One thing I an not clear on is the long term or extended period of symptoms.
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Heart failure rarely occurs suddenly except after a major heart attack, severe heart valve problem or period of seriously high blood pressure.
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Jaundice, or the yellowing of the skin, usually first shows up in the whites of the eyes, or in the skin just underneath the tongue.

The second month is often when pregnancy symptoms become very noticeable.
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Occasionally, organisms are identified in tissue or body fluids or isolated by culture or animal inoculation.