Definition Opisthotonos is a condition in which the body is held in an abnormal posture. It usually involves rigidity and severe arching of the back, with the head thrown backward. If a person with opisthotonos lays on his or her back, only the back of the head and the heels would touch the supporting surface. See: Abnormal posturing Considerations Opisthotonos is much more common in infants and children than in adults. It is also more exaggerated in infants and children because of their less mature nervous systems. Common Causes Opisthotonos may occur in infants with meningitis , where it is a sign of irritation of the membranes surrounding the brain and spinal cord (meninges). It may also occur as a sign of depressed brain function or injury to the nervous system. Other causes may include: Brain tumor Growth hormone deficiency (occasionally) Glutaric aciduria and organic acidemias (forms of chemical poisoning) Krabbe Disease (disorder of metabolism) Meningitis Seizures Severe head injury Stiff-person syndrome (a condition that involves worsening rigidity and spasms) Subarachnoid hemorrhage (bleeding in the brain) Tetanus Arnold-Chiari syndrome (a brain structure problem) Gaucher disease (disorder of metabolism) Drugs, particularly phenothiazines and other antipsychotic medications, can cause a side effect known as acute dystonic reaction. Opisthotonos may be part of this reaction. In rare cases, infants born to women who drink large amounts of alcohol during pregnancy may have opisthotonus due to alcohol withdrawal. Home Care Hospital care is required for a person who develops opisthotonos. Call your health care provider if Go to the emergency room or call your local emergency number (such as 911) if this symptom occurs. Typically opisthotonos is a symptom that follows late in the course of other conditions, which are serious enough that medical attention will likely have already been sought. What to expect at your health care provider's office This condition will be evaluated in a hospital setting. Emergency measures will be taken as appropriate. The medical history will be obtained, and a physical examination will be performed. Medical history questions documenting opisthotonos in detail may include: When did this behavior start? Is it always the same type of posturing? What other symptoms preceded or accompanied the abnormal posturing (particularly fever, stiff neck, headache, but also any others)? Is there any significant medical history (such as a recent illness)? The physical examination will include a complete assessment of the nervous system. The cause of the opisthotonos will be suggested by the history and physical examination. Diagnostic tests may include: Lumbar puncture and analysis of the cerebrospinal fluid (CSF culture , CSF cell counts, and similar studies), electrolyte analysis CT scan of the head MRI of the head Blood and urine tests References Chiriboga CA. HIV, fetal alcohol and drug effects, and the battered child. In: Rowland LP, ed. Merritt's Neurology . 11th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2005:chap 168.

Definition Opisthotonos is a condition in which the body is held in an abnormal position. The person is usually rigid and arches the back, with the head thrown backward. If a person with opisthotonos lies on his or her back, only the back of the head and the heels touch the supporting surface. See: Abnormal posturing Considerations Opisthotonos is much more common in infants and children than in adults. It is also more exaggerated in infants and children because of their less mature nervous systems. Common Causes Opisthotonos may occur in infants with meningitis . It may also occur as a sign of reduced brain function or injury to the nervous system. Other causes may include: Arnold-Chiari syndrome (a problem with the structure of the brain) Brain tumor Gaucher disease Growth hormone deficiency (occasionally) Glutaric aciduria and organic acidemias (forms of chemical poisoning) Krabbe Disease Seizures Severe electrolyte imbalance Severe head injury Stiff-person syndrome (a condition that makes a person rigid and have spasms) Subarachnoid hemorrhage (bleeding in the brain) Tetanus Drugs such as phenothiazines and other antipsychotic medications, can cause a side effect called acute dystonic reaction. Opisthotonos may be part of this reaction. In rare cases, infants born to women who drink large amounts of alcohol during pregnancy may have opisthotonus due to alcohol withdrawal. Home Care A person who develops opisthotonos will need to be cared for in a hospital. Call your health care provider if Go to the emergency room or call your local emergency number (such as 911) if this symptom occurs. Typically opisthotonos is a symptom of other conditions that are serious enough for a person to seek medical attention. What to expect at your health care provider's office This condition will be evaluated in a hospital, and emergency measures may be taken. The health care provider will take a medical history and perform a physical examination to look for the cause of opisthotonos Medical history questions may include: When did this behavior start? Is it always the same type of posturing? What other symptoms came before or with the abnormal posturing (such as fever, stiff neck, or headache)? Is there any recent history of illness? The physical examination will include a complete check of the nervous system. Tests may include: Blood and urine tests Cerebrospinal fluid (CSF) culture and cell counts CT scan of the head Electrolyte analysis Lumbar puncture (spinal tap) MRI of the brain References Chiriboga CA. HIV, fetal alcohol and drug effects, and the battered child. In: Rowland LP, Merritt HH, eds. Merritt's Neurology . 12th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2009. Patterson MC, Johnson WG. Lysosomal and other storage diseases. In: Rowland LP, Merritt HH, eds. Merritt's Neurology . 12th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2009. Layzer RB, Rowland LP. Muscle cramps and stiffness. Merritt's Neurology . 12th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2009:chap 145. Reviewed By Review Date: 04/01/2011 Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Opisthotonos? - Answers

What is the symptoms of tetanus?

usually presents with a descending pattern. The first sign is trismus, or lockjaw, and the facial spasms called risus sardonicus, followed by stiffness of the neck, difficulty in swallowing, and rigidity of pectoral and calf muscles. Other symptoms include elevated temperature, sweating, elevated blood pressure, and episodic rapid heart rate. Spasms may occur frequently and last for several minutes with the body shaped into a characteristic form called opisthotonos. Spasms continue for 3-4 weeks, and complete recovery may take months.

Meningitis - H. influenzae?

DefinitionHaemophilus influenzae meningitis is a bacterial infection of the membranes covering the brain and spinal cord (meninges).See also:Aseptic meningitisMeningitisMeningitis - cryptococcalMeningitis - gram-negativeMeningitis - meningococcalMeningitis - pneumococcalMeningitis - staphylococcalMeningitis - tuberculousAlternative NamesH. influenzae meningitis; H. flu meningitisCauses, incidence, and risk factorsH. influenzae meningitis is caused by Haemophilus influenzae bacteria. This bacteria should not be confused with the disease influenza, an upper respiratory infection caused by the influenza virus.Before the Hib vaccine became available, H. influenzae was the leading cause of bacterial meningitis in children under 5 years of age. Since the introduction of the vaccine in the U.S., H. influenzae now occurs in less than 2 in 100,000 children. It still causes 5% - 10% of bacterial meningitis cases in adults.H. influenzae meningitis may come after an upper respiratory infection. The infection usually spreads from the respiratory tract to the bloodstream, and then to the meninges. At the meninges, the bacteria produce infection and inflammation, causing serious illness and sometimes death.Risk factors include:Ear infection (otitis media)Family member with an H. influenzae infectionNative American racePlacement in day careSinus infection (sinusitis)Sore throat (pharyngitis)Upper respiratory infectionSymptomsFever (in young infants the temperature may actually be below normal)Irritability, poor feeding in infantsNausea and vomitingPain in back when neck is bent forward and chin is brought toward chest (older children)Sensitivity to light (photophobia)Severe headache(older children)Stiff neck or pain in neckUnusual body positionsSigns and testsSigns include:Bulging of the fontanelles in an infantLying with the back arched, head, back, and chin up (opisthotonos)Mental status changes (such as irritability, reduced consciousness, coma)Poor blood flow (circulation)SeizuresFor any patient with meningitis, it is important to perform a lumbar puncture ("spinal tap"), in which spinal fluid (known as cerebrospinal fluid, or CSF) is collected for testing.Other tests include:Antibodies in blood (serology)Blood cultureSpinal fluid cultureWhite blood cell countTreatmentTreatment must be started as soon as meningitis is suspected. H. influenzae meningitis should be treated with antibiotics given through a vein (IV).Steroid medication may also be used, mostly in children. Steroids are given to reduce hearing loss, which is a common complication of meningitis in children.Expectations (prognosis)The likely outcome is good with early treatment. However, 3 - 5% of patients do not survive.ComplicationsAbnormal speech and language developmentBehavioral problemsHearing lossHydrocephalusLearning disordersMental retardationSeizuresCalling your health care providerContact your health care provider or go to an emergency room if you experience symptoms of H. influenzae or if you notice these symptoms in your child. Meningitis can quickly become life-threatening.PreventionTo protect infants and young children:Hibimmunizations for infants and children are recommended by the American Academy of Pediatrics, the National Institutes of Health, and many other health agencies.Several types of Hib vaccine are available for children ages 2 months and older.To prevent infection after being exposed to H. influenzae meningitis:All family contacts of people with this type of meningitis who have not been vaccinated should begin drug therapy to prevent infection as soon as possible.Ask your health care provider about this treatment during the first visit.ReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 437.

Subarachnoid hemorrhage?

DefinitionSubarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. This area is called the subarachnoid space.Alternative NamesHemorrhage - subarachnoidCauses, incidence, and risk factorsSubarachnoid hemorrhage can be caused by:Bleeding from an arteriovenous malformation(AVM)Bleeding disorderBleeding from a cerebral aneurysmHead injuryUnknown cause (idiopathic)Use of blood thinnersInjury-related subarachnoid hemorrhage is often seen in the elderly who have fallen and hit their head. Among the young, the most common injury leading to subarachnoid hemorrhage is motor vehicle crashes.Subarachnoid hemorrhage due to rupture of a cerebral aneurysm occurs in approximately 10-15 out of 10,000 people. Subarachnoid hemorrhage due to rupture of a cerebral aneurysm is most common in persons age 20 to 60. It is slightly more common in women than men.Risks include:Aneurysms in other blood vesselsFibromuscular dysplasia (FMD) and other connective tissue disorders associated with aneurysm or weakened blood vesselsHigh blood pressureHistory of polycystic kidney diseaseSmokingA strong family history of aneurysms may also increase your risk.SymptomsThe main symptom is a severe headache that starts suddenly and is often worse near the back of the head. Patients often describe it as the "worst headache ever" and unlike any other type of headache pain. The headache may start after a popping or snapping feeling in the head.Other symptoms:Sudden or decreased consciousness and alertnessDifficulty or loss of movement or feelingMood and personality changes, including confusion and irritabilityMuscle aches(especially neck pain and shoulder pain)Nausea and vomitingPhotophobia (light bothers or hurts the eyes)SeizureStiff neckVision problems, including double vision, blind spots, or temporary vision loss in one eyeAdditional symptoms that may be associated with this disease:Eyelid droopingEyes, pupils different sizeSudden stiffening of back and neck, with arching of the back (Opisthotonos; not very common)SeizuresSigns and testsA physical exam may show a stiff neck due to irritation by blood of the meninges, the tissues that cover the brain. Except those in a deep coma, persons with a subarachnoid hemorrhage may resist neck movement.A neurological exam may show signs of decreased nerve and brain function (focal neurologic deficit).An eye exam will be performed. Decreased eye movements can be a sign of damage to the cranial nerves. In milder cases, no problems may be seen on an eye exam.If your doctor thinks you may have a subarachnoid hemorrhage, a head CT scan(without dye contrast) should be immediately done. In some cases, the scan may be normal, especially if there has only been a small bleed. If the CT scan is normal, a lumbar puncture (spinal tap) must be performed. Patients with SAH will have blood in their spinal fluid.CT scan angiography (using contrast dye) may be done to look for evidence of and aneurism.Cerebral angiography of blood vessels of the brain is better than CT angiography to show small aneurysms or other vascular problems. This test can pinpoint the exact location of the bleed and can tell if there are blood vessel spasms.Transcranial doppler ultrasound is used to look at blood flow in the arteries of the brain that run inside the skull. The ultrasound beam is directed through the skull. It can also detect blood vessel spasms and may be used to guide treatment.Magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) are occasionally used to diagnose a subarachnoid hemorrhage or find other associated conditions.TreatmentThe goals of treatment are to save your life, repair the cause of bleeding, relieve symptoms, and prevent complications such as permanent brain damage (stroke).If the hemorrhage is due to an injury, surgery is done only to remove large collections of blood or to relieve pressure on the brain.If the hemorrhage is due to the rupture of an aneurysm, surgery is needed to repair the aneurym. If the patient is critically ill, surgery may have to wait until the person is more stable. Surgery may involve a craniotomy (cutting a hole in the skull) and aneurysm clipping, which closes the aneurysm, or endovascular coiling, a procedure in which coils are placed within the aneurysm to reduce the risk of further bleeding.If no aneurysm is found, the person should be closely watched by a health care team and may need repeated imaging tests.Treatment for coma or decreased alertness status may be needed. This may include special positioning, life support, and methods to protect the airway. A draining tube may be placed into the brain to relieve pressure.If the person is conscious, strict bed rest may be advised. The person will be told to avoid activites that can increase pressure inside the head. Such activities include bending over, straining, and suddenly changing position. The doctor may prescribe stool softeners or laxatives to prevent straining during bowel movements.Blood pressure will be strictly controlled. This requires medicines given through an IV line. The medicine often requires frequent adjustments. A medicine called calcium channel blocker is used to prevent blood vessel spams.Pain killers and anti-anxiety medications may be used to relieve headache and reduce intracranial pressure. Phenytoin or other medications may be used to prevent or treat seizures.Expectations (prognosis)How well a patient with subarachnoid hemorrhage does depends on a number of different factors, including the location and extent of the bleeding, as well as any complications. Older age and more severe symptoms from the beginning are associated with a poorer prognosis.Complete recovery can occur after treatment, but death may occur in some cases even with aggressive treatment.ComplicationsRepeated bleeding is the most serious complication. If a cerebral aneurysm bleeds for a second time, the outlook is significantly worsened.Changes in consciousness and alertness due to a subarachnoid hemorrhage may become worse and lead to coma or death.Other complications include:StrokeSeizuresMedication side effectsComplications of surgeryCalling your health care providerGo to the emergency room or call the local emergency number (such as 911) you have symptoms of a subarachnoid hemorrhage.PreventionIdentification and successful treatment of an aneurysm would prevent subarachnoid hemorrhage.ReferencesZivin J. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.

Meningitis - gram-negative?

DefinitionGram-negative meningitis is an infection of the membranes covering the brain and spinal cord (meninges) caused by bacteria that turn pink when exposed to a special stain (gram-negative bacteria).See also:Aseptic meningitisMeningitis - cryptococcalMeningitis -nullH. influenzaeMeningitis - meningococcalMeningitis - pneumococcalMeningitis - staphylococcalMeningitis - tuberculousAlternative NamesGram-negative meningitisCauses, incidence, and risk factorsAcute bacterial meningitis can be caused by gram-negative bacteria. Bacteria causing gram-negative meningitis include:Acinetobacter baumanniiEnterobacter aerogenesEscherichia coliKlebsiella pneumoniaePseudomonas aeruginosaGram-negative meningitis is much more common in infants than adults.Risk factors in adults and children include:Local infectionRecent brain surgeryRecent injury to the headSpinal abnormalitiesSpinal fluid shunt placement after brain surgeryUrinary tract abnormalitiesUrinary tract infectionSymptomsFeverMental status changesNausea and vomitingSensitivity to light (photophobia)Severe headacheStiff neckSymptoms of a bladder, kidney, intestine, or lung infectionSigns and testsA physical examination may show:Fast heart rateLow blood pressureStiff neckFor any patient with meningitis, it is important to perform a lumbar puncture ("spinal tap"), in which spinal fluid (known as cerebrospinal fluid, or CSF) is collected for testing.Tests include:Blood cultureCSF cultureCT scan of the brainWhite blood cell countSpinal fluid tests for white blood cells, glucose, proteinSpecial stain of the spinal fluidTreatmentAntibiotic treatment through a vein (IV) usually starts right away. If you have a shunt, it may be removed to get rid of the infection.Expectations (prognosis)It is important to recognize the symptoms of this meningitis, and seek treatment as soon as possible. Early treatment may prevent serious illness or death.Many people recover completely, but a large number of people have permanent brain damage or die from this type of meningitis. Between 40% and 80% of patients with gram-negative meningitis do not survive, although these numbers may be improving. The likelihood of survival depends on:How quickly the infection is treatedOther medical conditions that may be presentThe patient's ageComplicationsBrain abscessBrain damageSeizuresShock with organ damageCalling your health care providerGo to the emergency room or call the local emergency number (such as 911) if you notice symptoms of meningitis. This condition can be very serious and needs immediate treatment.PreventionPrompt treatment of related infections may reduce the risk of meningitis.ReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 437.

Meningitis - tuberculous?

DefinitionTuberculous meningitis is an infection of the the membranes covering the brain and spinal cord (meninges).See also:MeningitisMeningitis - cryptococcalMeningitis - gram-negativeMeningitis -nullH. influenzaeMeningitis - meningococcalMeningitis - pneumococcalMeningitis - staphylococcalAlternative NamesTubercular meningitis; TB meningitisCauses, incidence, and risk factorsTuberculous meningitis is caused by Mycobacterium tuberculosis, the bacteria that causes tuberculosis. The bacteria spreads to the brain from another site in the body.Risk factors include a history of:AIDSExcessive alcohol useOther disorders that compromise the immune systemPulmonary tuberculosisTuberculous meningitis is a very rare disorder.SymptomsThe symptoms usually begin gradually, and may include:FeverListlessnessLoss of appetiteLoss of consciousnessNausea and vomitingSeizuresSensitivity to light (photophobia)Severe headacheStiff neckSigns and testsFor any patient with meningitis, it is important to perform a lumbar puncture ("spinal tap"), in which doctors take a sample of spinal fluid (known as cerebrospinal fluid, or CSF) and send it for lab tests.When the health care provider suspects tuberculosis, there may be a need to get many CSF samples over time to increase the chance of a diagnosis. This may require many lumbar punctures.The following tests help diagnose tuberculous meningitis:Biopsy of the brain or meningesCSF cultureCSF stainCSF test of protein, glucose (sugar) level, and lymphocytesPolymerase chain reaction (PCR)Skin test for tuberculosis (PPD)TreatmentTreatment involves several antitubercular drugs at the same time, as it does for pulmonary tuberculosis. Treatment usually lasts for at least 12 months. Systemic steroids may also be used.Expectations (prognosis)Tuberculous meningitis is life-threatening if untreated. Long-term follow-up is needed to detect repeated infections (recurrences).ComplicationsBrain damage resulting from the infection may cause:Abnormal behaviorMental impairmentMotor paralysisSeizuresCalling your health care providerGo to the emergency room or call 911 if you suspect you or your child may have any form of meningitis. This condition can rapidly cause disability or death.Call your health care provider if symptoms worsen or do not improve with treatment, or if new symptoms develop.PreventionIn areas where tuberculosis is more common, the BCG vaccine may help prevent severe forms of tuberculosis, such as meningitis, in very young children.Treating people who have evidence of a non-active (dormant) tuberculosis infection can prevent the spread of tuberculosis. A dormant infection can be detected by a positive PPD.ReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 437.

Meningitis - pneumococcal?

DefinitionPneumococcal meningitis is a bacterial inflammation or infection of the membranes covering the brain and spinal cord.See also:Aseptic meningitisMeningitisMeningitis - cryptococcalMeningitis - gram-negativeMeningitis - H. influenzaeMeningitis - meningococcalMeningitis - staphylococcalMeningitis - tuberculousAlternative NamesPneumococcal meningitisCauses, incidence, and risk factorsPneumococcal meningitis is caused by the bacteria Streptococcus pneumoniae (also called pneumococcus). The bacteria is the most common cause of meningitis in adults, and the second most common cause of meningitis in children older than age 6.Risk factors include:Alcohol useDiabetesHistory of meningitisInfection of a heart valveInjury or trauma to the headMeningitis in which there is leakage of spinal fluidRecent ear infectionRecent pneumoniaRecent upper respiratory infectionSpleen removalSymptomsSymptoms usually come on quickly, and may include:High feverIncreased sleepiness, confusionNausea and vomitingSensitivity to light (photophobia)Severe headacheStiff neckSigns and testsPhysical examination will show:Fast heart rateHigh temperatureMental status changesStiff neckFor any patient with meningitis, it is important to perform a lumbar puncture ("spinal tap"), in which spinal fluid (known as cerebrospinal fluid, or CSF) is collected for testing.Tests that may be done include:Blood cultureCSF cultureCT scan of the brainGram stain of CSFTreatmentAntibiotic therapy should be started as soon as possible. Ceftriaxone is one of the most commonly used antibiotics.If the antibiotic is not working, and the health care provider suspects antibiotic resistance, vancomycin or rifampin are used. Sometimes systemiccorticosteroids may be used, especially in children.Expectations (prognosis)Early treatment improves the outcome. However, 20% of people who get this disease will die of it and 50% will have serious long-term complications.ComplicationsAbout half of all patients have long-term complications, such as the following:DeafnessHydrocephalusMental retardationParalysis of musclesBuild-up of fluid between the skull and brain (subdural accumulation of fluid)Calling your health care providerCall the local emergency number (such as 911) or go to an emergency room if you suspect meningitis in a young child who has the following symptoms:Feeding difficultiesHigh-pitched cryIrritabilityPersistent unexplained feverCall the local emergency number if you develop any of the serious symptoms listed above. Meningitis can quickly become a life-threatening illness.PreventionEarly treatment of pneumonia and ear infections caused by pneumococcus may decrease the risk of meningitis. There are also two effective vaccines available to prevent pneumococcus infection.The following people should be vaccinated, according to current recommendations:ChildrenEveryone over age 55People at high risk for pneumoniaReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 437.

Meningitis - meningococcal?

DefinitionMeningococcal meningitis is an infection that causes swelling and irritation (inflammation) of the membranes covering the brain and spinal cord.See also:Aseptic meningitisMeningitisMeningitis - cryptococcalMeningitis - gram-negativeMeningitis -nullH. influenzaeMeningitis - pneumococcalMeningitis - staphylococcalMeningitis - tuberculousAlternative NamesMeningococcal meningitisCauses, incidence, and risk factorsMeningococcal meningitis is caused by the bacteria Neisseria meningitidis (also known as meningococcus).Most cases of meningococcal meningitis occur in children. Meningococcus is the most common cause of bacterial meningitis in children and the second most common cause of bacterial meningitis in adults.The infection occurs more often in winter or spring. It may cause local epidemics at boarding schools, college dormitories, or military bases.Risk factors include recent exposure to meningococcal meningitis and a recent upper respiratory infection.SymptomsThe disease may come on quickly, and may start with an upper respiratory infection or sore throat.Symptoms include:High feverMental status changesNauseaPurple, bruise-like areas (purpura)Rash, pinpoint red spots (petechiae)Sensitivity to light (photophobia)Severe headacheSevere general ill feeling (malaise)Stiff neckVomitingSigns and testsPhysical examination will show:Fast heart rateLow blood pressurePossible rashStiff neckFor any patient with meningitis, it is important to perform a lumbar puncture ("spinal tap"), in which spinal fluid (known as cerebrospinal fluid, or CSF) is collected for testing.Tests may include:Blood cultureCSF cultureCT scan of the brainSpecial stains of spinal fluidWhite blood cell (WBC) countTreatmentAntibiotics such as ceftriaxone are prescribed and given through the arm by IV (intravenous line). Other medicines may be used to treat the complications from increased spinal fluid pressure.Sometimes steroid medication is used, more often in children than adults.People in close contact with someone with meningococcal meningitis should be given antibiotics to prevent infection. Such people include:Household membersRoommates in dormitoriesThose who come into close contact with an infected personExpectations (prognosis)Early diagnosis and treatment is extremely important to prevent serious illness or death. The death rate ranges from 5% - 15%. Young children and adults over 50 have the highest risk of death.ComplicationsBrain damageDeafnessHydrocephalusIncreased spinal fluid pressureMental retardationMyocarditisParalysis of various musclesShockCalling your health care providerGo to an emergency room or call the local emergency number (such as 911) if:You notice symptoms of meningitisSymptoms get worse or do not improve with treatmentYou think you have been exposed to someone with meningitisMeningitis can quickly become life-threatening.PreventionAll family and close contacts (especially in health care or school settings) of people with this type of meningitis should begin antibiotic treatment as soon as possible to prevent spread of the infection. Ask your health care provider about this during the first visit.Close contacts in the same household, school, or day care center should be watched for early signs of the disease as soon as the first case is diagnosed. Always use good hygiene habits, such as washing hands before and after changing a diaper, or after using the bathroom.Vaccines are effective for controlling epidemics. They are currently recommended for:College studentsMilitary recruitsTravelers to certain parts of the worldReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 437.

Meningitis?

DefinitionMeningitis is swelling and irritation (inflammation) of the membranes covering the brain and spinal cord. This inflammation causes changes in the cerebrospinal fluid (CSF) that surrounds the brain and spinal cord.See also:Aseptic meningitisMeningitis - gram-negativeMeningitis - H. influenzaeMeningitis - meningococcalMeningitis - pneumococcalMeningitis - staphylococcalMeningitis - tuberculousCauses, incidence, and risk factorsThe most common causes of meningitis are viral infections that usually get better without treatment. However, bacterial meningitis infections are extremely serious, and may result in death or brain damage even if treated.Meningitis is also caused by:Chemical irritationDrug allergiesFungiTumorsTypes include:Aseptic meningitisCryptococcal meningitisGram negative meningitisnullH. influenzameningitisMeningitis due to cancer (carcinomatous meningitis)Meningococcal meningitisPneumococcal meningitisStaphylococcal meningitisSyphilitic aseptic meningitisTuberculous meningitisAcute bacterial meningitis is a true medical emergency, and requires immediate treatment in a hospital.Viral meningitis is milder and occurs more often than bacterial meningitis. It usually develops in the late summer and early fall, and often affects children and adults under age 30. Most infections occur in children under the age of 5. Most viral meningitis is due to enteroviruses, which are viruses that also cause intestinal illness.Many other types of viruses can cause meningitis. For example, viral meningitis can be caused by herpes viruses, the same virus that can cause cold sores and genital herpes (although people with cold sores or genital herpes are not at a greater risk of developing herpes meningitis).Recently, West Nile virus, spread by mosquito bites, has become a cause of viral meningitis in most of the United States.SymptomsFever and chillsMental status changesNausea and vomitingSensitivity to light (photophobia)Severe headacheStiff neck (meningismus)Other symptoms that can occur with this disease:AgitationBulging fontanellesDecreased consciousnessOpisthotonosPoor feeding or irritability in childrenRapid breathingMeningitis is an important cause of fever in newborn children.Signs and testsBlood cultureChest x-rayHead CT scanGram-stain and culture of CSF (cerebral spinal fluid)Lumbar puncture("spinal tap") with CSF glucose measurement and CSF cell countTreatmentDoctors prescribe antibiotics for bacterial meningitis. The type will vary depending on the bacteria causing the infection. Antibiotics are not effective in viral meningitis.Other medications and intravenous fluids will be used to treat symptoms such as brain swelling, shock, and seizures. Some people may need to stay in the hospital, depending on the severity of the illness and the treatment needed.Expectations (prognosis)Early diagnosis and treatment of bacterial meningitis is essential to prevent permanent neurological damage. Viral meningitis is usually not serious, and symptoms should disappear within 2 weeks with no lasting complications.ComplicationsBrain damageHearing loss or deafnessHydrocephalusLoss of visionCalling your health care providerIf you feel that you or your child has symptoms of meningitis, get emergency medical help immediately. Early treatment is key to a good outcome.PreventionHaemophilus vaccine (HiB vaccine) in children will help prevent one type of meningitis.The pneumococcal conjugate vaccine is now a routine childhood immunization and is very effective at preventing pneumococcal meningitis.Household members and others in close contact with people who have meningococcal meningitis should receive preventive antibiotics to avoid becoming infected themselves.The meningococcal vaccination is recommended for:Adolescents ages 11 - 12 and adolescents entering high school (about age 15) who have not already received the vaccination.All college freshmen who have not been vaccinated and are living in dorms.Children age 2 and older who do not have their spleen or who have other problems with their immune system.Those traveling to countries where diseases caused by meningococcus are very common (ask your doctor).Some communities conduct vaccination campaigns after an outbreak of meningococcal meningitis.ReferencesSwartz MN. Meningitis: bacterial, viral, and other. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 437.

What are some goals that start with O?

* oaf * oafish * oafishly * oafishness * oafishnesses * oafs * oak * oaken * oakenshaw * oakenshaws * oaker * oakers * oakier * oakiest * oakleaf * oakleaves * oaklike * oakling * oaklings * oakmoss * oakmosses * oaks * oakum * oakums * oaky * oar * oarage * oarages * oared * oarfish * oarfishes * oarier * oariest * oaring * oarless * oarlike * oarlock * oarlocks * oars * oarsman * oarsmanship * oarsmanships * oarsmen * oarswoman * oarswomen * oarweed * oarweeds * oary * oases * oasis * oast * oasthouse * oasthouses * oasts * oat * oatcake * oatcakes * oaten * oater * oaters * oath * oathable * oaths * oatlike * oatmeal * oatmeals * oats * oaves * ob * oba * obang * obangs * obas * obbligati * obbligato * obbligatos * obcompressed * obconic * obconical * obcordate * obdiplostemonous * obduracies * obduracy * obdurate * obdurated * obdurately * obdurateness * obduratenesses * obdurates * obdurating * obduration * obdurations * obdure * obdured * obdures * obduring * obe * obeah * obeahed * obeahing * obeahism * obeahisms * obeahs * obeche * obeches * obedience * obediences * obedient * obediential * obedientiaries * obedientiary * obediently * obeisance * obeisances * obeisant * obeisantly * obeism * obeisms * obeli * obelia * obelias * obelion * obelions * obeliscal * obeliscoid * obelise * obelised * obelises * obelising * obelisk * obeliskoid * obelisks * obelism * obelisms * obelize * obelized * obelizes * obelizing * obelus * obento * obentos * obes * obese * obesely * obeseness * obesenesses * obeser * obesest * obesities * obesity * obey * obeyable * obeyed * obeyer * obeyers * obeying * obeys * obfuscate * obfuscated * obfuscates * obfuscating * obfuscation * obfuscations * obfuscatory * obi * obia * obias * obied * obiing * obiism * obiisms * obiit * obis * obit * obital * obiter * obits * obitual * obituaries * obituarist * obituarists * obituary * object * objected * objectification * objectifications * objectified * objectifies * objectify * 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oblations * oblatory * obligable * obligant * obligants * obligate * obligated * obligately * obligates * obligati * obligating * obligation * obligational * obligations * obligato * obligator * obligatorily * obligatoriness * obligatorinesses * obligators * obligatory * obligatos * oblige * obliged * obligee * obligees * obligement * obligements * obliger * obligers * obliges * obliging * obligingly * obligingness * obligingnesses * obligor * obligors * obliquation * obliquations * oblique * obliqued * obliquely * obliqueness * obliquenesses * obliquer * obliques * obliquest * obliquid * obliquing * obliquities * obliquitous * obliquity * obliterate * obliterated * obliterates * obliterating * obliteration * obliterations * obliterative * obliterator * obliterators * oblivion * oblivions * oblivious * obliviously * obliviousness * obliviousnesses * obliviscence * obliviscences * oblong * oblongly * oblongs * obloquies * obloquy * obmutescence * obmutescences * obmutescent * obnoxious * obnoxiously * obnoxiousness * obnoxiousnesses * obnubilate * obnubilated * obnubilates * obnubilating * obnubilation * obnubilations * obo * oboe * oboes * oboist * oboists * obol * obolary * obole * oboles * oboli * obols * obolus * obos * obovate * obovately * obovoid * obreption * obreptions * obreptitious * obruk * obruks * obs * obscene * obscenely * obsceneness * obscenenesses * obscener * obscenest * obscenities * obscenity * obscurant * obscurantic * obscurantism * obscurantisms * obscurantist * obscurantists * obscurants * obscuration * obscurations * obscure * obscured * obscurely * obscurement * obscurements * obscureness * obscurenesses * obscurer * obscurers * obscures * obscurest * obscuring * obscurities * obscurity * obsecrate * obsecrated * obsecrates * obsecrating * obsecration * obsecrations * obsequent * obsequial * obsequie * obsequies * obsequious * obsequiously * obsequiousness * obsequiousnesses * obsequy * observabilities * observability * observable * observableness * observablenesses * observables * observably * observance * observances * observancies * observancy * observant * observantly * observants * observation * observational * observationally * observations * observative * observator * observatories * observators * observatory * observe * observed * observer * observers * observes * observing * observingly * obsess * obsessed * obsesses * obsessing * obsession * obsessional * obsessionally * obsessionist * obsessionists * obsessions * obsessive * obsessively * obsessiveness * obsessivenesses * obsessives * obsessor * obsessors * obsidian * obsidians * obsidional * obsidionary * obsign * obsignate * obsignated * obsignates * obsignating * obsignation * obsignations * obsignatory * obsigned * obsigning * obsigns * obsolesce * obsolesced * obsolescence * obsolescences * obsolescent * obsolescently * obsolesces * obsolescing * obsolete * obsoleted * obsoletely * obsoleteness * obsoletenesses * obsoletes * obsoleting * obsoletion * obsoletions * obsoletism * obsoletisms * obstacle * obstacles * obstetric * obstetrical * obstetrically * obstetrician * obstetricians * obstetrics * obstinacies * obstinacy * obstinate * obstinately * obstinateness * obstinatenesses * obstipation * obstipations * obstreperate * obstreperated * obstreperates * obstreperating * obstreperous * obstreperously * obstreperousness * obstreperousnesses * obstriction * obstrictions * obstropalous * obstropulous * obstruct * obstructed * obstructer * obstructers * obstructing * obstruction * obstructional * obstructionally * obstructionism * obstructionisms * obstructionist * obstructionistic * obstructionists * obstructions * obstructive * obstructively * obstructiveness * obstructivenesses * obstructives * obstructor * obstructors * obstructs * obstruent * obstruents * obtain * obtainabilities * obtainability * obtainable * obtained * obtainer * obtainers * obtaining * obtainment * obtainments * obtains * obtect * obtected * obtemper * obtemperate * obtemperated * obtemperates * obtemperating * obtempered * obtempering * obtempers * obtend * obtended * obtending * obtends * obtention * obtentions * obtest * obtestation * obtestations * obtested * obtesting * obtests * obtrude * obtruded * obtruder * obtruders * obtrudes * obtruding * obtrudings * obtruncate * obtruncated * obtruncates * obtruncating * obtrusion * obtrusions * obtrusive * obtrusively * obtrusiveness * obtrusivenesses * obtund * obtunded * obtundent * obtundents * obtunding * obtunds * obturate * obturated * obturates * obturating * obturation * obturations * obturator * obturators * obtuse * obtusely * obtuseness * obtusenesses * obtuser * obtusest * obtusities * obtusity * obumbrate * obumbrated * obumbrates * obumbrating * obumbration * obumbrations * obvention * obventions * obverse * obversely * obverses * obversion * obversions * obvert * obverted * obverting * obverts * obviable * obviate * obviated * obviates * obviating * obviation * obviations * obviator * obviators * obvious * obviously * obviousness * obviousnesses * obvolute * obvoluted * obvolution * obvolutions * obvolutive * obvolvent * oca * ocarina * ocarinas * ocas * occam * occamies * occams * occamy * occasion * occasional * occasionalism * occasionalisms * occasionalist * occasionalists * occasionalities * occasionality * occasionally * occasioned * occasioner * occasioners * occasioning * occasions * occident * occidental * occidentalise * occidentalised * occidentalises * occidentalising * occidentalize * occidentalized * occidentalizes * occidentalizing * occidentally * occidentals * occidents * occipita * occipital * occipitally * occipitals * occiput * occiputs * occlude * occluded * occludent * occludents * occluder * occluders * occludes * occluding * occlusal * occlusion * occlusions * occlusive * occlusives * occlusor * occlusors * occult * occultation * occultations * occulted * occulter * occulters * occulting * occultism * occultisms * occultist * occultists * occultly * occultness * occultnesses * occults * occupance * occupances * occupancies * occupancy * occupant * occupants * occupate * occupated * occupates * occupating * occupation * occupational * occupationally * occupations * occupative * occupied * occupier * occupiers * occupies * occupy * occupying * occur * occurred * occurrence * occurrences * occurrent * occurrents * occurring * occurs * ocean * oceanaria * oceanarium * oceanariums * oceanaut * oceanauts * oceanfront * oceanfronts * oceangoing * oceanic * oceanid * oceanides * oceanids * oceanographer * oceanographers * oceanographic * oceanographical * oceanographically * oceanographies * oceanography * oceanologic * oceanological * oceanologies * oceanologist * oceanologists * oceanology * oceans * ocellar * ocellate * ocellated * ocellation * ocellations * ocelli * ocellus * oceloid * ocelot * ocelots * och * oche * ocher * ochered * ochering * ocherous * ochers * ochery * oches * ochidore * ochidores * ochlocracies * ochlocracy * ochlocrat * ochlocratic * ochlocratical * ochlocratically * ochlocrats * ochlophobia * ochlophobiac * ochlophobiacs * ochlophobias * ochlophobic * ochone * ochraceous * ochre * ochrea * ochreae * ochreate * ochred * ochreous * ochres * ochrey * ochring * ochroid * ochroleucous * ochrous * ochry * ocker * ockerism * ockerisms * ockers * ocotillo * ocotillos * ocrea * ocreae * ocreate * octa * octachord * octachordal * octachords * octad * octadic * octads * octagon * octagonal * octagonally * octagons * octahedra * octahedral * octahedrally * octahedrite * octahedrites * octahedron * octahedrons * octal * octals * octamerous * octameter * octameters * octan * octandrian * octandrous * octane * octanes * octangle * octangles * octangular * octanol * octanols * octans * octant * octantal * octants * octapeptide * octapeptides * octapla * octaplas * octaploid * octaploidies * octaploids * octaploidy * octapodic * octapodies * octapody * octarchies * octarchy * octaroon * octaroons * octas * octastich * octastichon * octastichons * octastichous * octastichs * octastrophic * octastyle * octastyles * octaval * octavalent * octave * octaves * octavo * octavos * octennial * octennially * octet * octets * octett * octette * octettes * octetts * octillion * octillions * octillionth * octillionths * octingenaries * octingenary * octingentenaries * octingentenary * octocentenaries * octocentenary * octodecillion * octodecillions * octodecimo * octodecimos * octofid * octogenarian * octogenarians * octogenary * octogynous * octohedra * octohedron * octohedrons * octonarian * octonarians * octonaries * octonarii * octonarius * octonary * octonocular * octopetalous * octopi * octoploid * octoploids * octopod * octopodes * octopodous * octopods * octopus * octopuses * octopush * octopusher * octopushers * octopushes * octoroon * octoroons * octosepalous * octostichous * octostyle * octostyles * octosyllabic * octosyllabics * octosyllable * octosyllables * octothorp * octothorps * octroi * octrois * octuor * octuors * octuple * octupled * octuples * octuplet * octuplets * octuplex * octuplicate * octuplicates * octupling * octuply * octyl * octyls * ocular * ocularist * ocularists * ocularly * oculars * oculate * oculated * oculi * oculist * oculists * oculogyric * oculomotor * oculus * od * oda * odah * odahs * odal * odalique * odaliques * odalisk * odalisks * odalisque * odalisques * odaller * odallers * odals * odas * odd * oddball * oddballs * odder * oddest * oddish * oddities * oddity * oddly * oddment * oddments * oddness * oddnesses * odds * oddsmaker * oddsmakers * oddsman * oddsmen * ode * odea * odeon * odeons * odes * odeum * odeums * odic * odious * odiously * odiousness * odiousnesses * odism * odisms * odist * odists * odium * odiums * odograph * odographs * odometer * odometers * odometries * odometry * odonate * odonates * odonatist * odonatists * odonatologies * odonatologist * odonatologists * odonatology * odontalgia * odontalgias * odontalgic * odontalgies * odontalgy * odontic * odontist * odontists * odontoblast * odontoblastic * odontoblasts * odontocete * odontocetes * odontogenic * odontogenies * odontogeny * odontoglossum * odontoglossums * odontograph * odontographies * odontographs * odontography * odontoid * odontoids * odontolite * odontolites * odontologic * odontological * odontologically * odontologies * odontologist * odontologists * odontology * odontoma * odontomas * odontomata * odontomatous * odontophobia * odontophobias * odontophoral * odontophoran * odontophore * odontophores * odontophorous * odontornithes * odontostomatous * odor * odorant * odorants * odorate * odored * odorful * odoriferous * odoriferously * odoriferousness * odoriferousnesses * odorimetries * odorimetry * odorize * odorized * odorizer * odorizers * odorizes * odorizing * odorless * odorlessness * odorlessnesses * odorous * odorously * odorousness * odorousnesses * odors * odour * odoured * odourful * odourless * odours * ods * odso * odsos * odyl * odyle * odyles * odylism * odylisms * odyls * odyssey * odysseys * odzooks * oe * oecist * oecists * oecologies * oecology * oecumenic * oecumenical * oedema * oedemas * oedemata * oedematose * oedematous * oedipal * oedipally * oedipean * oeillade * oeillades * oenanthic * oenological * oenologies * oenologist * oenologists * oenology * oenomancies * oenomancy * oenomania * oenomanias * oenomel * oenomels * oenometer * oenometers * oenophil * oenophile * oenophiles * oenophilies * oenophilist * oenophilists * oenophils * oenophily * oerlikon * oerlikons * oersted * oersteds * oes * oesophageal * oesophagi * oesophagus * oesophaguses * oestradiol * oestradiols * oestral * oestrin * oestrins * oestriol * oestriols * oestrogen * oestrogenic * oestrogens * oestrone * oestrones * oestrous * oestrum * oestrums * oestrus * oestruses * oeuvre * oeuvres * of * ofay * ofays * off * offal * offals * offbeat * offbeats * offcast * offcasts * offcut * offcuts * offed * offence * offenceful * offenceless * offences * offend * offended * offendedly * offender * offenders * offending * offendress * offendresses * offends * offense * offenseless * offenses * offensive * offensively * offensiveness * offensivenesses * offensives * offer * offerable * offered * offeree * offerees * offerer * offerers * offering * offerings * offeror * offerors * offers * offertories * offertory * offguard * offhand * offhanded * offhandedly * offhandedness * offhandednesses * office * officeholder * officeholders * officer * officered * officering * officers * offices * official * officialdom * officialdoms * officialese * officialeses * officialism * officialisms * officialities * officiality * officially * officials * officialties * officialty * officiant * officiants * officiaries * officiary * officiate * officiated * officiates * officiating * officiation * officiations * officiator * officiators * officinal * officinally * officinals * officious * officiously * officiousness * officiousnesses * offing * offings * offish * offishly * offishness * offishnesses * offkey * offline * offload * offloaded * offloading * offloads * offpeak * offprint * offprinted * offprinting * offprints * offput * offputs * offramp * offramps * offs * offsaddle * offsaddled * offsaddles * offsaddling * offscouring * offscourings * offscreen * offscum * offscums * offseason * offseasons * offset * offsetable * offsets * offsetting * offshoot * offshoots * offshore * offside * offsider * offsiders * offsides * offsite * offspring * offsprings * offstage * offstages * offtake * offtakes * offtrack * oflag * oflags * oft * often * oftener * oftenest * oftenness * oftennesses * oftentimes * ofter * oftest * ofttimes * ogam * ogamic * ogams * ogdoad * ogdoads * ogee * ogees * oggin * oggins * ogham * oghamic * oghamist * oghamists * oghams * ogival * ogive * ogives * ogle * ogled * ogler * oglers * ogles * ogling * oglings * ogmic * ogonek * ogoneks * ogre * ogreish * ogreism * ogreisms * ogres * ogress * ogresses * ogrish * ogrishly * ogrism * ogrisms * oh * ohed * ohia * ohias * ohing * ohm * ohmage * ohmages * ohmic * ohmically * ohmmeter * ohmmeters * ohms * oho * ohone * ohos * ohs * oi * oidia * oidioid * oidium * oik * oikist * oikists * oiks * oil * oilbird * oilbirds * oilcamp * oilcamps * oilcan * oilcans * oilcloth * oilcloths * oilcup * oilcups * oiled * oiler * oileries * oilers * oilery * oilfield * oilfields * oilhole * oilholes * oilier * oiliest * oilily * oiliness * oilinesses * oiling * oillet * oillets * oilman * oilmen * oilnut * oilnuts * oilpaper * oilpapers * oilproof * oils * oilseed * oilseeds * oilskin * oilskins * oilstone * oilstones * oiltight * oilway * oilways * oily * oink * oinked * oinking * oinks * oinologies * oinology * oinomel * oinomels * oint * ointed * ointing * ointment * ointments * oints * oiticica * oiticicas * ojime * ojimes * oka * okapi * okapis * okas * okay * okayed * okaying * okays * oke * okeh * okehs * okes * okeydoke * okeydokey * okimono * okimonos * okra * okras * okta * oktas * old * olde * olden * oldened * oldening * oldens * older * oldest * oldfangled * oldie * oldies * oldish * oldness * oldnesses * olds * oldsquaw * oldsquaws * oldster * oldsters * oldstyle * oldstyles * oldwife * oldwives * oldy * ole * olea * oleaceous * oleaginous * oleaginously * oleaginousness * oleaginousnesses * oleander * oleanders * oleandomycin * oleandomycins * olearia * olearias * oleaster * oleasters * oleate * oleates * olecranal * olecranon * olecranons * olefiant * olefin * olefine * olefines * olefinic * olefins * oleic * oleiferous * olein * oleine * oleines * oleins * olent * oleo * oleograph * oleographic * oleographies * oleographs * oleography * oleomargarin * oleomargarine * oleomargarines * oleomargarins * oleophilic * oleoresin * oleoresinous * oleoresins * oleos * oleraceous * oles * olestra * olestras * oleum * oleums * olfact * olfacted * olfactible * olfacting * olfaction * olfactions * olfactive * olfactologies * olfactologist * olfactologists * olfactology * olfactometer * olfactometers * olfactometric * olfactometries * olfactometry * olfactories * olfactory * olfactronics * olfacts * olibanum * olibanums * olicook * olicooks * olid * oligaemia * oligaemias * oligarch * oligarchal * oligarchic * oligarchical * oligarchies * oligarchs * oligarchy * oligist * oligists * oligochaete * oligochaetes * oligochaetous * oligochrome * oligochromes * oligoclase * oligoclases * oligocythaemia * oligocythaemias * oligodendrocyte * oligodendrocytes * oligodendroglia * oligodendroglial * oligodendroglias * oligomer * oligomeric * oligomerization * oligomerizations * oligomerous * oligomers * oligonucleotide * oligonucleotides * oligophagies * oligophagous * oligophagy * oligopolies * oligopolistic * oligopoly * oligopsonies * oligopsonistic * oligopsony * oligosaccharide * oligosaccharides * oligotrophic * oligotrophies * oligotrophy * oliguria * oligurias * olingo * olingos * olio * oliomargarin * oliomargarins * olios * oliphant * oliphants * olitories * olitory * olivaceous * olivary * olive * olivenite * olivenites * oliver * olivers * olives * olivet * olivets * olivine * olivines * olivinic * olivinitic * olla * ollamh * ollamhs * ollas * ollav * ollavs * olm * olms * ologies * ologist * ologists * ology * ololiuqui * ololiuquis * oloroso * olorosos * olpae * olpe * olpes * olycook * olycooks * olykoek * olykoeks * olympiad * olympiads * olympics * om * omadhaun * omadhauns * omasa * omasal * omasum * omber * ombers * ombre * ombrella * ombrellas * ombres * ombrometer * ombrometers * ombrophil * ombrophile * ombrophiles * ombrophilous * ombrophils * ombrophobe * ombrophobes * ombrophobous * ombu * ombudsman * ombudsmanship * ombudsmanships * ombudsmen * ombudsperson * ombudspersons * ombudspersonship * ombudspersonships * ombudswoman * ombudswomanship * ombudswomanships * 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omnifying * omnigenous * omnimode * omniparities * omniparity * omniparous * omnipatient * omnipotence * omnipotences * omnipotencies * omnipotency * omnipotent * omnipotently * omnipotents * omnipresence * omnipresences * omnipresent * omnirange * omniranges * omniscience * omnisciences * omniscient * omnisciently * omniscients * omnium * omniums * omnivora * omnivore * omnivores * omnivories * omnivorous * omnivorously * omnivorousness * omnivorousnesses * omnivory * omohyoid * omohyoids * omophagia * omophagias * omophagic * omophagies * omophagous * omophagy * omophoria * omophorion * omophorions * omoplate * omoplates * omoplatoscopies * omoplatoscopy * omphacite * omphacites * omphali * omphalic * omphaloid * omphalomancies * omphalomancy * omphalos * omphaloses * omphaloskepses * omphaloskepsis * omrah * omrahs * oms * on * onager * onagers * onagraceous * onagri * onanism * onanisms * onanist * onanistic * onanists * onboard * once * oncer * oncers * onces * onchocerciases * onchocerciasis * oncidium * oncidiums * oncogen * oncogene * oncogenes * oncogeneses * oncogenesis * oncogeneticist * oncogeneticists * oncogenic * oncogenicities * oncogenicity * oncogens * oncologic * oncological * oncologies * oncologist * oncologists * oncology * oncolyses * oncolysis * oncolytic * oncolytics * oncome * oncomes * oncometer * oncometers * oncomice * oncoming * oncomings * oncomouse * oncornavirus * oncornaviruses * oncost * oncostman * oncostmen * oncosts * oncotomies * oncotomy * oncovirus * oncoviruses * oncus * ondatra * ondatras * ondine * ondines * onding * ondings * ondogram * ondograms * one * onefold * oneiric * oneirically * oneirocritic * oneirocritical * oneirocriticism * oneirocriticisms * oneirocritics * oneirodynia * oneirodynias * oneirologies * oneirology * oneiromancer * oneiromancers * oneiromancies * oneiromancy * oneiroscopies * oneiroscopist * oneiroscopists * oneiroscopy * onely * oneness * onenesses * oner * onerier * oneriest * onerous * onerously * onerousness * onerousnesses * oners * onery * ones * oneself * onetime * oneyer * oneyers * oneyre * oneyres * onfall * onfalls * onflow * onflows * ongoing * ongoingness * ongoingnesses * ongoings * onion * onioned * onioning * onions * onionskin * onionskins * oniony * oniric * oniscoid * onium * onkus * onlaid * onlay * onlaying * onlays * onliest * online * onliner * onliners * onload * onloaded * onloading * onloads * onlooker * onlookers * onlooking * only * onned * onning * onocentaur * onocentaurs * onomastic * onomastically * onomastician * onomasticians * onomasticon * onomasticons * onomastics * onomatologies * onomatologist * onomatologists * onomatology * onomatopoeia * onomatopoeias * onomatopoeic * onomatopoeically * onomatopoeses * onomatopoesis * onomatopoetic * onomatopoetically * onomatopoieses * onomatopoiesis * onrush * onrushes * onrushing * ons * onscreen * onset * onsets * onsetter * onsetters * onsetting * onsettings * onshore * onside * onsides * onslaught * onslaughts * onst * onstage * onstead * onsteads * onstream * ontic * ontically * onto * ontogeneses * ontogenesis * ontogenetic * ontogenetically * ontogenic * ontogenically * ontogenies * ontogeny * ontologic * ontological * ontologically * ontologies * ontologist * ontologists * ontology * onus * onuses * onward * onwardly * onwards * onycha * onychas * onychia * onychias * onychite * onychites * onychitis * onychitises * onychium * onychiums * onychocryptoses * onychocryptosis * onycholyses * onycholysis * onychomancies * onychomancy * onychophagies * onychophagist * onychophagists * onychophagy * onychophoran * onychophorans * onymous * onyx * onyxes * oo * oobit * oobits * oocyst * oocysts * oocyte * oocytes * oodles * oodlins * oof * oofs * ooftish * ooftishes * oogamete * oogametes * oogamies * oogamous * oogamy * oogeneses * oogenesis * oogenetic * oogenies * oogeny * oogonia * oogonial * oogonium * oogoniums * ooh * oohed * oohing * oohs * ooidal * oolachan * oolachans * oolakan * oolakans * oolemma * oolemmas * oolite * oolites * oolith * ooliths * oolitic * oologic * oological * oologies * oologist * oologists * oology * oolong * oolongs * oom * oomiac * oomiack * oomiacks * oomiacs * oomiak * oomiaks * oompah * oompahed * oompahing * oompahs * oomph * oomphs * ooms * oon * oons * oont * oonts * oop * ooped * oophorectomies * oophorectomise * oophorectomised * oophorectomises * oophorectomising * oophorectomize * oophorectomized * oophorectomizes * oophorectomizing * oophorectomy * oophoritis * oophoritises * oophoron * oophorons * oophyte * oophytes * oophytic * ooping * oops * oor * oorali * ooralis * oorial * oorials * oorie * oorier * ooriest * oos * oose * ooses * oosier * oosiest * oosperm * oosperms * oosphere * oospheres * oospore * oospores * oosporic * oosy * oot * ootheca * oothecae * oothecal * ootid * ootids * oots * ooze * oozed * oozes * oozier * ooziest * oozily * ooziness * oozinesses * oozing * oozy * op * opacified * opacifier * opacifiers * opacifies * opacify * opacifying * opacities * opacity * opacous * opah * opahs * opal * opaled * opalesce * opalesced * opalescence * opalescences * opalescent * opalescently * opalesces * opalescing * opaleye * opaleyes * opaline * opalines * opalised * opalized * opals * opaque * opaqued * opaquely * opaqueness * opaquenesses * opaquer * opaques * opaquest * opaquing * opcode * opcodes * ope * oped * opeidoscope * opeidoscopes * open * openabilities * openability * openable * opencast * opened * opener * openers * openest * openhanded * openhandedly * openhandedness * openhandednesses * openhearted * openheartedly * openheartedness * openheartednesses * opening * openings * openly * openminded * openmindedness * openmindednesses * openmouthed * openmouthedly * openmouthedness * openmouthednesses * openness * opennesses * opens * openwork * openworks * opepe * opepes * opera * operabilities * operability * operable * operably * operagoer * operagoers * operagoing * operagoings * operand * operands * operant * operantly * operants * operas * operate * operated * operates * operatic * operatically * operatics * operating * operation * operational * operationalism * operationalisms * operationalist * operationalistic * operationalists * operationally * operationism * operationisms * operationist * operationists * operations * operative * operatively * operativeness * operativenesses * operatives * operator * operatorless * operators * opercele * operceles * opercula * opercular * opercularly * operculars * operculate * operculated * opercule * opercules * operculum * operculums * operetta * operettas * operettist * operettists * operon * operons * operose * operosely * operoseness * operosenesses * operosities * operosity * opes * ophicalcite * ophicalcites * ophicleide * ophicleides * ophidian * ophidians * ophidiaria * ophidiarium * ophidiariums * ophiolater * ophiolaters * ophiolatries * ophiolatrous * ophiolatry * ophiolite * ophiolites * ophiolitic * ophiologic * ophiological * ophiologies * ophiologist * ophiologists * ophiology * ophiomorph * ophiomorphic * ophiomorphous * ophiomorphs * ophiophagous * ophiophilist * ophiophilists * ophite * ophites * ophitic * ophiura * ophiuran * ophiurans * ophiuras * ophiurid * ophiurids * ophiuroid * ophiuroids * ophthalmia * ophthalmias * ophthalmic * ophthalmist * ophthalmists * ophthalmitis * ophthalmitises * ophthalmologic * ophthalmological * ophthalmologically * ophthalmologies * ophthalmologist * ophthalmologists * ophthalmology * ophthalmometer * ophthalmometers * ophthalmometries * ophthalmometry * ophthalmophobia * ophthalmophobias * ophthalmoplegia * ophthalmoplegias * ophthalmoscope * ophthalmoscopes * ophthalmoscopic * ophthalmoscopical * ophthalmoscopically * ophthalmoscopies * ophthalmoscopy * opiate * opiated * opiates * opiating * opificer * opificers * opinable * opine * opined * opines * oping * opinicus * opinicuses * opining * opinion * opinionated * opinionatedly * opinionatedness * opinionatednesses * opinionately * opinionative * opinionatively * opinionativeness * opinionativenesses * opinionator * opinionators * opinioned * opinionist * opinionists * opinions * opioid * opioids * opisometer * opisometers * opisthobranch * opisthobranches * opisthobranchs * opisthocoelian * opisthocoelous * opisthodomos * opisthodomoses * opisthoglossal * opisthognathism * opisthognathisms * opisthognathous * opisthograph * opisthographic * opisthographies * opisthographs * opisthography * opisthotonic * opisthotonos * opisthotonoses * opium * opiumism * opiumisms * opiums * opobalsam * opobalsams * opodeldoc * opodeldocs * opopanax * opopanaxes * oporice * oporices * opossum * opossums * opotherapies * opotherapy * oppidan * oppidans * oppignerate * oppignerated * oppignerates * oppignerating * oppignorate * oppignorated * oppignorates * oppignorating * oppignoration * oppignorations * oppilant * oppilate * oppilated * oppilates * oppilating * oppilation * oppilations * oppilative * opponencies * opponency * opponent * opponents * opportune * opportunely * opportuneness * opportunenesses * opportunism * opportunisms * opportunist * opportunistic * opportunistically * opportunists * opportunities * opportunity * opposabilities * opposability * opposable * oppose * opposed * opposeless * opposer * opposers * opposes * opposing * opposite * oppositely * oppositeness * oppositenesses * opposites * opposition * oppositional * oppositionist * oppositionists * oppositions * oppositive * oppress * oppressed * oppresses * oppressing * oppression * oppressions * oppressive * oppressively * oppressiveness * oppressivenesses * oppressor * oppressors * opprobria * opprobrious * opprobriously * opprobriousness * opprobriousnesses * opprobrium * opprobriums * oppugn * oppugnancies * oppugnancy * oppugnant * oppugnants * oppugned * oppugner * oppugners * oppugning * oppugns * ops * opsimath * opsimathies * opsimaths * opsimathy * opsin * opsins * opsiometer * opsiometers * opsomania * opsomaniac * opsomaniacs * opsomanias * opsonic * opsonification * opsonifications * opsonified * opsonifies * opsonify * opsonifying * opsonin * opsonins * opsonium * opsoniums * opsonization * opsonizations * opsonize * opsonized * opsonizes * opsonizing * opt * optant * optants * optative * optatively * optatives * opted * opter * opters * optic * optical * optically * optician * opticians * opticist * opticists * optics * optima * optimal * optimalisation * optimalisations * optimalise * optimalised * optimalises * optimalising * optimalities * optimality * optimalization * optimalizations * optimalize * optimalized * optimalizes * optimalizing * optimally * optimate * optimates * optime * optimes * optimisation * optimisations * optimise * optimised * optimises * optimising * optimism * optimisms * optimist * optimistic * optimistically * optimists * optimization * optimizations * optimize * optimized * optimizer * optimizers * optimizes * optimizing * optimum * optimums * opting * option * optional * optionalities * optionality * optionally * optionals * optioned * optionee * optionees * optioning * options * optoacoustic * optoelectronic * optoelectronics * optokinetic * optologies * optologist * optologists * optology * optometer * optometers * optometric * optometrical * optometries * optometrist * optometrists * optometry * optophone * optophones * optronics * opts * opulence * opulences * opulencies * opulency * opulent * opulently * opulus * opuluses * opuntia * opuntias * opus * opuscle * opuscles * opuscula * opuscular * opuscule * opuscules * opusculum * opuses * oquassa * oquassas * or * ora * orach * orache * oraches * oracies * oracle * oracled * oracles * oracling * oracular * oracularities * oracularity * oracularly * oracularness * oracularnesses * oraculous * oraculously * oraculousness * oraculousnesses * oracy * orad * oragious * oral * oralism * oralisms * oralist * oralists * oralities * orality * orally * orals * orang * orange * orangeade * orangeades * orangeness * oranger * orangerie * orangeries * orangeroot * orangeroots * orangery * oranges * orangest * orangewood * orangewoods * orangey * orangier * orangiest * orangish * orangoutang * orangoutangs * orangs * orangutan * orangutang * orangutangs * orangutans * orangy * orant * orants * oraria * orarian * orarians * orarion * orarions * orarium * orariums * orate * orated * orates * orating * oration * orations * orator * oratorial * oratorian * oratorians * oratorical * oratorically * oratories * oratorio * oratorios * orators * oratory * oratress * oratresses * oratrices * oratrix * oratrixes * orb * orbed * orbicular * orbiculares * orbicularis * orbicularities * orbicularity * orbicularly * orbiculate * orbiculated * orbiculately * orbier * orbiest * orbing * orbit * orbita * orbital * orbitals * orbitas * orbited * orbiteer * orbiteered * orbiteering * orbiteers * orbiter * orbiters * orbities * orbiting * orbits * orbity * orbless * orbs * orby * orc * orca * orcas * orcein * orceins * orchard * orcharding * orchardings * orchardist * orchardists * orchardman * orchardmen * orchards * orchat * orchats * orchel * orchella * orchellas * orchels * orcheses * orchesis * orchesographies * orchesography * orchestic * orchestics * orchestra * orchestral * orchestralist * orchestralists * orchestrally * orchestras * orchestrate * orchestrated * orchestrater * orchestraters * orchestrates * orchestrating * orchestration * orchestrational * orchestrations * orchestrator * orchestrators * orchestric * orchestrina * orchestrinas * orchestrion * orchestrions * orchid * orchidaceous * orchidectomies * orchidectomy * orchideous * orchidist * orchidists * orchidlike * orchidologies * orchidologist * orchidologists * orchidology * orchidomania * orchidomaniac * orchidomaniacs * orchidomanias * orchids * orchiectomies * orchiectomy * orchil * orchilla * orchillas * orchils * orchis * orchises * orchitic * orchitis * orchitises * orcin * orcine * orcines * orcinol * orcinols * orcins * orcs * ord * ordain * ordainable * ordained * ordainer * ordainers * ordaining * ordainment * ordainments * ordains * ordalian * ordalium * ordaliums * ordeal * ordeals * order * orderable * ordered * orderer * orderers * ordering * orderings * orderless * orderlies * orderliness * orderlinesses * orderly * orders * ordinaire * ordinaires * ordinal * ordinals * ordinance * ordinances * ordinand * ordinands * ordinant * ordinants * ordinar * ordinarier * ordinaries * ordinariest * ordinarily * ordinariness * ordinarinesses * ordinars * ordinary * ordinate * ordinated * ordinately * ordinates * ordinating * ordination * ordinations * ordinee * ordinees * ordines * ordnance * ordnances * ordo * ordonnance * ordonnances * ordos * ords * ordure * ordures * ordurous * ore * oread * oreades * oreads * orebodies * orebody * orecrowe * orecrowed * orecrowes * orecrowing * orectic * orective * oregano * oreganos * oreide * oreides * oreographic * oreographical * oreographies * oreography * oreological * oreologies * oreologist * oreologists * oreology * orepearch * orepearched * orepearches * orepearching * ores * orestunck * oreweed * oreweeds * orexis * orexises * orf * orfe * orfes * orfray * orfrays * orfs * organ * organa * organdie * organdies * organdy * organelle * organelles * organic * organical * organically * organicism * organicisms * organicist * organicistic * organicists * organicities * organicity * organics * organisabilities * organisability * organisable * organisation * organisational * organisations * organise * organised * organiser * organisers * organises * organising * organism * organismal * organismic * organismically * organisms * organist * organistrum * organistrums * organists * organities * organity * organizabilities * organizability * organizable * organization * organizational * organizationally * organizations * organize * organized * organizer * organizers * organizes * organizing * organochlorine * organochlorines * organogeneses * organogenesis * organogenetic * organogenetically * organogenies * organogeny * organogram * organograms * organographic * organographically * organographies * organography * organoleptic * organoleptically * organologic * organological * organologies * organologist * organologists * organology * organomercurial * organomercurials * organometallic * organometallics * organon * organons * organophosphate * organophosphates * organophosphorous * organophosphorus * organophosphoruses * organotherapeutic * organotherapies * organotherapy * organotropic * organotropism * organotropisms * organs * organum * organums * organza * organzas * organzine * organzines * orgasm * orgasmed * orgasmic * orgasmically * orgasming * orgasms * orgastic * orgastically * orgeat * orgeats * orgia * orgiac * orgias * orgiast * orgiastic * orgiastically * orgiasts * orgic * orgies * orgillous * orgone * orgones * orgue * orgues * orgulous * orgy * oribatid * oribatids * oribi * oribis * oricalche * oricalches * orichalc * orichalceous * orichalcs * oriel * orielled * oriels * oriencies * oriency * orient * oriental * orientalia * orientalise * orientalised * orientalises * orientalising * orientalism * orientalisms * orientalist * orientalists * orientalities * orientality * orientalize * orientalized * orientalizes * orientalizing * orientally * orientals * orientate * orientated * orientates * orientating * orientation * orientational * orientationally * orientations * orientator * orientators * oriented * orienteer * orienteered * orienteering * orienteerings * orienteers * orienter * orienters * orienting * orients * orifex * orifexes * orifice * orifices * orificial * oriflamme * oriflammes * origami * origamis * origan * origane * origanes * origans * origanum * origanums * origin * original * originalism * originalisms * originalist * originalists * originalities * originality * originally * originals * originate * originated * originates * originating * origination * originations * originative * originatively * originator * originators * origins * orillion * orillions * orinasal * orinasals * oriole * orioles * orismological * orismologies * orismology * orison * orisons * orle * orleans * orleanses * orles * orlon * orlons * orlop * orlops * ormer * ormers * ormolu * ormolus * ornament * ornamental * ornamentally * ornamentals * ornamentation * ornamentations * ornamented * ornamenter * ornamenters * ornamenting * ornamentist * ornamentists * ornaments * ornate * ornately * ornateness * ornatenesses * ornater * ornatest * ornerier * orneriest * orneriness * ornerinesses * ornery * ornis * ornises * ornithes * ornithic * ornithichnite * ornithichnites * ornithine * ornithines * ornithischian * ornithischians * ornithodelphian * ornithodelphians * ornithodelphic * ornithodelphous * ornithogalum * ornithogalums * ornithoid * ornithologic * ornithological * ornithologically * ornithologies * ornithologist * ornithologists * ornithology * ornithomancies * ornithomancy * ornithomantic * ornithomorph * ornithomorphic * ornithomorphs * ornithophilies * ornithophilous * ornithophily * ornithophobia * ornithophobias * ornithopod * ornithopods * ornithopter * ornithopters * ornithorhynchus * ornithorhynchuses * ornithosaur * ornithosaurs * ornithoscopies * ornithoscopy * ornithoses * ornithosis * orobanchaceous * orogen * orogeneses * orogenesis * orogenetic * orogenic * orogenically * orogenies * orogens * orogeny * orographic * orographical * orographically * orographies * orography * oroide * oroides * orological * orologically * orologies * orologist * orologists * orology * orometer * orometers * oropesa * oropesas * oropharyngeal * oropharynges * oropharynx * oropharynxes * ororotund * ororotundities * ororotundity * orotund * orotundities * orotundity * orphan * orphanage * orphanages * orphaned * orphanhood * orphanhoods * orphaning * orphanism * orphanisms * orphans * orpharion * orpharions * orpheoreon * orpheoreons * orphic * orphical * orphically * orphrey * orphreys * orpiment * orpiments * orpin * orpine * orpines * orpins * orra * orreries * orrery * orrice * orrices * orris * orrises * orrisroot * orrisroots * ors * orseille * orseilles * orsellic * ort * ortanique * ortaniques * orthian * orthicon * orthiconoscope * orthiconoscopes * orthicons * ortho * orthoaxes * orthoaxis * orthoborate * orthoborates * orthocaine * orthocaines * orthocenter * orthocenters * orthocentre * orthocentres * orthochromatic * orthoclase * orthoclases * orthocousins * orthodiagonal * orthodiagonals * orthodontia * orthodontias * orthodontic * orthodontically * orthodontics * orthodontist * orthodontists * orthodox * orthodoxes * orthodoxies * orthodoxly * orthodoxy * orthodromic * orthodromics * orthodromies * orthodromy * orthoepic * orthoepical * orthoepically * orthoepies * orthoepist * orthoepists * orthoepy * orthogeneses * orthogenesis * orthogenetic * orthogenetically * orthogenic * orthogenics * orthognathic * orthognathism * orthognathisms * orthognathous * orthogonal * orthogonalities * orthogonality * orthogonalization * orthogonalizations * orthogonalize * orthogonalized * orthogonalizes * orthogonalizing * orthogonally * orthograde * orthograph * orthographer * orthographers * orthographic * orthographical * orthographically * orthographies * orthographist * orthographists * orthographs * orthography * orthomolecular * orthomyxovirus * orthomyxoviruses * orthonormal * orthopaedic * orthopaedical * orthopaedics * orthopaedies * orthopaedist * orthopaedists * orthopaedy * orthopedia * orthopedias * orthopedic * orthopedical * orthopedically * orthopedics * orthopedies * orthopedist * orthopedists * orthopedy * orthophosphate * orthophosphates * orthophosphoric * orthophyre * orthophyres * orthophyric * orthopinakoid * orthopinakoids * orthopnoea * orthopnoeas * orthopod * orthopods * orthopraxes * orthopraxies * orthopraxis * orthopraxy * orthoprism * orthoprisms * orthopsychiatric * orthopsychiatries * orthopsychiatrist * orthopsychiatrists * orthopsychiatry * orthoptera * orthopteran * orthopterans * orthopterist * orthopterists * orthopteroid * orthopteroids * orthopterologies * orthopterologist * orthopterologists * orthopterology * orthopteron * orthopterons * orthopterous * orthoptic * orthoptics * orthoptist * orthoptists * orthorhombic * orthos * orthoscopic * orthoses * orthosilicate * orthosilicates * orthosis * orthostatic * orthostichies * orthostichous * orthostichy * orthotic * orthotics * orthotist * orthotists * orthotone * orthotoneses * orthotonesis * orthotonic * orthotopic * orthotropic * orthotropically * orthotropies * orthotropism * orthotropisms * orthotropous * orthotropy * orthros * orthroses * ortolan * ortolans * orts * orval * orvals * oryctologies * oryctology * oryx * oryxes * orzo * orzos * os * osar * oscheal * oscillate * oscillated * oscillates * oscillating * oscillation * oscillational * oscillations * oscillative * oscillator * oscillators * oscillatory * oscillogram * oscillograms * oscillograph * oscillographic * oscillographically * oscillographies * oscillographs * oscillography * oscilloscope * oscilloscopes * oscilloscopic * oscine * oscines * oscinine * oscitance * oscitances * oscitancies * oscitancy * oscitant * oscitantly * oscitate * oscitated * oscitates * oscitating * oscitation * oscitations * oscula * osculant * oscular * osculate * osculated * osculates * osculating * osculation * osculations * osculatories * osculatory * oscule * oscules * osculum * ose * oses * oshac * oshacs * osier * osiered * osieries * osiers * osiery * osmate * osmates * osmatic * osmeteria * osmeterium * osmiate * osmiates * osmic * osmics * osmidroses * osmidrosis * osmious * osmiridium * osmiridiums * osmium * osmiums * osmol * osmolal * osmolalities * osmolality * osmolar * osmolarities * osmolarity * osmole * osmoles * osmols * osmometer * osmometers * osmometric * osmometries * osmometry * osmoregulation * osmoregulations * osmoregulatory * osmose * osmosed * osmoses * osmosing * osmosis * osmotic * osmotically * osmous * osmund * osmunda * osmundas * osmunds * osnaburg * osnaburgs * osprey * ospreys * ossa * ossarium * ossariums * ossature * ossatures * ossein * osseins * osselet * osselets * osseous * osseter * osseters * ossia * ossicle * ossicles * ossicular * ossiculate * ossiferous * ossific * ossification * ossifications * ossified * ossifier * ossifiers * ossifies * ossifraga * ossifragas * ossifrage * ossifrages * ossify * ossifying * ossivorous * ossuaries * ossuary * osteal * osteites * osteitic * osteitides * osteitis * osteitises * ostensibilities * ostensibility * ostensible * ostensibly * ostensive * ostensively * ostensoria * ostensories * ostensorium * ostensory * ostent * ostentation * ostentations * ostentatious * ostentatiously * ostentatiousness * ostentatiousnesses * ostents * osteoarthritic * osteoarthritides * osteoarthritis * osteoarthritises * osteoarthroses * osteoarthrosis * osteoblast * osteoblastic * osteoblasts * osteoclases * osteoclasis * osteoclast * osteoclastic * osteoclasts * osteocolla * osteocollas * osteocyte * osteocytes * osteoderm * osteodermal * osteodermatous * osteodermic * osteodermous * osteoderms * osteogen * osteogeneses * osteogenesis * osteogenetic * osteogenic * osteogenies * osteogenous * osteogens * osteogeny * osteographies * osteography * osteoid * osteoids * osteological * osteologically * osteologies * osteologist * osteologists * osteology * osteoma * osteomalacia * osteomalacias * osteomas * osteomata * osteomyelitides * osteomyelitis * osteomyelitises * osteopath * osteopathic * osteopathically * osteopathies * osteopathist * osteopathists * osteopaths * osteopathy * osteopetroses * osteopetrosis * osteophyte * osteophytes * osteophytic * osteoplastic * osteoplasties * osteoplasty * osteoporoses * osteoporosis * osteoporotic * osteosarcoma * osteosarcomas * osteosarcomata * osteoses * osteosis * osteosises * osteotome * osteotomes * osteotomies * osteotomist * osteotomists * osteotomy * ostia * ostial * ostiaries * ostiary * ostiate * ostinati * ostinato * ostinatos * ostiolar * ostiolate * ostiole * ostioles * ostium * ostler * ostleress * ostleresses * ostlers * ostmark * ostmarks * ostomate * ostomates * ostomies * ostomy * ostoses * ostosis * ostosises * ostraca * ostracean * ostraceous * ostracise * ostracised * ostracises * ostracising * ostracism * ostracisms * ostracize * ostracized * ostracizes * ostracizing * ostracod * ostracodan * ostracode * ostracoderm * ostracoderms * ostracodes * ostracodous * ostracods * ostracon * ostraka * ostrakon * ostreaceous * ostreger * ostregers * ostreiculture * ostreicultures * ostreiculturist * ostreiculturists * ostreophage * ostreophages * ostreophagies * ostreophagous * ostreophagy * ostrich * ostriches * ostrichism * ostrichisms * ostrichlike * otalgia * otalgias * otalgic * otalgies * otalgy * otaries * otarine * otary * other * othergates * otherguess * otherness * othernesses * others * otherwhere * otherwhile * otherwhiles * otherwise * otherworld * otherworldish * otherworldliness * otherworldlinesses * otherworldly * otherworlds * otic * otiose * otiosely * otioseness * otiosenesses * otiosities * otiosity * otitic * otitides * otitis * otitises * otocyst * otocystic * otocysts * otolaryngological * otolaryngologies * otolaryngologist * otolaryngologists * otolaryngology * otolith * otolithic * otoliths * otological * otologies * otologist * otologists * otology * otorhinolaryngological * otorhinolaryngologies * otorhinolaryngologist * otorhinolaryngologists * otorhinolaryngology * otorrhoea * otorrhoeas * otoscleroses * otosclerosis * otosclerotic * otoscope * otoscopes * otoscopies * otoscopy * ototoxic * ototoxicities * ototoxicity * ottar * ottars * ottava * ottavas * ottavino * ottavinos * otter * ottered * otterhound * otterhounds * ottering * otters * otto * ottoman * ottomans * ottos * ottrelite * ottrelites * ou * ouabain * ouabains * ouakari * ouakaris * oubit * oubits * oubliette * oubliettes * ouch * ouched * ouches * ouching * oucht * ouchts * oud * ouds * oughlied * oughlies * oughly * oughlying * ought * oughted * oughting * oughtlings * oughtness * oughtnesses * oughts * ouglie * ouglied * ouglieing * ouglies * ouguiya * ouguiyas * ouija * ouijas * ouistiti * ouistitis * ouk * ouks * oulachon * oulachons * oulakan * oulakans * ould * oulder * ouldest * oulk * oulks * oulong * oulongs * ounce * ounces * oundy * oup * ouped * ouph * ouphe * ouphes * ouphs * ouping * oups * our * ourali * ouralis * ourang * ourangs * ourari * ouraris * ourebi * ourebis * ourie * ourier * ouriest * ourn * ouroboros * ouroboroses * ourologies * ourology * ouroscopies * ouroscopy * ours * ourself * ourselves * ousel * ousels * oust * ousted * ouster * ousters * ousting * oustiti * oustitis * ousts * out * outa * outachieve * outachieved * outachieves * outachieving * outact * outacted * outacting * outacts * outadd * outadded * outadding * outadds * outage * outages * outargue * outargued * outargues * outarguing * outask * outasked * outasking * outasks * outate * outback * outbacker * outbackers * outbacks * outbake * outbaked * outbakes * outbaking * outbalance * outbalanced * outbalances * outbalancing * outbar * outbargain * outbargained * outbargaining * outbargains * outbark * outbarked * outbarking * outbarks * outbarred * outbarring * outbars * outbawl * outbawled * outbawling * outbawls * outbeam * outbeamed * outbeaming * outbeams * outbeg * outbegged * outbegging * outbegs * outbid * outbidden * outbidding * outbids * outbitch * outbitched * outbitches * outbitching * outblaze * outblazed * outblazes * outblazing * outbleat * outbleated * outbleating * outbleats * outbless * outblessed * outblesses * outblessing * outbloom * outbloomed * outblooming * outblooms * outbluff * outbluffed * outbluffing * outbluffs * outblush * outblushed * outblushes * outblushing * outbluster * outblustered * outblustering * outblusters * outboard * outboards * outboast * outboasted * outboasting * outboasts * outbought * outbound * outbounds * outbox * outboxed * outboxes * outboxing * outbrag * outbragged * outbragging * outbrags * outbrave * outbraved * outbraves * outbraving * outbrawl * outbrawled * outbrawling * outbrawls * outbreak * outbreaking * outbreaks * outbreathd * outbreathe * outbreathed * outbreathes * outbreathing * outbred * outbreed * outbreeding * outbreedings * outbreeds * outbribe * outbribed * outbribes * outbribing * outbroke * outbroken * outbuild * outbuilding * outbuildings * outbuilds * outbuilt * outbulge * outbulged * outbulges * outbulging * outbulk * outbulked * outbulking * outbulks * outbullied * outbullies * outbully * outbullying * outburn * outburned * outburning * outburns * outburnt * outburst * outbursting * outbursts * outbuy * outbuying * outbuys * outby * outbye * outcall * outcalls * outcaper * outcapered * outcapering * outcapers * outcast * outcaste * outcasted * outcastes * outcasting * outcasts * outcatch * outcatches * outcatching * outcaught * outcavil * outcaviled * outcaviling * outcavilled * outcavilling * outcavils * outcharge * outcharged * outcharges * outcharging * outcharm * outcharmed * outcharming * outcharms * outcheat * outcheated * outcheating * outcheats * outchid * outchidden * outchide * outchided * outchides * outchiding * outcities * outcity * outclass * outclassed * outclasses * outclassing * outclimb * outclimbed * outclimbing * outclimbs * outclomb * outcoach * outcoached * outcoaches * outcoaching * outcome * outcomes * outcompete * outcompeted * outcompetes * outcompeting * outcook * outcooked * outcooking * outcooks * outcount * outcounted * outcounting * outcounts * outcraftied * outcrafties * outcrafty * outcraftying * outcrawl * outcrawled * outcrawling * outcrawls * outcried * outcries * outcrop * outcropped * outcropping * outcroppings * outcrops * outcross * outcrossed * outcrosses * outcrossing * outcrossings * outcrow * outcrowd * outcrowded * outcrowding * outcrowds * outcrowed * outcrowing * outcrows * outcry * outcrying * outcurse * outcursed * outcurses * outcursing * outcurve * outcurves * outdacious * outdance * outdanced * outdances * outdancing * outdare * outdared * outdares * outdaring * outdate * outdated * outdatedly * outdatedness * outdatednesses * outdates * outdating * outdazzle * outdazzled * outdazzles * outdazzling * outdebate * outdebated * outdebates * outdebating * outdeliver * outdelivered * outdelivering * outdelivers * outdesign * outdesigned * outdesigning * outdesigns * outdid * outdistance * outdistanced * outdistances * outdistancing * outdo * outdodge * outdodged * outdodges * outdodging * outdoer * outdoers * outdoes * outdoing * outdone * outdoor * outdoors * outdoorsman * outdoorsmanship * outdoorsmanships * outdoorsmen * outdoorswoman * outdoorswomen * outdoorsy * outdrag * outdragged * outdragging * outdrags * outdrank * outdraw * outdrawing * outdrawn * outdraws * outdream * outdreamed * outdreaming * outdreams * outdreamt * outdress * outdressed * outdresses * outdressing * outdrew * outdrink * outdrinking * outdrinks * outdrive * outdriven * outdrives * outdriving * outdrop * outdropped * outdropping * outdrops * outdrove * outdrunk * outduel * outdueled * outdueling * outduelled * outduelling * outduels * outdure * outdured * outdures * outduring * outdwell * outdwelled * outdwelling * outdwells * outdwelt * outearn * outearned * outearning * outearns * outeat * outeaten * outeating * outeats * outecho * outechoed * outechoes * outechoing * outed * outedge * outedges * outer * outercoat * outercoats * outermost * outers * outerwear * outerwears * outfable * outfabled * outfables * outfabling * outface * outfaced * outfaces * outfacing * outfall * outfalls * outfangthief * outfangthiefs * outfast * outfasted * outfasting * outfasts * outfawn * outfawned * outfawning * outfawns * outfeast * outfeasted * outfeasting * outfeasts * outfeel * outfeeling * outfeels * outfelt * outfence * outfenced * outfences * outfencing * outfield * outfielder * outfielders * outfields * outfight * outfighting * outfights * outfigure * outfigured * outfigures * outfiguring * outfind * outfinding * outfinds * outfire * outfired * outfires * outfiring * outfish * outfished * outfishes * outfishing * outfit * outfits * outfitted * outfitter * outfitters * outfitting * outfittings * outflank * outflanked * outflanking * outflanks * outflash * outflashed * outflashes * outflashing * outflew * outflies * outfling * outflings * outfloat * outfloated * outfloating * outfloats * outflow * outflowed * outflowing * outflowings * outflown * outflows * outflush * outflushed * outflushes * outflushing * outfly * outflying * outfool * outfooled * outfooling * outfools * outfoot * outfooted * outfooting * outfoots * outfought * outfound * outfox * outfoxed * outfoxes * outfoxing * outfrown * outfrowned * outfrowning * outfrowns * outfumble * outfumbled * outfumbles * outfumbling * outgain * outgained * outgaining * outgains * outgas * outgassed * outgasses * outgassing * outgassings * outgate * outgates * outgave * outgaze * outgazed * outgazes * outgazing * outgeneral * outgeneraled * outgeneraling * outgeneralled * outgeneralling * outgenerals * outgive * outgiven * outgives * outgiving * outgivings * outglare * outglared * outglares * outglaring * outgleam * outgleamed * outgleaming * outgleams * outglitter * outglittered * outglittering * outglitters * outglow * outglowed * outglowing * outglows * outgnaw * outgnawed * outgnawing * outgnawn * outgnaws * outgo * outgoer * outgoers * outgoes * outgoing * outgoingness * outgoingnesses * outgoings * outgone * outgrew * outgrin * outgrinned * outgrinning * outgrins * outgross * outgrossed * outgrosses * outgrossing * outgroup * outgroups * outgrow * outgrowing * outgrown * outgrows * outgrowth * outgrowths * outguard * outguards * outguess * outguessed * outguesses * outguessing * outguide * outguided * outguides * outguiding * outgun * outgunned * outgunning * outguns * outgush * outgushed * outgushes * outgushing * outhaul * outhauler * outhaulers * outhauls * outhear * outheard * outhearing * outhears * outher * outhire * outhired * outhires * outhiring * outhit * outhits * outhitting * outhomer * outhomered * outhomering * outhomers * outhouse * outhouses * outhowl * outhowled * outhowling * outhowls * outhumor * outhumored * outhumoring * outhumors * outhunt * outhunted * outhunting * outhunts * outhustle * outhustled * outhustles * outhustling * outhyre * outhyred * outhyres * outhyring * outing * outings * outintrigue * outintrigued * outintrigues * outintriguing * outjest * outjested * outjesting * outjests * outjet * outjets * outjetting * outjettings * outjinx * outjinxed * outjinxes * outjinxing * outjockey * outjockeyed * outjockeying * outjockeys * outjump * outjumped * outjumping * outjumps * outjut * outjuts * outjutted * outjutting * outjuttings * outkeep * outkeeping * outkeeps * outkept * outkick * outkicked * outkicking * outkicks * outkill * outkilled * outkilling * outkills * outkiss * outkissed * outkisses * outkissing * outlaid * outlain * outland * outlander * outlanders * outlandish * outlandishly * outlandishness * outlandishnesses * outlands * outlash * outlashes * outlast * outlasted * outlasting * outlasts * outlaugh * outlaughed * outlaughing * outlaughs * outlaunce * outlaunced * outlaunces * outlaunch * outlaunched * outlaunches * outlaunching * outlauncing * outlaw * outlawed * outlawing * outlawries * outlawry * outlaws * outlay * outlaying * outlays * outlead * outleading * outleads * outleap * outleaped * outleaping * outleaps * outleapt * outlearn * outlearned * outlearning * outlearns * outlearnt * outled * outler * outlers * outlet * outlets * outlie * outlied * outlier * outliers * outlies * outline * outlinear * outlined * outliner * outliners * outlines * outlining * outlive * outlived * outliver * outlivers * outlives * outliving * outlodging * outlodgings * outlook * outlooked * outlooking * outlooks * outlove * outloved * outloves * outloving * outlustre * outlustred * outlustres * outlustring * outlying * outman * outmaneuver * outmaneuvered * outmaneuvering * outmaneuvers * outmanipulate * outmanipulated * outmanipulates * outmanipulating * outmanned * outmanning * outmanoeuvre * outmanoeuvred * outmanoeuvres * outmanoeuvring * outmans * outmantle * outmantled * outmantles * outmantling * outmarch * outmarched * outmarches * outmarching * outmarriage * outmarriages * outmatch * outmatched * outmatches * outmatching * outmeasure * outmeasured * outmeasures * outmeasuring * outmode * outmoded * outmodes * outmoding * outmost * outmove * outmoved * outmoves * outmoving * outmuscle * outmuscled * outmuscles * outmuscling * outname * outnamed * outnames * outnaming * outness

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