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Budi, a 3-year old boy, presented with cold hands and feet as well as a nosebleed. He had a 4 day history of high fever, headache, fatigue and abdominal pain. On examination, he was delirious with low blood pressure and a rapid pulse. His respiratory rate was elevated. Based on the history and physical exam findings, it is assessed that Budi is suffering from dengue hemorrhagic fever, which causes plasma leakage leading to decreased platelets and bleeding. The cold extremities and nosebleed are likely due t

Author

AsmaulKhusna

Language

EN