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Dengue Fever (Pronounced as Dhen Gey) A comprehensive presentation by  Dr.P MAHIPAL REDDY
Alternative Names ,[object Object],[object Object],[object Object],[object Object]
Background ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Viral Illnesses - Propagation Human Human Human Zoonotic Accidental Virus Arthropod Rodent
Transmission of Viral Illnesses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arthropod borne Viral Diseases ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manifestations of  Arborviral Illnesses  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology of Dengue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiological Triangle The Host The Virus The Vector Interaction
The Agent ,[object Object]
The Dengue Virus ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dengue Virus Electron Micrograms
Dengue Virus Cell Culture Of Dengue Virus
The Vector  Aedes aegypti (Infected Female Mosquito) (rarely Aedes albapticus)
Peculiarities of  A.aegypti ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aedes aegypti Dengue, YF, CGF
Aedes aegypti Dengue Yellow Fever Chichungunya Fever
Dengue on the Globe Highly endemic Recently acquired
Dengue Fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanism of Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dengue Transmission Cycle
Dengue Transmission
Dengue Illnesses - Propagation
Natural History of Dengue Human   Inf In apparent DFM Primary DHF/DSS 30% 69% 01% Re infection Secondary DHF/DSS 10% Recovery 100% Death 5% 95%
DHF Endemicity
Pathogenesis of DHF ,[object Object],[object Object]
Hypotheses on DHF - DSS ,[object Object],[object Object],[object Object],[object Object]
Initial Immunogenecity
Immune Complexes
Attack on Host Immune Cells
Immunopathogenic  Cascade of  DHF/DSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Disease ,[object Object]
Dengue Presentations ,[object Object],[object Object],[object Object],[object Object]
Hemorrhagic Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations- DF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other manifestations- DF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Petechiae
Dengue Haemorrhagic Fever (DHF) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DHF – Clinical Criteria
Criteria for DHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Criteria for DSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Four Grades of DHF/DSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ecchymosis – Periorbital Edema
Large Subcutaneous Bleed
Capillary Damage
Tourniquet Test ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tourniquet Test
Pleural Effusion PEI = A / B x 100
Clinical tests for DHF ,[object Object],[object Object],[object Object],[object Object],[object Object]
DHF- Poor Prognostic Signs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unusual Presentations of Dengue ,[object Object],[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immuno Detection Tests ELISA Plate IgM-capture ELISA
Treatment of DF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DHF / DSS Intensive Care Oxygen Rehydration Barrier Nursing Mosquito Screen
Common Misconceptions- DHF ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
More Common Misconceptions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management of DHF/DSS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid Balance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Immunization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vector Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vector Control of  Dengue ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Challenge ,[object Object],[object Object],[object Object],[object Object],[object Object]
Bibliography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Together We Learn Better
Thank You !

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