119Roopesh

25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days.   Osce question . Side effects of dengue vaccine in secondary infection  Non neutralising antibodies which are produced due to vaccination for primary infection , can protect second serotype infection instead of neutralising them,thus causing more severe infection. Types of dengue vaccine  Chimeric yellow fever -dengue  Tetravalent dengue vaccine's These vaccines are previously used. Currently dengusill vaccine which is under clinical trial created by serum institute (pune) INDIA. Why fluid therapy is maintained  To maintain fluid balance and osmality and to prevent from hypovalemic shock  Types of iv fluids given Normal saline Dextrose normal saline Dextrose saline Ringer lactate  They are given depending upon the use  If you get dengue fever once ,can you get it again  Yes, there are four major types of dengue viruses(DENV 1,

    This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those clinical problems with collective current best evidence based inputs                    25 yr old female patient resident of miryalguda,housewife by occupation came to OPD with chief complaints of fever since 5 days and giddiness since 5 days. History of presenting illness: Patient was apparently asymptomatic 5 days back the she developed fever  which is sudden in onset, continuous ,high grade fever, associated with chills and rigors relieved on medication . Fever is associated with headache,retro orbital pain. History of generalized weakness, body pains. H istory of nausea and vomitings(non bilious) 3 to 4 times a day projectile History of cough (non productive) History of abdom