_manifestations temporary placeholder - to be removed This class just helps me group some terms during development of the structure rapid progression generalized urticaria or generalized erythema finding generalized pruritus with skin rash finding capillary refill time > 3s finding increased use of accessory respiratory muscles finding grunting finding hoarse voice finding mast cell tryptase elevation > upper normal limit finding gastrointestinal sign dry cough finding itchy eyes finding pruritus finding clinical finding