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Mom of a 2 yr 9 m old girl1 Year ago
Q.

Hi Dr In post febrile phase how to identify if child's platelets are dropping in case of Dengue

1 Answer
POOJA KOTHARIMom of a 8 yr 5 m old boy1 Year ago
A. In the context of dengue fever, monitoring platelet levels is crucial, as dengue can lead to a condition called dengue hemorrhagic fever (DHF), which can cause a significant drop in platelets. Here’s how you can identify if a child’s platelets are dropping: ### **Signs of Dropping Platelets:** 1. **Bleeding Symptoms:** - **Easy Bruising:** Frequent bruising or unusual marks on the skin. - **Nosebleeds:** Frequent or spontaneous nosebleeds. - **Gum Bleeding:** Bleeding gums or blood in the saliva. - **Petechiae:** Small red or purple spots on the skin caused by bleeding under the skin. 2. **General Symptoms:** - **Fatigue or Weakness:** Increased tiredness or weakness that is more than usual. - **Palpitations:** Rapid or irregular heartbeat. - **Pale Skin:** Pale or ashen skin color, which can indicate bleeding. 3. **Physical Examination:** - **Check for Bleeding:** Look for any signs of bleeding or bruising. - **Monitor Vital Signs:** Check for any changes in the child’s vital signs, such as blood pressure and heart rate. ### **Diagnostic Measures:** 1. **Blood Tests:** - **Complete Blood Count (CBC):** A blood test will measure platelet count. In dengue, platelets typically drop as the disease progresses. - **Dengue-Specific Tests:** Dengue-specific serological tests can confirm the presence of the virus and its impact on blood components. 2. **Consult Healthcare Providers:** - **Regular Monitoring:** Regular follow-ups with a healthcare provider are essential for monitoring platelet levels and other vital signs. - **Emergency Care:** Seek immediate medical attention if you notice any severe symptoms or if the child’s condition worsens. ### **When to Seek Help:** - If you observe any of the symptoms listed or if the child’s condition seems to be deteriorating, it’s essential to consult a healthcare provider promptly. Proper management and timely intervention are critical in dengue cases to prevent complications.
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