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TM: Arboviruses (Dengue (severe dengue (DSS (increased capill permeability…

- - - - arthralgia, myalgia
      - do not give aspirin
      - maculopapular rash in 50% of cases
      - retroorbital pain
      - photophobia
      - Saddleback fever
        
        v unique to dengue
        
        biphasic fever with initial peak that remits then appears again (relapses)
        
        most monitoring for DHF + shock during remit
    - - apply BP + inflate it to 1/2way between sys + dias for 5 mins
      - +ve if >20 petechiae per 2.5cm2 on forearm
      - detects underlying VHF
  - - - e.g. periorbital, conjunctival
      - may lead to DHF
    - - increased capill permeability
      - fluid leakage, pleural effusion, ascites
      - circulatory collapse
      - risk of death
  - - - thrombocytopenia (can be marked)
      - mild leucopenia
- - - - aka Faget's sign, sphygmothermic dissociation
      - unusual pairing of fever + bradycardia (usually tachycardia)