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VI.

Pathophysiology
A.Theoretical-based
Non-modifiable factors: Modifiable factors:
AGE and SEX – both are Poor envi’t sanitation (presence of
affected since dengue is a PATHOPHYSIOLOGY OF DHF stagnant water container junk tires
universal infection and bottle)
SEASON – Aedes aegypti is Poor practice to protect self against
more commonly found in mosquitoes
tropical and subtropical
countries Other lifestyle practices

Mosquito bite (AEDES AEGYPTI)

Dengue virus enters the body carried by circulation and multiplies

Interruption in the normal homeostatic environment of the body

Immune response by the body (defense mechanism of the body to foreign bodies)

Body induces the action of the cytokines and prostaglandin

The body responds by producing physiologic changes aimed at elevating body temperature.
FEVER

Cytokine and prostaglandin

Increase capillary or vascular permeability and fragility

Ruptured capillaries

Oral mucosa nasal mucosa .petechiae Thrombocytopenia GIT bleeding vomiting


gum bleeding epistaxis ulceration

Severe Bleeding

Decrease blood volume

Hypotension

Shock

DEATH
B.Client-based

PATHOPHYSIOLOGY OF DHF
Non-modifiable factors: Modifiable factors:
AGE and SEX – both are Environment- Community is
affected since dengue is a exposed to dengue cases
universal infection Presence of stagnant waters and
Age- 8 y/o uncovered containers near their
Sex- Female house which is a possible
sources of vectors.

Mosquito bite (AEDES AEGYPTI)

Dengue virus enters the body carried by circulation and multiplies

Interruption in the normal homeostatic environment of the body

Immune response by the body (defense mechanism of the body to foreign bodies)

Body induces the action of the cytokines and prostaglandin

The body responds by producing physiologic changes aimed at elevating body temperature.
FEVER for 4 days jan. 12-15 2010

Cytokine and prostaglandin

Increase capillary or vascular permeability and fragility

Ruptured capillaries

nasal mucosa(epistaxis) Thrombocytopenia(low CBC PC) petechiae

Treated early with doctor @ MDH and was given prescribed


medications and managed to prevent the
virus ( ranitidine, paracetamol, hydraxyzine)

With IVF d5Lr 1L x 8 hours for fluid replacement


and prevention of dehydration

Patient recovers improvement


in the CBC PC last January 16,2009
patient advised MGH.

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