Dengue — Signs & Symptoms Typical onset: 4–10 days after an infected mosquito bite. 1. Febrile phase (usually 2–7 days) Sudden high-grade fever Severe headache Retro-orbital pain (pain behind eyes) Marked muscle and joint pains (“break-bone” pain) Nausea/vomiting Rash, often appearing around day 3–5 Mild bleeding: gum/nose bleeding, easy bruising 2. Warning signs — usually around defervescence (day 3–7) Severe or persistent abdominal pain Persistent vomiting Mucosal bleeding Lethargy/restlessness Clinical fluid accumulation Hepatomegaly Rising hematocrit with rapidly falling platelet count 3. Severe dengue Shock/hypotension due to plasma leakage Severe bleeding Severe organ involvement: liver, brain, heart or kidneys Altered consciousness Respiratory distress Key clinical point: The critical phase often begins when the fever starts settling , so apparent improvement in temperature does not necessarily mean recovery. Diagnostic approach: # Suspected ...
Proper Sitting Posture while reading or working on a computer/laptop Good sitting posture keeps your ears, shoulders, and hips in one straight line. Your back should be supported, and your feet should rest flat on the floor. This reduces strain and keeps your spine healthy. Main Points Sit with your ears, shoulders, and hips aligned in a straight line. Keep your back against the chair to support the natural curve of your spine. Sit with your hips and buttocks fully against the back of the chair. Keep your pelvis in a neutral position. Do not tilt it too far forward or backward. Relax your shoulders and keep them slightly back. Keep your head upright with your chin parallel to the floor. Place both feet flat on the floor. Keep your knees level with or slightly lower than your hips. Your thighs should slope slightly downward (about 100–120° at the hips). Keep your elbows close to your body at about a 90° angle. Keep your forearms parallel to the floor when typing or working at a de...