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These lesions present as reticular or lacy lines, known as Wickham striae

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The question Why smoke? could have been answered effectively and truthfully with Because we are humans. Following tobaccos historical progress from its centre of origin northwards into Central America, methods of consumption became less diverse, with smoking gaining at the expense of other tobacco habits

"Early on patients may not have any symptoms, but over time as that emphysema progresses, then patients will start to have symptoms: coughing, wheezing, difficulty breathing." While a majority of people with emphysema smoked at some time, not all smokers get emphysema

out of which the overseer has a dividend (or share) in proportion to the number of hands including himself

Alternatively, in conjunction with GERD surgery, they might do a surgical procedure that promotes a more rapid emptying of the stomach