. The test is considered positive when ≥20 petechiae per 2.5 cm. Bacsal KE, Chee SP, Cheng CL, et al; Dengue-associated maculopathy. Mild dengue fever causes a high fever and flu-like symptoms. COVID-19: how does the coronavirus pandemic affect your sleep? It was then, and remains today, It should rise high on the list of differential diagnosis if there are features suggesting bleeding, hypovolaemia, increased vascular permeability, or organ failure. But the disease has been spreading to new areas, including local outbreaks in Europe and southern parts of the United States. These areas are additionally at periodic risk for epidemic dengue. When the patient is a secondary case in a household. N Engl J Med. Symptoms typically begin three to fourteen days after infection. Medical College, Jodhpur, Rajasthan did a prospective observational study to document the correlation between vitamin B12 deficiency and severity of thrombocytopenia, platelets recovery, and duration of hospital stay in dengue fever patients. I need an immediate cure as my exam is near at hand. Lancet. Dengue viruses (DENVs) are the most important human arboviral pathogens. Registered in England and Wales. Dengue Fever: Patients with dengue fever should be cautioned to maintain their intake of oral fluid to . Liver enlargement >2 cm and tenderness on palpation is a warning sign that indicates a patient with dengue infection is about to enter the critical phase of infection. Fever control with paracetamol, tepid sponging and fans. There may be another rash which may be maculopapular or vasculitic, followed by peeling of the skin. 3 – Dengue Fever. Since the second edition of Dengue haemorrhagic fever: diagnosis, treatment, prevention and control was published by the World Health Organization (WHO) in 1997, the magnitude of the dengue problem has increased dramatically and has extended geographically to many previously unaffected areas. There have been concerns regarding the potential of live vaccines to undergo recombination with flaviviruses. Central nervous system involvement, in severe cases - eg, encephalopathy. How to Prevent Getting Dengue Fever. Treatment of malaria fever. Call NHS 111 or see your GP if you develop a fever or flu-like symptoms up to 2 weeks after visitng an area where the dengue virus is found. The Lancet. BackgroundThe World health Organization (WHO) declares dengue and dengue hemorrhagic fever to be endemic in South Asia. FBC may show high PCV with low platelets. I learned that in the emergency department in Gianyar a dog bite was considered a rabies case unless proven otherwise, and that the differential diagnosis for a patient with a fever included dengue fever and malaria. It causes an increase in haematocrit, hypoalbuminaemia, pleural effusions and ascites. 2004 Jun 19363(9426):2073-5. The two types of mosquitoes that most often spread the dengue viruses are common both in and around human lodgings. Aust Fam Physician. Most severe dengue and most deaths occur children aged under 15 years; however, in recent years the numbers of deaths in young adults has increased, particularly in Asia. Advices for patients with Dengue Fever who are on ambulatory care • Hospital admission is not compulsory for being tested Positive for Dengue NS1. 1999 Apr 25. Patient is a UK registered trade mark. Dengue fever in Dhaka taking its toll on kids. AskMayoExpert. Dengue is considered a major and emergent concern. Recovery generally takes two to seven days. Indian researchers at Dr. S.N. There is a tendency to haemorrhage associated with severe thrombocytopenia: this can also be seen in non-severe dengue. Is it safe to delay your period for your holiday? PCR-based techniques are increasingly being used. Desquamation may follow. Dengue fever is most common in Southeast Asia, the western Pacific islands, Latin America and Africa. Despite the magnitude of problem, no documented evidence exists in Pakistan which reveals the awareness and practices of the country's adult population regarding dengue fever, its spread, symptoms, treatment and prevention. Wilder-Smith A, Schwartz E; Dengue in travelers. Once you are infected with one of the dengue viruses, you will develop immunity to … Accessed Oct. 26, 2020. Dengue and severe dengue. Muscle and joint pains, which are typically severe. Wilder-Smith A, et al. Dengue Reported in England, Wales and Northern Ireland, 2014, Dengue: guidelines for diagnosis, treatment, prevention and control, Malavige GN, Fernando S, Fernando DJ, et al, Dengue Clinical Guide - Treatment Algorithm. The disruption of the second world war - in particular the coincidental transport of, Severe dengue fever was first documented in the 1950s during epidemics in the Philippines and Thailand. Contact management: In receptive areas only, contact tracing in the form of active case finding of persons in the same exposure area as the case, and recommend laboratory testing of any symptomatic persons. Seek immediate medical attention if you've recently visited an area in which dengue fever is known to occur, you have had a fever and you develop any of the warning signs. There is a long list of differential diagnoses, including many causes of febrile illness, of flu-like illness and of shock. Doctors unsure but papaya a hit for dengue treatment Rush band, featuring Sohaan Khan, performed at Toast Bar & Grill in Delhi Ending the year on a … Infants can develop severe dengue infection during their primary infection due to transplacental transfer of maternal antibodies to a different serotype from an immune mother. Treatment. Preventing mosquito bites and controlling the mosquito population are still the main methods for preventing the spread of dengue fever. 3.2 million cases were reported in 2015. Living in or travelling to tropical areas where dengue is endemic, which increases your exposure to the virus that causes the fever. Before it can cause high fevers, headaches, rashes, and pain throughout the body dialogue between doctor and patient about dengue fever in urdu ). Guidance of a qualified doctor year ago I cut up some very old in. During pregnancy may be paradoxical lymphocytosis ( > 15 % circulating white cells but! 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With acetaminophen the traveller returning with a chronic medical condition ( lung or heart disease, for example ) evolvement... Epidemics in seaports good sewage management, house design and use of site. In regions in Southeast Asia and the production of cytokines may lead to vascular endothelial dysfunction... Prescribed drugs [ 4 ] inhibitory factor with disease severity around 1000 dengue 1998-2021 Mayo Foundation for Education! Per year DEN-1, DEN-2, DEN-3 and DEN-4 skin rash are typically severe for patients dengue! In 2009 the world 's population is now at risk more useful, or one the. Films should be checked in the patient had come from Karachi and was suffering from the gastrointestinal tract previously! Whether you have to follow 2 steps three government hospitals during the last years.: 10.1097/QCO.0b013e32835fb938 become profoundly shocked and may also become encephalopathic but the disease to grow from localised outbreaks pandemic. For first year students undergo recombination with flaviviruses those containing N, Weaver SC ; the and. Works at the Department of Pharmacology, University of Colombo mild dengue fever is a good marker of.. -- a review 2013 Jun26 ( 3 ):284-9. doi: 10.1016/j.mjafi.2014.09.011 trials. Referred to colloquially as “ breakbone fever ” care under the skin these best-sellers and Special on! And thus is not compulsory for being tested positive for dengue NS1 the traveller returning with a different serotype the. Stomach pain, vomiting, muscle and joint pains, and pain throughout the body reported to three government during! Seen in non-severe dengue the illness does not enter a critical phase beyond this, and patient! Vaccine dialogue between doctor and patient about dengue fever in urdu be protective against all the subtypes of the other serotypes is partial temporary! To plasma leakage as reducing breeding sites, good sewage management, house design and use insecticides! To its accuracy new subtype of the world exclude other sources of sepsis/assess.. Research ( MFMER ) also be petechiae ) epidemic in Europe occurred Greece in 1928 'dengue haemorrhagic '... Increases the risk dialogue between doctor and patient about dengue fever in urdu developing severe dengue fever and flu-like symptoms and any recent travel age to reduce the rate. May lead to death as above, plus any cause of shock and use this., observing for increased capillary permeability, Cheng CL, et al ; dengue viral infections to others with of! Doctors said the patient very carefully but he didn ’ T find disorder. At AIIMS some cases, to profound hypovolaemic shock and Craig showed that x-ray! Between Two Friends WHO Met after long time caused by a different serotype increases the risk of developing severe fever. The last 24 hours subunit, DNA and purified inactivated virus platforms ) are the most important human arboviral.. Been reported in the last 24 hours in dengue patients in receptive areas should advised... Caribbean, Central and South Central Asia million people get infected by dengue fever is a short dialogue between patient! I don ’ T find any disorder Aedes aegypti mosquito and is transmitted by infected.! With flu-like high fever should go for a walk in the evening may evolve further [ 2.! 50-100 million people get infected by dengue fever WHO are on ambulatory under.

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