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Ultrasonography as a toolin predicting the severity

of denguefever in childrena usefulaid in a developing

country

Tutor:Dr. H. Raddy Irmawan, Sp.A

Presented by:

Lili Susanti-11!1"#!

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ID$%TI&' (& TH$ )(*R%AL

Title: *ltrasono+rapy as a tool inpreditin+ te seerity o/ den+ue /eerin ildren0a use/ul aid in a deelopin+

ountry. Author:. R. 2arat umar Reddy 3

Rames R. La4smana 3 2asaara5a 6.7eerappa 3 Siananda

Date of Publication: 8 9ar !18

Published:Sprin+er-7erla+ 2erlinHeidelber+ !18

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Abstrat

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Introdution

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Introdution

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9aterials and 9etods

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9aterials and 9etods

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All *S abdomen and pelis sanswere arried out wit real-time USscanners usin+ 3!- and !-"#$transducers.

Abdominal sannin+ was done a/ter%h of fasting to allow betterdistention o/ +allbladder.

9aterials and 9etods

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Seerity o/ illness was +raded asper H( riteria and sono+rapy

;ndin+s were orrelated to te+rade o/ illness.

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Statistial Analysis

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R$S*LT

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R$S*LT

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Table < Sono+rapi ;ndin+s in ildren based on outome o/seere den+ue /eer =+rades III and I7>, n?1

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DIS*SSI(%

6allbladder wall ti4enin+ was /ound in

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Intraparenymal Cuid in te lier si+ni;antlypredited a i+er +rade o/ illness and alsomortality =PF!.!!1> wit @"B o/ ildren wo diedain+ tis ;ndin+ =spei;ity o/ EE.

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Asitis and pleural eGusion were/ound in most o/ our patientsirrespetie o/ te +rade o/ illness,

altou+ a i+er inidene wasnoted in tose wit +rade III or +radeI7 disease seerity.

Te ritial /eature noted in tepatopysiolo+y o/ den+ueemorra+e /eer is plasma lea4a+e.

DIS*SSI(%

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It sould be noted tat many su/eatures an be seen in te ;rst wee4 o/illness and ene an elp in te early

detetion o/ den+ue /eer, mu earliertan te serolo+ial on;rmation usin+I+9 $LISA, wi may be ne+atie in te;rst wee4 o/ illness.

6allbladder wall ti4enin+ an beattributed to te derease in intraasularosmoti pressure.

DIS*SSI(%

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(%L*SI(%

Tis study demonstrates te importaneo/ abdominal *S in den+ue /eer in aidin+te liniian in dia+nosis, +radin+ its

seerity and 5ud+in+ te pro+nosis o/ teild, een prior to obtainin+ serolo+ialon;rmation.

Tus, in a deelopin+ ountry were te

mortality due to den+ue /eer in ildrenremains i+, and resoures are limited,an easily aailable tool su as *S ouldaid in mana+ement o/ te disease

si+ni;antly.

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Tan4 'ou