Alternative Names Hemorrhagic dengue; Dengue shock syndrome; Philippine hemorrhagic fever; Thai hemorrhagic fever; Singapore hemorrhagic fever Symptoms Early symptoms of dengue hemorrhagic fever are similar to those of dengue fever, but after several days the patient becomes irritable, restless , and sweaty. These symptoms are followed by a shock -like state. Bleeding may appear as tiny spots of blood on the skin ( petechiae ) and larger patches of blood under the skin ( ecchymoses ). Minor injuries may cause bleeding. Shock may cause death. If the patient survives, recovery begins after a one-day crisis period. Early symptoms include: Decreased appetite Fever Headache Joint aches Malaise Muscle aches Vomiting Acute phase symptoms include: Restlessness followed by:
Ecchymosis Generalized rash Petechiae Worsening of earlier symptoms Shock-like state
Cold, clammy extremities Sweatiness (diaphoretic) Signs and tests A physical examination may reveal: Enlarged liver (hepatomegaly) Low blood pressure Rash Red eyes Re...
It is impossible to read any information on ADHD without finding out that the three major symptoms of ADHD are inattention, impulsiveness and hyperactivity. But what does this really mean? What do these symptoms look like on a day to day basis?
Each child is different. Each child has symptoms of ADHD that fall somewhere between mild and severe. Each child has a unique combination of symptoms. Ask any parent. They can go into detail on their child's behavior and their description might have some similarities to another parent's stories, but there will be differences as well. If this is the case, how then, can we figure out what is ADHD, what is normal behavior, and what might be something else entirely?
The following lists are compilations of how the three major symptoms may show up. It will be up to each family to decide if the behaviors warrant consideration, accommodations, behavioral interventions or medication to help in reducing symptoms.
In this entry, I would like to discuss some things to think about as families go back to school in terms of asthma. One is the increase in asthma exacerbations during this period, and the other some thoughts about asthma control as kids go back to school.
Asthma gets worse in September For several years, doctors and patients have observed that asthma control, including asthma exacerbations, increase in September. Some doctors and scientists have even called the increase in hospitalizations for asthma the "September Epidemic."
The reason for this remained obscure until recent studies that looked into the major causes of worsening asthma control and if they changed in September. It turns out that the increase in asthma worsening and kids going back to school are not merely coincidences. A detailed study of asthma attacks looking at many individuals (using 12 years of hospitalization data from the Canadian health ministry) showed that there is a sharp spike in asthma hospitalizati...
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