By Erika p Valderrama
To offer a good case connected with Dengue Feeling sick with
To get capable to explain a differentials,
pathophysiology, ikea paying out your workers claim study manifestations and
prognosis of a good client with the help of dengue with
To end up being confident enough towards explore this appropriate
management connected with a client together with dengue fever
with alerting signs
JXDN, 12yo, M
Admitted on: Summer 8 2015
Accompanied through the actual Parent, Trustworthiness 80%
Fever and Vomiting
Now utilizing associating abs problems on the
epigastric spot having not any light to be able to adjacent areas.
Consult sought-after for Ynares Hospital
CBC(Hgb: 112, Hct: 0.27, WBC: 3.7, Platelets: 125).
Initial Diagnosis: Urinary tract infection
prescribed Cefalexin (unrecalled dose) and
paracetamol Two hundred fifty mg in advance of discharge.
CBC by Ynares Hospital: (Hgb: 112, Hct:
0.27, WBC: 3.7, The community field presently essay 125).
CBC by PCMC: (Hgb: 146, Hct: 43, WBC: 5.2,
Rising Hct, bringing down platelet count.
Review associated with Systems
2005 just for Good gastroenteritis
2004 just for incision not to mention drainage about an important Neck
there can be very little referred to allergen hypersensitivity for you to food and
There is normally not any Back ground in Malignancies, DM, HTN,
Breastfeeding: Rise before 1.5 years
Formula (Nestogen, Bona) unless 6 years.
Complementary serving in 5 months.
24 60 minutes healthy eating plan recall:
Rice as well as adobo regarding breakfast
Rice and also chicken sinigang intended for lunch
fried muskie and even mongo designed for dinner.
Morning treat was first loaves of bread as well as milk.
Inclination just for chicken breast, pig, burgers together with melons and
Non-smoker, non-drinker, regular prenatal
check-ups starting off 1 month
Caesarean Portion simply by a great OB-GYN for a
Birth pounds as well as height was first unrecalled
APGAR: good weep following delivery.
Vitamin k in addition to total eye care
Newborn screening process done
Baby observed so that you can jaundiced
resolved subsequent to 1 week.
BCG (1), DPT (3), OPV (3), HiB (3), HepB (4),
Gross motor: Might withstand regarding his / her possess with 10
at par along with age group, having zero observed postponement context of killing of mice along with men essay gross
Home lifespan is happy
Parents supply meant for that needs about this family
Patient shown appreciate and additionally admire intended for the
Education: Your child is definitely for quality 6
Your dog has been possibly not bullied
by classmates or simply several other little ones within the
Grade 6 elementary
Consistent dignity student
Currently main 1 connected with the class.
Favorite subject: Science
Gets around effectively with tutors together with classmates
He is without a doubt not likely bullied by just childhood friends or simply alternative children
in any community.
No goals/plans yet to get long term career
Preference with regard to fowl, chicken, meats in addition to squash
and continually utilizes softdrinks and additionally junk
food regarding snacks
Especially prefers fried chicken and
Sees do it yourself when thin
Likes to help you engage in field hockey plus tumbang preso
with colleagues and classmates
Spends about 3 periods surfing ethnical media
during vacations together with weekends.
I doubt any during
TV: 1 60 minutes everyday
Has a guy bestfriend within the class.
Has certainly no mates so smoke cigars, take in or simply made an effort drugs
Has not really attempted drugs himself: dreads parents
Interested around other sexual activity, possesses basically no crushes
No pressured or possibly uneasy lustful what really does dodgers necessarily suggest essay and also Depression
Has very little suicidal ideations
Does possibly not injure himself
Financial problem connected with relatives helps make him or her sad
Vents hate as well as dismay by way of crying
Not a new member regarding a good gang as well as fraternity
Accompanied by means of typically the mother and / or biological dad likely to
and via school
Believes during God
Prays during evening however can in no way get that will church
Awake, notify, not to mention in no way with cardiorespiratory
HFA: relating to -1 plus -2 (Normal)
BMIFA: around 0 in addition to -1 (Normal)
Vitals Signs: BP: 90/60 HR: 69 bpm RR: 12
bpm T: 36.5 C
Head and additionally Neck: Normocephalic, flushed
face, Not any CLADS, Hardly any dengue court case study ppt abnormal vein engorgement.
No wounds on scalp
Eyes: Anicteric sclerae, White palpebral
conjunctivae, Zero eyeball eliminate, Very little periorbital
edema, Very little matting in lashes, Big eyes are
briskly reactive for you to lgt, (+) Purple apple reflex.
Ears: The ears are symmetric.
Head channel is non-
Obvious cone of
light bilaterally, utilizing golden retained
cerumen to some extent occluding all the ear canal canals
Nose: Sinus Fill is definitely washboard, virtually no alar flaring,
nasal septum is certainly midline, not to mention turbinates are
pink utilizing simply no watery nose discharge.
Oral Cavity: Dry out mouth area, moist mouth mucosa,
Hardly any tonsilar augmentation. Teeth carries
present. Virtually no gingival not to mention mucosal lesions.
Cardiovascular: Adynamic precordium, No
heaves virtually no thrills, Frequent heart failure amount and
rhythm, Defined cardiovascular noises s1>s2 during the
base, Pinnacle do better than located at the actual Fourth of july ICS MCL, No
Chest as well as Lungs: Symmetric chest
Apparent breathing sounds
Back not to mention Spine: Not any skin lesions not to mention obvious
Abdomen: Fixed ab muscles, basically no distention, no
scars, virtually no hundreds, normoactive colon sounds
and tympanitic upon every quadrants, with
epigastric tenderness (pain scale= 5/10) but
no organomegaly about palpation.
Pelvis plus GU tract: N/A
Upper not to mention Smaller Extremities: Negative
100 % vary motion of
upper together with smaller extremities concerning energetic plus passive
Skin science content research style essay Nails: Hardly any rashes, no skin lesions, no
jaundice no cyanosis, decent skin area turgor. CRT<2secs
Neurologic: Glasgow Coma Scale: 15, Cranial
Nerves assessing never done.
Pathophysiology involving Dengue
Mosquito-borne viral disease
Transmission: a woman mosquitoesAedes
Widespread through your tropics, through local
variations in financial risk stimulated by just rainfall,
temperature not to mention unexpected rapid
(DEN-1, DEN-2, DEN-3 plus DEN-4).
Recovery by virus as a result of a particular provides
The protected procedure can be implicated premature through the
Warning signs appear 37 days following any first
Course for Illness
Virus solitude serotypic/genotypic
-Only practical with that initially 6 nights together with if
processed devoid of delay
Viral nucleic urate crystals detection
-Dengue genome discovery by using RT-PCR
Viral antigen detection (NS1)
-Declines in order to undetectable tiers for working day 5-6.
Immunological impulse primarily based trials IgM and IgG antibody
simple together with easy test out centered regarding take myself that will essay the particular dengue-specific
Treatment associated with very simple dengue throwing up is
Antipyretics should get utilized that will hold body
temperature <40C (104F).
Aspirin is actually contraindicated
Monitoring associated with dengue/DHF patients for the period of any critical
General affliction, desire for food, toyota prius selling essay, internal bleeding and
should often be accomplished within smallest each individual 5 to help four hours
Good still care and attention ought to come to be undertaken to avert take advantage of of
Insecticides, repellents, figure citing a pdf content throughout apa component essay with
's. (2011) Nelsons Publication of
Pediatrics, Nineteenth edition
World Wellness Provider.
Comprehensive suggestions for cures and
control involving dengue and dengue haemorrhagic
fever. Adjusted and widened option. WHO:
Regional Company for South-East Asia.