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Diagnosis and Treatment

Dengue Clinical Case Management E-learning

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Tourniquet Test handout

Tourniquet Test handout

Tourniquet Test

The tourniquet test is part of the new WHO case definition for dengue. The test is a marker of capillary fragility and it can be used as a triage tool to differentiate patients with acute gastroenteritis, for example, from those with dengue. Even if a tourniquet test was previously done, it should be repeated if

It was previously negative

There is no bleeding manifestation

How to do a Tourniquet Test

1. Take the patient's blood pressure and record it, for example, 100/70.

2. Inflate the cuff to a point midway between SBP and DBP and maintain for 5 minutes. (100 + 70) ÷ 2 = 85 mm Hg

3. Reduce and wait 2 minutes.

4. Count petechiae below antecubital fossa. See image at right.

A positive test is 10 or more petechiae per 1 square inch.

Positive tourniquet test with greater than 10 petechiae per one square inch

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