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What is A patient with dengue haemorrhagic fever has got myalgia and spontaneous skin bleeds. Lab tests show thrombocytopenia and a raised hematocrit. What is the DHF grade of the disease in this patient? and explain in detail?
Grading of DHF is as per the severity of shock and bleeding. Grade I - Fever with nonspecific constitutional symptom.Here the only haemorrhage manifestation is a +ve tourniquet test. Grade II - Grade I + spontaneous bleeding/hemorrhagic manifestation. Thrombocytopenia and hemo concentration is present. Grade III - The presence of circulatory failure, hypotension and restlessness. Grade IV - Profound shock with undetectable blood pressure and pulse. Ref: Park, Edition 21, Page 227