Saturday, August 6, 2011

Emedinews: Dr Good Dr Bad: A patient with high grade fever with low platelet count came for evaluation.


Situation:  A patient with high grade fever with low platelet count came for evaluation.
Dr Bad: Treat him for dengue
Dr. Good:  Perform a tourniquet test and check his PCV
Lesson:  Low platelet count is not the only diagnostic criteria for severe dengue. The classical triad is low platelets, positive tourniquet test and 20% increase in hematocrit.

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