{"id":32,"date":"2007-10-12T18:59:09","date_gmt":"2007-10-12T18:59:09","guid":{"rendered":"http:\/\/jha.in\/?p=34"},"modified":"2007-10-12T18:59:09","modified_gmt":"2007-10-12T18:59:09","slug":"dengue-for-surgeons","status":"publish","type":"post","link":"http:\/\/jha.in\/?p=32","title":{"rendered":"Dengue for surgeons"},"content":{"rendered":"

Despite what is in the textbooks Dengue patients do not always develop rashes till the platelet levels have fallen waay down and even then hemorrhage may be sudden. Today i saw a patient in emergency who was complaining of pain in right upper abdomen and had fever for last 2 days. I had a suspicion of liver abscess and to confirm i got a ultrasound examination done. The radiologist found inflammation of gallbladder without any stones suggestive of dengue and it was confirmed as such. Quite a number of patients present with upper abdominal pain with fever and it has happened quite a few times that on clinical examination i have suspicion of Acute cholecystitis which on ultrasound examination is suggestive of dengue and later confirmed as such. Discussion of dengue from surgical point of view can be seen here<\/a> .<\/p>\n","protected":false},"excerpt":{"rendered":"

Despite what is in the textbooks Dengue patients do not always develop rashes till the platelet levels have fallen waay down and even then hemorrhage may be sudden. Today i saw a patient in emergency who was complaining of pain in right upper abdomen and had fever for last 2 days. I had a suspicion […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[],"class_list":["post-32","post","type-post","status-publish","format-standard","hentry","category-medicine","entry"],"yoast_head":"\nDengue for surgeons<\/title>\n<meta name=\"description\" content=\"Dengue for surgeons\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/jha.in\/?p=32\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Dengue for surgeons\" \/>\n<meta property=\"og:description\" content=\"Dengue for surgeons\" \/>\n<meta property=\"og:url\" content=\"https:\/\/jha.in\/?p=32\" \/>\n<meta property=\"og:site_name\" content=\"Pithy Loquacity\" 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