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Case Record Form Six
Case Record Form Six
2. Name:
3. Age:
4. General and systemic clinical manifestations of patients:
6. Dengue Serology
1. Name:
2. Age:
3. Gender:
4. Clinical manifestations of Dengue fever
Fever
a) Yes b) No
Nausea/vomiting
a) Yes b) No
Headache,
Diarrhoea
Myalgia
Abdominal pain,
5. The total duration of the fever…………………Days
6. Haemorrhagic manifestations
Petechiae
Epistaxis
Gum bleeding
Haematemesis
Vaginal bleeding
Bleeding >2 sites
5. Impact of Covid-19 on pulmonary Dysfunction of children
1. Age
2. Gender
3. RT PCR TEST result
4.
6. Congenital Heart Disease & its associated factors in Bangladesh
1. Age
2. Gender
3. comorbidity.
4. Maternal characteristics of study group
Family History
History of mother with CHD
Yes
No
History of father with CHD
Yes
No