Dengue Hemorrhagic Fever

1. Department of Family & Community Medicine Perpetual Succour Hospital BLEEDING LOVE FAMILY CASE PRESENTATION 1 st Year Resident Crisbert I. Cualteros, M.D. Postgraduate Interns Alaba, Clevan Teresita Encong, Aubrey Taghoy, Josie Mae Tancongco, Ziphora Tingcang, Marvic Mae Nisnisan, Arvin

3. Family Profile

5. LIVING AREA

12. Economic Profile Total Monthly Income 8,000 – 8,500 PERCENT ALLOCATION Total Monthly Expenses: Food: Electricity: Water: Medicine: Miscellaneous: 8,200 4,500 – 5,000 700 400 800-900 1,300 96.5% 53% 8.3% 4.7% 10.5% 16% Savings 300 3.5%

25. DENGUE HEMORRHAGIC FEVER STAGE 1, GRADE 2 IMPRESSION

29. DAY 4 OF ILLNESS 5/24/09 12mn 5/24/09 6AM WBC 1.88 1.34 HGB 11.3 11.7 HCT 34.4 35.9 PLT 115 80

32. DAY 5 of ILLNESS 5/25/09 1am 5/25/09 6AM WBC 1.06 1.05 Hct 33.3 29.7 Plt 65,000 75,000

35. 3 rd and 4 th Hospital Day Days 6 and 7 of Illness 5/26/09 5/27/09 12mn 5am 12nn 7pm 6am 12nn 8pm WBC 1.54 1.53 1.66 1.87 2.62 2.72 3.57 Hct 32.8 32.4 32.6 35 34.7 30.8 34.3 Plt 85 60 50 60 85 50 70

38. 5 th Hospital Day Day 8 of Illness, Day 1 afebrile 5/28/09 5am 4pm WBC 3.81 5.33 Hct 34.2 34 Plt 65 60

41. 6 th Hospital Day Day 9 of Illness, Day 2 afebrile 5am 10am WBC 9.35 7.08 Hct 32.5 29.9 Plt 140 140

45. Graphical Summary of Temperature

47. Dengue Hemorrhagic Fever

50. Transmission of Dengue virus by Aedes aegypti

58. Warning Signs for Dengue Shock

60. Positive Tourniquet Test (+)Torniquet Test: more than 20 petechiae/ sq inch.

62. Volume Replacement Flow Chart for Patients with DHF Grades I and II

64. Family Assessment Tools

65. FAMILY CIRCLE Magdalena

66. Curaraton – Tundag Genogram

68. FAMILY APGAR Magdalena Curaraton: Mother APGAR SCORE 7: MODERATELY DYSFUNCTIONAL FAMILY RESOLVE: I am satisfied with the way my family and I share time together AFFECTION: I am satisfied with the way my family expresses affection and responds to my emotion such as anger, sorrow and love GROWTH: I am satisfied that my family accepts and supports my wishes to take on new activities or directions PARTNERSHIP: I am satisfied with the way my family talks on things with me and shares problems with me. ADAPTATION: I am satisfied that I can turn to my family for help when something is troubling me. Hardly Ever (0) Some of the Time (1) Almost always (2)

69. SCREEM Resource Social adequate Robert John’s family participates in social activities such as family reunions, fiesta celebrations of their relatives residing in the provinces. They also have good relationships with their neighbors, friends and co-workers. Cultural adequate They have embraced Filipino values and apply these in their everyday life (i.e. showing respect by kissing the hands of elderly). Religious adequate The family attends mass every Sunday in Capitol Parish and Basilica del Santo Nino. They are aware of religious events in the local community. Economic inadequate Ruben is working as shipper/delivery man of marine products for export and Magdalena is a housewife. Their monthly income is sometimes not enough to provide the basic necessities of the family. Educational adequate Ruben and Magdalena are highschool graduates hence, making them capable of solving problems rationally. Medical adequate When medical problems arise, the family can easily access their private physician to seek consultation for proper medications.