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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 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.
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.
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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 Since this is in the context of a statement that a major insurance company has determined that this test is obsolete or unreliable and replaced it by more advanced procedures, we may want to clarify by whom exactly this test is (still) considered essential.
Laboratory blood tests can identify evidence of chikungunya or other similar viruses such as dengue and Zika. [30] Blood test may confirm the presence of IgM and IgG anti-chikungunya antibodies. IgM antibodies are highest 3 to 5 weeks after the beginning of symptoms and will continue be present for about 2 months. [30]
Tourniquet: This is used to cause an artificial venous stasis by applying pressure through this rubber tube. This leads to engorgement of the veins, allowing them to be seen more easily. Used for intravenous injections and cannulation. Microscope: used for visualising minute structures, including microbes: Bunsen burner or spirit lamps or candles
Dengue is a Flaviviridae virus, with five genetic types. [ 8 ] [ 9 ] Here is the virus drawn as a 3-dimensional model of the envelope protein. [ 10 ] Dengue is in the same family as other well known viruses carried by mosquitoes that cause tropical diseases, such as yellow fever , West Nile , and Zika virus .