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Lymphoblasts lack asparagine synthetase and die without preformed asparagine in plasma. Box 1: Findings on examination of oral cavity пїЅ Lips (higher and decrease): Swellings, growths, vesicles, ulcers, crusts, scars, unilateral or bilateral clefts пїЅ Buccal mucosa: Change in shade, ulceration, vesicles or bullae (pemphigus), white stria (lichen planus), blanched appearance with submucosal fbrous bands (submucous fbrosis), leukoplakia, erythroplakia, pigmentation, atrophic change in mucosa, swelling or growth пїЅ Opening of parotid duct: Red, swollen, secretions (viral or suppurative parotitis) пїЅ Gums (upper and lower jaws): Red and swollen gums (gingivitis), ulcerated gums covered with membrane (viral ulcers or VincentпїЅs infection), hyperplasia (pregnancy or dilantin remedy), growths (benign or malignant neoplasms of maxilla or mandible), periodontitis пїЅ Teeth: Number, tartar, loose enamel, carious, malocclusion (fractures of mandible or maxilla, abnormalities of temporomandibular joint), impacted last molar пїЅ Hard palate: Cleft palate, oronasal fstula (trauma or syphilis), high arched palate (mouth breathing in adenoids), swelling (tumors of palate and nostril), bony progress in midline of onerous palate (torus palatinus), ulcers/growths (benign or malignant) пїЅ Tongue: Macroglossia (hemangioma, lymphangioma, cretinism, edema or abscess), ankyloglossia (congenital tongue tie, cancer tongue or foor of mouth, painful ulcer, abscess), deviation on protrusion (hypoglossal paralysis on the facet of deviation), bald or easy tongue (iron defciency anemia, median rhomboid glossitis, geographical tongue), fssures (MelkerssonпїЅs syndrome, syphilis), ulcers (aphthous, traumatic due to jagged tooth or denture, malignant, syphilitic or tubercular), red/white lesions (leukoplakia, erythroplakia), proliferative progress (malignancy) пїЅ Floor of mouth: Short frenulum (tongue-tie), scar (trauma or corrosive burn), ulcer (trauma, erosion of submandibular duct stone, aphthous ulcer, malignancy), swelling (ranula, sublingual dermoid, calculus of submandibular duct, benign or malignant tumors, LudwigпїЅs angina) пїЅ Opening of submandibular duct: Red, swollen, secretions 1 L. Cool water offers immediate and striking no pain however the deep partial-thickness aid from pain and limits local tissue burns are very painful xefo antibiotics cheap zithromax 100 mg buy on-line.
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