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a. Ptosis and blurred vision
e. Decreased auditory alertness
Physiological sxs of sleep deprivation: ptosis, blurred vision, clumsiness, decreased reflexes, slowed response time, decreased reasoning/judgement, decreased auditory/visual alertness, cardiac arrhythmias
Psychological sxs: confused, disoriented, increased sensitivity to pain, irritable, withdrawn, apathetic, agitated, hyperactive, decreased motivation, excessive sleepiness
A - ASYMMETRY of one side of mole compared to the other
B - Irregular BORDERS, especially ragged, notched, or blurred
C - for variation or change in COLOR, especially blue or black
D - DIAMETER > 6mm or different from others, especially if changing, itching, or bleeding
E - EVOLVING, a mole or skin lesion that looks different from the rest or is changing in size, shape, or color
Process - bronchial hyper-responsiveness involving release of inflammatory mediators, increased airway secretions, and bronchoconstriction
Timing - acute episodes, separated by symptom free periods. Nocturnal episodes common
Factors that Aggravate: variable, including allergens, irritants, respiratory infections, exercise, and emotion
Factors that relieve: separation from aggravating factors
Associate Symptoms: wheezing, cough, tightness in chest
Setting:
environmental and emotional conditions