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In addition, the WHO proposed warning signs suggestive of high risk for SD were recorded: abdominal pain or tenderness, persistent vomiting (vomiting during two or more consecutive days), clinical fluid accumulation, mucosal bleed, lethargy or restlessness, hepatomegaly and concurrent increase in hematocrit and rapid decrease in platelet count (hematocrit change > = 20% concurrent with platelet <50×109/l occurring in the same day) [14].
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