This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: AIIMS 2019, Subject name: Medicine
Which of the following is NOT the criteria to discharge a patient of dengue haemorrhagic fever? 
Select and explain. 
A. Afebrile for 24 hours without antipyretics, B. Platelet count greater than 50,000 cells, C. Return of appetite, D. Atleast 24 hours since recovery from shock
D: Atleast 24 hours since recovery from shock
Answer: D: Atleast 24 hours since recovery from shock 
Explanation: Normal urine output- 1.5 l/day For discharge patient should become afebrile 24 hrs from shock recovery would not be enough should be kept a little longer to know general well being of patient. Therefore, option a, b, d ruled out. Patients with dengue hemorrhagic fever or dengue shock syndrome may be discharged from the hospital when they meet the following criteria: Afebrile for 24 hours without antipyretics Good appetite, clinically improved condition Adequate urine output Stable hematrocit level Atleast 48 hours since recovery from shock No respiratory distress Platelet count greater than 50,000 cells.