2.  Dengue  Malaria
Hemorrhagic
Fever

3. Is a tropical disease caused by
different strains of dengue virus
which are transmitted by mosquitoes
by the genus aedes

4. Dengue virus
Mosquito AedesAegypti
4 – 6 days ( minimum 3 days)

5. Bite of infective aedesaegypti
1. Infected persons
2. Stagnant water

6. 1. Water stored within household or
standing water in premises
2. High human population density
A. Age
B. Sex
C. Season
D. Geographical

7.  Fever accompanied by non specific
constitutional symptoms
 Positive tourniquet test
 Spontaneous bleeding
 Gum Bleeding
 nose bleeding
 GI bleeding

8. Grade II + Circulatory failure
 Cold clammy skin
 Reapid weak pulse
 Pulse pressure of 20mmm/hg and
below
Grade III + shock

9. Presumptive Test
Tourniquet test
 Blood Test
 Platelet Count
 SHOCK
 Thrombocytopenia
 Hepatomegaly

10.  Control of mosquito vector
 Environmental sanitation
 Storage of water
 Change the water of the flower vase
everyday
 Vaccine against types of dengue virus is
in progress

11.  Symptomatic and supportive
 Effective replacement of plasma , fluid
and electrolyte solution
 Oral fluid and electrolyte
 Hematocrit determination
 Hemoglobin Determination
 Close surveillance

12.  Symptomatic and supportive
 Effective replacement of plasma , fluid
and electrolyte solution
Monitoring patients condition
Initially when HCT has increased
by 20% or has kept on rising

13. Blood Pressure Every 24 hrs. Every hours if
hypotension
sets In every 30
minutes or more
often
HCT Every 24 hrs. Repeat after 6
hrs.if still high or
going up every 2
hrs.
Platelet count Every 24 hrs. On Every 6 hrs. If
Hemoglobin admission HCt falls after the
initial rise or if
bleeding
occurs,repeat as
necessary

14.  Grade I and II good
 Grade III , guarded
 Grade IV, serious (mortality rate very
high)
Isolation of the Patient recommended

15. 1. Bed rest
2. Care of the mouth
3. Prevention and control of bleeding
 Ice compress for bleeding do not
hyperextend the neck
 Ice compress may be placed on the
bridge of the nose
 Avoid forceful blowing of the nose
 Do not pick the nose

16. 1. Bed rest
2. Care of the mouth
3. Prevention and control of bleeding
 Give ice chips
 Use of soft bristled brush

17. 1. Bed rest
2. Care of the mouth
3. Prevention and control of bleeding
 NPO
 Platelet transfusion
 Avoid eating dark colored foods

18. MALARIA KING OF TROPICAL
DISEASES , AGUE
Is a specific infectious disease
produced by anyone of four protozoan
parasites which is transmitted to a
man by the bite of the mosquito

19. Protozoa Plasmodia
1. Plasmodium Vivax
2. Plasmodium Malariae
3. Plasmodim Falciparum
4. Plasmodium Ovale

20. Female mosquito
(anopheles mosquito)
Bite of infected female
anopheles mosquito

21.  SIGNS AND SYMPTOMS
 Severe chilly sensation as manifested by
severe shaking tremors of the body
 SIGNS AND SYMPTOMS
 Fever
 Diaphoretic stage profuse sweating

22. Malarial Smear
Giving of anti malarial drugs
 4 Aminoquinolines (Chloroquine,
amosiaquine, Quanine)
 Chloroquine – infection due to sensitive
strains of P. Falciparum, Vivax, Ovale
 Primaquine

23.  Use of Mosquito Nets
 Spraying of insecticides
 Screening of windows and doors
 Use of skin repellents
 Use of electronic mosquito repellent