Dengue WATCH OUTS !!


  • Especially poorly controlled hypertensive patients.
  • A “sudden” NORMAL BP could mean compensated shock
  • Even for normal person, do not exclude compensated shock because BP is “normal” !


  • Osmotic diuresis paves the way for dehydration !!

Pregnant women

  • Lower baseline Hct, so Hct in dehydrated pregnant patients maybe magically “normal” !
  • Due to progestogen induced vasodilation, baseline DBP is lower, especially in 2nd trimester. The pulse pressure may not even get narrow to be in shock !


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