Thickened symptoms

Symptoms In early spring, new leaves thicken and start to twist and curl, becoming yellow or orange-red. Red blisters appear on leaves in early summer. Infected leaves develop a pale bloom, turn brown, and fall. Regular attacks reduce vigor and croppings, and disfigure the tree. 

There are a number of signs and symptoms of essential fatty acid deficiency. They include scaly and thickened skin, alopecia, increased capillary fragility so that bruising readily occurs, poor wound healing, increased susceptibility to infection and growth retardation in infants and children. Some of these symptoms can be explained by deficiency of eicosanoid synthesis and/or failure to complete cell cycles in various tissues (Chapter 20). Consequently, it is important to detect a deficiency before symptoms develop. The principle underlying the method to do this is described ... 

Involvement of the pleura, i.e. formation of pleural plaques (fibrotic masses on the pleura) may accompany asbestosis or occur independently, that is, as lesions with no obvious causal relationship (Whitwell, 1978). Pleural plaques only occasionally cause symptoms, as when they restrict the motion of the lung by thickening the membrane (pleura) around the lung or disrupting tissue viability by calcifying. 

Respiratory disease In general, antihistamines are not recommended to treat lower respiratory tract symptoms, because their anticholinergic effects may cause thickening of secretions and impair expectoration. However, several reports indicate antihistamines can be safely used in asthmatic patients with severe perennial allergic rhinitis. 

Children reflux symptoms in infancy generally resolve spontaneously by the age of 18 months, but may require feed thickening or the use of alginates More severe symptoms require specialist advice and may need treating with proton pump inhibitors. 

Jim is a three-month-old baby born at 35 weeks gestation. He has been in hospital since birth with a variety of problems. He is now feeding enterally via a bottle, but is not thriving and his weight is falling off the centile chart. He has been on feed thickeners and ranitidine for the last month for gastro-oesophageal reflux, but symptoms still persist. 

Meconium is the earliest stool of an infant, composed of materials ingested during the time the infant spends in the uterus. It should be completely passed by the end of the first few days of postpartum life, with the stools progressing toward yellow (digested milk). Sometimes the meconium becomes thickened and congested in the ileum, a condition known as meconium ileus. Meconium ileus is often the first symptom of CF. In CF patients, the meconium can form a bituminous black-green mechanical obstruction in a segment of the ileum. About 20% of cases of CF present with meconium ileus. 

The device is generally comfortable and well accepted by many patients, but its use does have certain disadvantages. Some patients have problems with discomfort (foreign body sensation) or expulsion of the Lacrisert.The insert can be wetted with saline before insertion to improve comfort, but this can make even more difficult the insert s placement into the lower cul-de-sac, which requires a moderate amount of dexterity. Supplementation with artificial tears after insertion may improve comfort. The most common patient complaint is blurred vision associated with the intense release of polymer during the first 4 to 6 hours after instillation, from a thickened tear film.Adding such fluid as drops of NaCl 0.9% or artificial tear solution can reduce the tear film viscosity and minimize the visual complaints. As the insert dissolves it releases debris that can blur vision and cause irritation. Most patients with mild signs and symptoms of dry eye do not experience improvement with use of the insert, as compared with the use of conventional tear solutions. Because some tear secretion is necessary to dissolve the Lacrisert, KCS patients with low basal tear secretion may not benefit from or tolerate its use. 

Pruritic and inflamed periocular skin is a common eyelid manifestation of periorbital dermatoses. The poor ability of involved skin to bind water in atopic disease decreases the resistance to irritants and allergens and promotes inflammation. Red itchy eyes are accompanied by erythema, edema, and fine scaling of the eyelids. Papules and fine fissures are sometimes noted, and if the condition is chronic, normal skin lines become thickened and accentuated. Chronic rubbing leads to exacerbation of the symptoms, and brown discoloration of the upper eyelids can be observed. Referred to as lichen simplex chronicus, the changes appear to be more common in women and Asian individuals and result from a repeated rubbing cycle. 

Patients often report that their visual acuity was fairly good after surgery and then slowly decreased, as though the cataract had returned. Decreased visual acuity and glare are common symptoms. Slit-lamp examination with a dilated pupil shows a thickened capsule with a bubblelike appearance or sheet-like haze (Figure 30-11). The cornea, anterior chamber, vitreous, and fundus should be examined to exclude other sources for the symptoms. 

In cattle, PCNs have been associated with X-disease (bovine hyperkeratosis). Other symptoms observed in cattle are vitamin A deficiency, excessive salivation, and thickening of skin followed by loss of hair and occasionally death [1, 262]. Chickens exposed to PCNs showoedema, enlarged fibrous livers and lack of feather pigmentation [263],... 

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