Dengue Fever with Warning Signs: Critical Phase Management
A branching clinical case simulation for a patient presenting with day 5 fever with abdominal pain and persistent vomiting. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 4medium20 min6 stages
- Patient
- 24 years, female
- Presenting complaint
- Day 5 fever with abdominal pain and persistent vomiting
- Decision stages
- History, Examination, Investigations, Diagnosis, Treatment, Monitoring
The presentation
Setting: a district general hospital Emergency Department. A 24-year-old woman, Aisha Ahmed, presents on day five of fever. She reports abdominal pain, persistent vomiting, and reduced urine output. She appears unwell, with a flushed face, dry mucous membranes, and is lethargic. You are the medical resident on duty.
Initial observations are shown. You need to assess her carefully.
What this case teaches
Recognise dengue warning signs and the critical phase; manage fluids to avoid both shock and overload; avoid NSAIDs and intramuscular injections; know when to transfuse.
How the case unfolds
- 1Initial Assessment: HistoryHistory
- 2Focused Physical ExaminationExamination
- 3Initial InvestigationsInvestigations
- 4Clinical Assessment and DiagnosisDiagnosis
- 5Initial ManagementTreatment
- 6Monitoring During the Critical PhaseMonitoring
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
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A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.