All of these are signs of compensated shock EXCEPT?

All of these are signs of decompensated shock EXCEPT?

The following is NOT a part of dengue charting

An obese 43 year old man presents to the emergency department with history of fever for 4 days. He's lethargic and tachypniec and is triaged to the Red Zone. High flow mask oxygen is administerd immediately and an IV cannula is inserted. His BP is 110/70mmHg,  HR 110/min, RR 26/min and SpO2 is 100% on HFM. Blood is drawn for testing and IV 0.9% saline 10ml/kg/hr is administered as patient has cool peripheries with a moderate volume pulse. A bedside ECHO done for the patient shows moderate cardiac contractility. A bedside dengue combo test shows a positive NS1. What would you do next:

The following are possible differential diagnosis for a presentation of thrombocytopenia with fever EXCEPT:

A young man admitted to ICU with complaints of fever for one week, rashes, abdominal pain and blackish stool. BP was 100/70. Which laboratory investigations should be tested:

These are the disease MONITORING tests for SEVERE DENGUE, EXCEPT :

Positive result indicates acute dengue infection, EXCEPT:

A 7-year-old child with confirmed dengue has been febrile for 3 days. He is active, drinking well, has no vomiting or bleeding. What is the best management plan?

You are monitoring a child on IV fluids during the critical phase. Which of the following is the BEST indicator that the child is improving?

A 9-year-old child with dengue develops hypotension, cold extremities, and narrow pulse pressure. What is the MOST APPROPRIATE immediate fluid resuscitation dose?

A 29-year-old woman with severe dengue presents with persistent fever, bicytopenia, and liver failure ( ASt>3000, INR 1.5) on day 9 of illness. She is not in shock, but her condition worsens despite adequate fluid resuscitation. Investigations show ferritin 15,000 µg/L, fibrinogen 1.2 g/L, and triglycerides 3.6 mmol/L.

Which of the following best distinguishes true HLH from hyperinflammatory response due to under-resuscitation?

A 41-year-old obese woman (108 kg) with dengue infection presents 5 hours into the critical phase with lethargy, pulse 116/min, BP 110/90 mmHg, and cool peripheries. She has received 4.5 pints of normal saline . urine output is 0.4-0.5cc/kg/hr. Hematocrit decreased from 51%→ 47%, platelets 10 × 10⁹/L, and lactate reduced from 3.4 to 3.2 mmol/L.

Her baseline HCT is 38%.She is currently on 5cc/kg/hr of Normal saline

What is the most appropriate next step?

A 30 year old man, baseline HCT of 42%, presents with severe dengue. After 5 hours of resuscitation, the patient’s hematocrit decreases from 51% → 40% following multiple fluid boluses. The patient s parameters improve with a steadier BP of 120/70. However HR 100  with persistent cold extremities .

Urine output is 0.8cc/kg/hr and lactate from 4 reduced to 2.3. His ALT is 500 and AST is 880.

The medical officer plans a blood transfusion because “the hematocrit is dropping.”

What is the best interpretation and next management step?

What is the compound value imposed on medical practitioners who fail to inform or notify infectious diseases to the nearby district health office?

Below practices are NOT advisable for severe dengue in ICU, EXCEPT

Indication for ICU admission for dengue patient EXCEPT

As regards to Dengue in pregnancy, choose the RIGHT statement

Under the Act 154 (Akta Pemusnahan Serangga Pembawa Penyakit 1975), what is the compound value imposed if they are found breeding disease carrying insects?