A 34-year-old man presents to a Cairns ED, triage category 2, day 5 of fever after travel to an outbreak area. He has abdominal pain, persistent

Question

A 34-year-old man presents to a Cairns ED, triage category 2, day 5 of fever after travel to an outbreak area. He has abdominal pain, persistent vomiting and mucosal bleeding. Platelets are 42 x 10^9/L and haematocrit has risen from 0.42 to 0.50. What is the most appropriate disposition?

Accepted Answer

Admit for monitored fluids and serial blood tests

Answer

Start empiric heparin

Answer

Arrange routine GP review in 1 week

Answer

Discharge with NSAIDs

Answer

Give prophylactic platelet transfusion and discharge

Dengue with warning signs — ACEM Fellowship MCQ

A 34-year-old man presents to a Cairns ED, triage category 2, day 5 of fever after travel to an outbreak area. He has abdominal pain, persistent vomiting and mucosal bleeding. Platelets are 42 x 10^9/L and haematocrit has risen from 0.42 to 0.50. What is the most appropriate disposition?