Patient ko headache ho rha h or fever aarha h unke platelet count kam

Patient ko headache ho rha h or fever aarha h unke platelet count kam ho rhe asa kyu phle 145000 the or abb 125000 kese

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"thrombocytopenia"[MeSH Terms] AND "fever"[MeSH Terms]

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WHO dengue warning signs severe headache persistent vomiting bleeding low platelets

Fever + headache ke saath platelet 1,45,000 se 1,25,000 hona ek mild fall hai. Iska matlab sirf dengue nahi hota, par dengue, dusre viral infections, malaria, typhoid, medicines, ya lab variation jaise kaaran ho sakte hain. Dengue mein headache aur platelet fall ho sakta hai, isliye doctor se evaluation aur repeat CBC zaroori hai. Dengue mein platelet count ke saath hematocrit aur patient ke symptoms bhi monitor kiye jaate hain.

1,25,000 platelet usually emergency level nahi hota, lekin count gir raha ho aur fever/headache chal raha ho to aaj hi physician/nearby hospital mein dikhaiye. Doctor dengue test timing ke hisaab se, malaria test, CBC, hematocrit, LFT etc. decide karenge.

Turant emergency mein le jaayein agar inmein se kuch ho:

Bahut tez ya worsening headache, neck stiffness, confusion, behoshi, fits
Pet mein bahut dard, baar-baar vomiting
Naak/masoodon se bleeding, skin par laal dots, black stool, khoon ki vomiting/urine
Saans phoolna, extreme weakness, chakkar, cold-clammy skin
Peshab kam hona ya pani na pee paana

WHO dengue guidance mein persistent vomiting, severe abdominal pain, bleeding, confusion/lethargy, low urine output, aur platelet ka rapid fall warning signs maane jaate hain: WHO dengue case management.

Abhi kya karein

Fluids/ORS lete rahen, agar patient pee sakta hai.
Fever ke liye sirf doctor-advised paracetamol use karein.
Aspirin, ibuprofen, diclofenac, naproxen na dein, kyunki bleeding risk badh sakta hai, khas kar dengue ka doubt ho.
CBC ko same lab mein 12-24 hours ya doctor ke advice ke mutabik repeat karein. Sirf platelet number nahi, patient ki condition aur trend zyada important hai.

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