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The test was once part of the World Health Organization (WHO) algorithm for diagnosis of dengue fever, [3] however it is no longer used in the latest WHO guidance. [4] Studies have shown that the tourniquet test has low predictive value for dengue fever and should be used in conjunction with other tests for a reliable diagnosis. [5] [6] [7] [8]
The Hess test or Rumpel-Leede test is a medical test used to assess capillary fragility. [1] It is also called the Tourniquet test . To perform the test, pressure is applied to the forearm with a blood pressure cuff inflated to between systolic and diastolic blood pressure for 10 minutes.
The tourniquet test, which is particularly useful in settings where no laboratory investigations are readily available, involves the application of a blood pressure cuff at between the diastolic and systolic pressure for five minutes, followed by the counting of any petechial hemorrhages; a higher number makes a diagnosis of dengue more likely.
Dengue fever is a mosquito-borne disease caused by dengue virus, prevalent in tropical and subtropical areas. It is frequently asymptomatic; if symptoms appear, they typically begin 3 to 14 days after infection. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin itching and skin rash. Recovery ...
The median age of the deceased was 49 years, with a variation ranging from less than 1 year to 91 years. Deaths occurred in all age groups, with those over 80 years of age being the most affected, followed by the groups of 70 to 79, 60 to 69 and 30 to 39 years. However, the 30 to 39-year-old group recorded the highest number of cases overall. [10]
Loss of all four alpha-globin genes (total alpha-thalassemia) leads to severely anemic stillborn babies with small amounts of an abnormal hemoglobin composed of four gamma sub-units (Bart's Hemoglobin) Bastian–Bruns sign: Henry Charlton Bastian, Ludwig Bruns: neurology: spinal cord transection: loss of muscle tone and reflexes below lesion level
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Article says: "The test remains an essential part of the assessment of a patient who may have dengue haemorrhagic fever." Since this is in the context of a statement that a major insurance company has determined that this test is obsolete or unreliable and replaced it by more advanced procedures, we may want to clarify by whom exactly this test is (still) considered essential.