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Recognition of Dengue Haemorrhagic Fever DHF - Symptoms similar to dengue fever plus, any one of the following: - Severe and continuous pain in abdomen - Bleeding from the nose, mouth and gums or skin bruising - Frequent vomiting with or without blood - Black stools, like coal tar - Excessive thirst dry mouth - Pale, cold skin - Restlessness, or sleepinessDengue shock syndrome is defined as dengue hemorrhagic fever plus: - Weak rapid pulse - Narrow pulse pressure less than 20 mm Hg - Cold, clammy skin and restlessness.