Clinical Presentation

The hallmark symptoms of ILDs are the insidious onset of progressive shortness of breath and exertional dyspnea with paroxysmal dry cough. A careful history may elicit symptoms of an earlier viral prodrome in patients that may also include cough with varying sputum production and systemic symptoms such as fever or weight loss. On physical examination, most patients can have the typical dry, end-inspiratory ("Velcro") crackles most appreciable in the lung bases. The finding of cyanosis and accentuated second heart sound, right ventricular heave, and lower-extremity edema suggest late phases of the disease caused by chronic hypoxemia and pulmonary fibrosis.

Supplements For Diabetics

Supplements For Diabetics

All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.

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