Found on the net 4

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[internutt]

der ewige boomer

[m0nde]

may have to disrupt all of these threads to stop this stuff once and for sll

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[Certifed Dirty Harry]

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[internutt]

new infowmation is coming to light about kents father, kent jacina sr. he was born in lithuania in 1910, was a scientist and lithuanian nationalist party member. when the nazis took over, kent jacina sr. conducted live human experimentation at ravensbruck kz lager.

https://adst.mp.pl/img/articles/auschwitz/translations/english/german-doctors-during-pseudo-medical-experiments.jpg

[m0nde]

Kent how would you like my quote spam to come back? I'm talking about the stuff which stretches the thread to several pages.

[m0nde]

new infowmation is coming to light about kents father, kent jacina sr. he was born in lithuania in 1910, was a scientist and lithuanian nationalist party member. when the nazis took over, kent jacina sr. conducted live human experimentation at ravensbruck kz lager.I believe experiments done by Kent's father in Kent's mother, while she was pregnant directly led to her son having cognitive impairment and severe anger issues
You see, Kent's father was trying to breed a super soldier who would not question orders. On the one hand, he did, indeed, breed a war hero, one who did unspeakable things in SE Asia, but as a civilian, Kent has to live, daily, with the burden. I'm sorry Kent. Thank you for serving and for being brave EVERY DAY <3

[internutt]

im looking at some ancestor stuff, i confused his name, looks like kents daddy might be peter and his mommy regina jacina

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[Wendy <3]

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[m0nde]

DONNA K. DAILY, M.D., HOLLY H. ARDINGER, M.D., and GRACE E. HOLMES, M.D., University of Kansas Medical Center, Kansas City, Kansas

Am Fam Physician. 2000 Feb 15;61(4):1059-1067.

See related patient information handout on mental retardation, written by the authors of this article.

Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental factors. In at least 30 to 50 percent of cases, physicians are unable to determine etiology despite thorough evaluation. Diagnosis is highly dependent on a comprehensive personal and family medical history, a complete physical examination and a careful developmental assessment of the child. These will guide appropriate evaluations and referrals to provide genetic counseling, resources for the family and early intervention programs for the child. The family physician is encouraged to continue regular follow-up visits with the child to facilitate a smooth transition to adolescence and young adulthood.

The diagnosis of mental retardation in young children is frequently missed. The three most common errors made by clinicians who overlook the possibility of mental retardation are (1) concluding that a child does not “look” retarded, (2) assuming that a child who is ambulatory is unlikely to be retarded and, (3) if retardation is actually considered, concluding that it is not possible to test young children.1

Prevalence
Mental retardation is present in about 2 to 3 percent of the population. It can be defined as cognitive ability that is markedly below average level and a decreased ability to adapt to one's environment. The onset of the condition occurs during the developmental period, i.e., gestation through age 18 years.

Mental retardation comprises five general categories: borderline, mild, moderate, severe and profound. Categories are based on scores obtained through use of age-standardized tests of cognitive ability (Table 1).2 Mental retardation may occur as part of a syndrome or broader disorder but is most commonly an isolated finding.

View/Print Table

TABLE 1.
Developmental Characteristics Related to Level of Mental Retardation (DSM-IV Criteria)
MILD RETARDATION MODERATE RETARDATION SEVERE RETARDATION PROFOUND RETARDATION
75% to 90% of all cases of retardation

~10% to 25% of all cases of retardation

~10% to 25% of all cases of retardation

~10% to 25% of all cases of retardation

Function at one half to two thirds of CA (IQ: 50 to 70)

Function at one third to one half of CA (IQ: 35 to 49)

Function at one fifth to one third of CA (IQ: 20 to 34)

Function at < one fifth of CA (IQ: < 20)

Slow in all areas

Noticeable delays, especially in speech

Marked and obvious delays; may walk late

Marked delays in all areas

May have no unusual physical signs

May have some unusual physical signs

Little or no communication skills but may have some understanding of speech and show some response

Congenital abnormalities often present

Can acquire practical skills

Can learn simple communication

May be taught daily routines and repetitive activities

Need close supervision

Useful reading and math skills up to grades 3 to 6 level

Can learn elementary health and safety habits

May be trained in simple self-care

Often need attendant care

Can conform socially

Can participate in simple activities and self-care

Need direction and supervision

May respond to regular physical activity and social stimulation

Can acquire vocational skills for self-maintenance

Can perform tasks in sheltered conditions

—

Not capable of self-care

Integrated into general society

Can travel alone to familiar places

—

—

note: Additional problems with vision, hearing or speech, congenital abnormalities, seizures, emotional problems or cerebral palsy may be present.

DSM IV = Diagnostic and Statistical Manual of Mental Disorders, 4th ed.; CA = chronological age; IQ = intelligence quotient.

Adapted with permission from Pelegano JP, Healy A. Mental retardation. Part II. Seeing the child within. Fam Pract Recertification 1992;14:63.

The inclusion of concurrent related limitations in two or more adaptive skill areas was added to the definition of mental retardation in 1992 by the American Association on Mental Retardation.3 Because standardized testing in very young children is less predictive of future cognitive outcome, the term “developmental delay” has been used to characterize the developmental status of children under age three.

Etiology
A number of environmental, genetic or multiple factors can cause mental retardation. Unfortunately, in approximately 30 to 50 percent of cases, the etiology is not identified even after thorough diagnostic evaluation.4,5 Some persons have a congenital malformation of the brain; others had damage to the brain at a critical period in pre- or postnatal development. Acquired causes of retardation include near-drowning, traumatic brain injury and central nervous system malignancy.

Prenatal causes of mental retardation include congenital infections such as cytomegalovirus, toxoplasmosis, herpes, syphilis, rubella and human immunodeficiency virus; prolonged maternal fever in the first trimester; exposure to anticonvulsants or alcohol; and untreated maternal phenylketonuria (PKU). Complications of prematurity, especially in extremely low-birth-weight infants, or postnatal exposure to lead can also cause mental retardation.6

Metabolic disorders are another possible cause of mental retardation. In some cases (e.g., PKU, hypothyroidism), retardation is preventable with early treatment. Other disorders (e.g., mucopolysaccharidosis, sphingolipidoses) are less responsive to early intervention. Molecular medicine has made it possible to diagnose a number of conditions referred to as mitochondrial cell diseases.7

A number of single-gene disorders result in mental retardation. Many of these are associated with atypical or dysmorphic physical characteristics. Such conditions include fragile X syndrome, neurofibromatosis, tuberous sclerosis, Noonan's syndrome and Cornelia de Lange's syndrome. A complete list of syndromes associated with mental retardation is beyond the scope of this article, and the reader is referred to the reference list.8,9

As many as one fourth of persons with mental retardation have a detectable chromosome abnormality. Children with Down syndrome (trisomy 21) usually have highly recognizable physical characteristics, but features associated with other chromosomal abnormalities, such as Klinefelter's syndrome (47,XXY), may not be as obvious to family members or the physician. Other children may have a small deletion or duplication of a particular chromosome that is rarely reported; thus, the phenotype is still undetermined. Some chromosomal abnormalities are inherited from a parent but most occur de novo. Many previously described clinical syndromes have been found to have an associated chromosomal abnormality (e.g., DiGeorge, Prader-Willi, Angelman and Williams syndromes).

The following case report highlights the importance of early diagnosis, in planning therapy for the child and in providing family planning information to the parents.

Illustrative Case
A 16-month-old boy was referred for developmental assessment because he was not yet talking.

He was born to a 30-year-old woman, gravida 2, para 2, living children 2. He was delivered at term by cesarean section with no prenatal, labor or postnatal complications. He was slightly blue at birth and required oxygen. Mother and infant went home in two days, and no other newborn problems were noted. Birth weight was 3.2 kg (7 lb, 1 oz). The infant was breast-fed for about 12 months. Solid foods were added at 10 months, but some difficulty was noted with chewing. The boy rolled over at three to four months, sat without support at seven months and crawled at seven to eight months. He began to walk at 16 months but still did not talk. The mother first became concerned about lack of speech when the child was 13 months old. The remainder of the medical history, the review of systems and the family history were noncontributory.

At 16 months, the child's height and weight were less than the 5th percentile; head circumference was at the 25th percentile. The child was pleasant, alert, active and cooperative. No vocalization of any kind was noted during the examination. Physical findings included a slightly prominent forehead with a depressed wide nasal bridge and a flat nose. The midface appeared depressed; the child's face closely resembled his mother's. The only other abnormal finding was a small left testis. The boy could stand for a few seconds without support and was able to take a few steps. His muscle tone was mildly low but within the reference range.

The physician's impressions included the following: midface hypoplasia, small stature, rule out hearing loss, speech and language delays and global developmental delay, hypoplastic left testicle, incoordinated swallowing, rule out genetic syndrome related to hypoplastic facial features, developmental delay, small stature and familial resemblance.

In the pediatric genetics dysmorphology clinic, the above dysmorphic features were confirmed. He also had distinctive blepharophimosis, ptosis, epicanthal folds, altered palmar creases and hyperextensibility of the fingers and knees. Ohdo blepharophimosis syndrome was diagnosed, based on a London Dysmorphology Database search. Chromosomal status was 46,XY.

At 17 months' chronologic age, his developmental quotient was 61, with most delay occurring in speech, which was at the five-month level. Motor skills were at the 11- to 12-month level. He was evaluated by subspecialists who addressed his various problems. Initial hearing assessment revealed moderate hearing loss. The child was referred to an early intervention program.

Subsequent follow-up at 52 months of age revealed that the boy still had difficulty with feedings and was not yet toilet trained. His cognitive skills were at approximately a 27-month level, and genetic follow-up confirmed Ohdo blepharophimosis syndrome. The mother had subsequently given birth to a second child with the same syndrome.

Diagnosis
The physician must have a high index of suspicion to consider the diagnosis of mental retardation in any child. Some helpful clues include delayed speech, dysmorphic features (minor anomalies), hypotonia generally or of the extremities, general inability to do things for self and, not least, expressed concern by the parents.

The first and most important step in the diagnosis of mental retardation is to obtain a comprehensive patient and family history. Previous gynecologic and obstetric history may reveal infertility or fetal loss. Assessment of maternal health status during pregnancy with the involved child should include questions regarding use of tobacco, alcohol and drugs (prescribed and illicit); lifestyle or other risks for sexually transmitted diseases; weight gain or loss; signs of infection; serious illness or injury; and surgery or hospitalization.

To establish a knowledgeable baseline history of the child, the physician should obtain information regarding length of pregnancy, premature onset of labor or rupture of the membranes, duration and course of labor, type of delivery and any complications. Apgar scores at one and (especially) five minutes should be reviewed, and birth weight, length and head circumference measurements obtained and plotted on appropriate growth charts. The parents should be asked about any illnesses, feeding or sleeping difficulties in the newborn period and problems with sucking or swallowing, as well as the baby's general disposition. Extremes in infant temperament are often the first clue to an atypical course in child development.

The systems review of the child should be complete, with special attention to growth problems, history of seizures, lethargy and episodic vomiting. A developmental screen should be used at all well-child visits to obtain information about the timing of the child's developmental milestones, any concerns by parents or caregivers and comparison of the child's developmental rate and pattern with those of siblings. Specific questions about the child's current developmental abilities should be asked at each visit.

The Revised Denver Prescreening Developmental Questionnaire10 is a useful screening tool that parents can readily complete to help determine the need for further evaluation with the time-honored Denver Developmental Screening Test.11,12 Another practical and reliable tool with which to monitor development in infants is the Kansas Infant Development Screen.13 The findings can be recorded and plotted just as with somatic growth charts and shared with parents. Other developmental screening tests are also available.

Delays in speech development are common and may become more obvious when contrasted with the speech development of a sibling. Inquiry should be made regarding concerns about hearing and vision. One cannot overemphasize the importance of addressing concerns voiced by a parent about a child's development, behavior and learning, because these expressed concerns accurately target the majority of children with developmental problems.

Information should be obtained about the family unit, parents' occupations and educational achievements, educational and developmental status of siblings, role of the patient in the family, discipline of the children and identity of the child's caregiver when the parents are not home. Family history of fetal loss, mental retardation, severe learning problems, congenital abnormalities and unexplained childhood deaths, as well as other serious illnesses in first- and second-degree family members, should be elicited.

A complete physical examination can begin with a review of growth curves since birth, if these are available. The head circumference should continue to be plotted. The examination should be thorough, with special attention to physical findings that are compatible with any risk factors obtained from the history.

The child should be examined closely for dysmorphic features or minor abnormalities, such as unusual eyebrow pattern, eyes that are widely or closely spaced, low-set ears or abnormal palmar crease patterns. Minor abnormalities are defined as defects that have unusual morphologic features without serious medical implications or untoward cosmetic appearance.8 Most minor abnormalities involve the face, ears, hands or feet, and are readily recognized even on cursory examination.14 The presence of three or more minor abnormalities in newborns is correlated with a 90 percent frequency of coexistent major abnormalities,15 suggesting close association with morphogenesis in utero. Thus, minor abnormalities may provide clues to developmental problems of possible prenatal origin.

Evaluation of the head, face, eyes, ears and mouth must include general assessment of visual acuity and hearing. Examination of the chest, heart, spine, abdomen, genitalia, extremities, muscles and neurologic reflexes can reveal abnormalities that may be associated with retardation. Table 2 highlights five common syndromes or problems associated with retardation.

View/Print Table

[m0nde]

TABLE 2.
Common Syndromes Associated with Mental Retardation
DIAGNOSIS INCIDENCE ETIOLOGY, INCLUDING INHERITANCE CLINICAL MANIFESTATIONS AND EARLY RECOGNITION ASSOCIATED CONDITIONS DIAGNOSTIC EVALUATION* PROGNOSIS SPECIAL CONSIDERATIONS
Down syndrome

1 in 600 to 800 births

Results from extra copy of chromosome 21, usually a sporadic event; 2% of cases may be inherited from a balanced translocation carrier parent

Hypotonia; flat facial profile; upslanting palpebral fissures; small ears; in-curving fifth fingers; single transverse palmar creases

Slow growth; congenital heart defect; thyroid dysfunction; developmental delay, especially speech

Chromosome analysis in all patients; chromosome analysis of parents if translocation is found; pediatric cardiology evaluation with echocardiogram by 6 weeks of age

Cognitive limitations, with most in mild to moderate MR range; decreased life expectancy can be associated with congenital heart defect, especially if not recognized in early infancy

Except in cases where parent has a translocation, risk for recurrence is 1%

Fetal alcohol syndrome

0.05 to 3 in 1,000 children diagnosed annually in United States

Alcohol consumption by mother during pregnancy

Diagnosis can be made at birth, based on history, baby's facial features (medial epicanthal folds, wide nasal bridge, small upturned nose, long philtrum, narrow or wide upper lip), low birth measurements

May include retardation, behavior problems, ADHD, seizures, autism

Good history and physical examination imperative; history of maternal drinking, pre- and postnatal growth retardation, dysmorphic facial features, CNS involvement; no laboratory tests available

Varies; growth may improve during adolescence and facial features may soften, but behaviors may cause serious problems

Many of these children are adopted; FAS and fetal alcohol effects (usually developmental and behavioral problems) are totally preventable

Fragile X syndrome

1 in 2,000 to 3,000 male live births; females may also be affected

Abnormality in FMR-1 gene located on X chromosome; inherited in X-linked manner so males are more severely affected

Macrocephaly; large ears; enlarged testicles after puberty; hyperextensible fingers

Autism/autistic- like behaviors; developmental delay, especially speech; clumsiness; mitral valve prolapse

DNA testing for fragile X mutation (chromosome testing for fragile X misses up to 7% of cases); mothers of affected boys are obligate carriers of the gene

Normal life expectancy; mild to profound MR

Females usually less severely affected than males; up to 50% of females with mutation have MR or educational difficulties; risk for recurrence is 50%

[ corrected] Velocardiofacial syndrome

1 in 700 live births

Deletion of chromosome 22; usually de novo but may be inherited in an autosomal dominant manner

Cleft palate; congenital heart defect; speech delay; elongated face with almond-shaped eyes; wide nose with hypoplastic alae nasi; small ears; slender, hyperextensible fingers

Learning disabilities ± mild MR; psychiatric disorder in 10%

High-resolution chromosome analysis with chromosome painting (FISH) to detect chromosome 22 deletion; parents should also be tested

Normal life expectancy unless severe heart defect (e.g., truncus arteriosus, interrupted aortic arch) is present

Risk for recurrence as high as 50%, depending on family history

Unknown cause of MR

30 to 50% of all cases of MR

Variable; diagnosis may evolve over time, so repeated evaluations may be helpful

Nonspecific cluster of minor malformations; delayed milestones, especially language development

Behavioral phenotype may also aid diagnosis as course evolves

Cytogenetic studies; brain imaging; metabolic studies

Will vary considerably based on etiology (if it can be established) and/or severity

Diagnostic techniques that may aid in diagnosis are constantly being refined

*— See Table 3 for summary of indications for diagnostic and screening tests.

MR = mental retardation; ADHD = attention-deficit/hyperactivity disorder; CNS = central nervous system; FAS = fetal alcohol syndrome; FISH = fluorescence in situ hybridization.

Information from references 4, 5, 7 and 18.

Evaluation and Referrals
Findings from the history and physical examination of the child will help determine which diagnostic tests and referrals are appropriate for further assessment. The physician needs to explain to the parents what these findings are and the reasons for further evaluation. The laboratory and radiographic assessment of individual children should be based on clinical presentation (Table 3).16

View/Print Table

TABLE 3.
Suggested Indications for Tests When Mental Retardation Is Unexplained
Magnetic resonance imaging of the brain

Cerebral palsy or motor asymmetry

Abnormal head size or shape

Craniofacial malformation

Loss or plateau of developmental skills

Multiple somatic anomalies

Neurocutaneous findings

Seizures

IQ < 50

Cytogenetic studies

Microcephaly

Multiple (even minor) somatic anomalies

Family history of mental retardation

Family history of fetal loss

IQ < 50

Skin pigment anomalies (mosaicism)

Suspected contiguous gene syndromes (e.g., Prader-Willi, Angelman, Smith-Magenis)

Metabolic studies

Episodic vomiting or lethargy

Poor growth

Seizures

Unusual body odors

Somatic evidence of storage disease

Loss or plateau of developmental skills

Movement disorder(choreoathetosis, dystonia, ataxia)

Sensory loss (especially retinal abnormality)

Acquired cutaneous disorders

IQ = intelligence quotient.

Adapted with permission from Palmer FB, Capute AJ. Mental retardation. Pediatr Rev 1994;15:476.

This initial sharing of information with parents is an extremely important step and will probably set the stage for the future physician-family-patient relationship. Ample time should be scheduled to discuss the findings and to allow for questions, which will be numerous. The family should be encouraged to write a list of questions for further communication with the physician. The clinician should clarify the term “developmental delay,” because parents frequently misinterpret this as meaning the child has the ability to catch up.

It is best to seek other opinions as soon as mental retardation is suspected rather than adopting a “wait-and-see” approach. The Individuals with Disabilities Education Act (1997)17 provides for developmental assessment of children older than three years in every school district. For children younger than three, similar infant-toddler assessment and early intervention resources are available, usually through local health departments, school districts or regional assessment centers. (The responsible agency varies in each state.)

Referral may be made to a tertiary-level child development unit that can provide interdisciplinary evaluations (developmental pediatrics, genetics, neurology, ophthalmology) as well as functional assessments (occupational and physical therapy, speech/language pathology, audiology, psychology). Families will usually welcome such a referral and comprehensive evaluation, especially if the mental retardation is unexplained. Evaluations by a nutritionist and a child psychiatrist may also be appropriate for some patients.

The family physician should expect complete information on the findings from this type of team evaluation. The family should expect to be referred back to their local community for ongoing primary care and, in some instances, subspecialty care. Information about early intervention resources in the local community should be shared with the family, and appropriate support services should be identified.

If the child with mental retardation has a head circumference that falls below the 5th percentile (microcephaly) or above the 95th percentile (macrocephaly), a magnetic resonance imaging scan of the brain should be considered. This is usually preferable to computed tomographic scanning because of the enhanced visualization of developmental abnormalities of the cerebral cortex, such as pachygyria, polymicrogyria and schizencephaly. These disorders reflect an abnormality during the first 25 weeks of gestation in the early migration of the neurons into the normally six-layered cortex.

A consultation with a medical geneticist/dysmorphologist is invaluable. This would include a review of a three-generation pedigree and records of pertinent relatives, evaluation for subtle dysmorphic features and assessment for a pattern to the patient's presenting characteristics.

Most mentally retarded patients who visit a genetics office undergo chromosome analysis. While this testing could be done by the referring physician, there are different levels of test quality, and it is usually best performed by a good cytogenetics laboratory associated with a university hospital or children's hospital. This allows for ease in interpretation of the results to the patient's family in the event an abnormality is found. DNA testing for fragile X syndrome should be done instead of cytogenetic testing, which can miss up to 7 percent of those who are affected.18 Metabolic testing in the absence of a history suggestive of metabolic disease is probably of little value.4

Diagnosis may require several periodic visits to a geneticist, because a phenotype may evolve slowly, and new syndromes are constantly being reported. The importance of making a diagnosis in a child with mental retardation cannot be overemphasized. An accurate diagnosis allows for anticipatory guidance for the patient, recurrence risk information and genetic counseling for the parents, and opportunities for the family to become involved in specific support groups. An uncertain diagnosis should be conveyed as such; no diagnosis is preferable to an incorrect one.

Within a given family, the risk of recurrence of mental retardation in future siblings or other relatives of the patient depends on the specific diagnosis. The recurrence risk for mental retardation cannot be given to the family until a diagnosis has been made, although a general discussion with a geneticist may be of benefit. The family physician is a valuable resource in periodically reviewing the recurrence risk for the family.

Practice guidelines for primary care of children with certain conditions (Down syndrome, fragile X syndrome) are also available,19–21 as are special somatic growth charts for some syndromes. There are also guidelines for the management of adults with mental retardation who have been deinstitutionalized.22 Table 4 lists Internet resources that may be valuable to the family physician.

View/Print Table

TABLE 4.
Internet and Computer Resources on Mental Retardation for Family Physicians
Syndrome Diagnosis, Pediatrics in Review, Multimedia Pages CD-ROM, Vol 18, No.11-CD, 11/97

[Dirty Harry]

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[m0nde]

DONNA K. DAILY, M.D., HOLLY H. ARDINGER, M.D., and GRACE E. HOLMES, M.D., University of Kansas Medical Center, Kansas City, Kansas

Am Fam Physician. 2000 Feb 15;61(4):1059-1067.

See related patient information handout on mental retardation, written by the authors of this article.

Mental retardation in young children is often missed by clinicians. The condition is present in 2 to 3 percent of the population, either as an isolated finding or as part of a syndrome or broader disorder. Causes of mental retardation are numerous and include genetic and environmental factors. In at least 30 to 50 percent of cases, physicians are unable to determine etiology despite thorough evaluation. Diagnosis is highly dependent on a comprehensive personal and family medical history, a complete physical examination and a careful developmental assessment of the child. These will guide appropriate evaluations and referrals to provide genetic counseling, resources for the family and early intervention programs for the child. The family physician is encouraged to continue regular follow-up visits with the child to facilitate a smooth transition to adolescence and young adulthood.

The diagnosis of mental retardation in young children is frequently missed. The three most common errors made by clinicians who overlook the possibility of mental retardation are (1) concluding that a child does not “look” retarded, (2) assuming that a child who is ambulatory is unlikely to be retarded and, (3) if retardation is actually considered, concluding that it is not possible to test young children.1

Prevalence
Mental retardation is present in about 2 to 3 percent of the population. It can be defined as cognitive ability that is markedly below average level and a decreased ability to adapt to one's environment. The onset of the condition occurs during the developmental period, i.e., gestation through age 18 years.

Mental retardation comprises five general categories: borderline, mild, moderate, severe and profound. Categories are based on scores obtained through use of age-standardized tests of cognitive ability (Table 1).2 Mental retardation may occur as part of a syndrome or broader disorder but is most commonly an isolated finding.

View/Print Table

TABLE 1.
Developmental Characteristics Related to Level of Mental Retardation (DSM-IV Criteria)
MILD RETARDATION MODERATE RETARDATION SEVERE RETARDATION PROFOUND RETARDATION
75% to 90% of all cases of retardation

~10% to 25% of all cases of retardation

~10% to 25% of all cases of retardation

~10% to 25% of all cases of retardation

Function at one half to two thirds of CA (IQ: 50 to 70)

Function at one third to one half of CA (IQ: 35 to 49)

Function at one fifth to one third of CA (IQ: 20 to 34)

Function at < one fifth of CA (IQ: < 20)

Slow in all areas

Noticeable delays, especially in speech

Marked and obvious delays; may walk late

Marked delays in all areas

May have no unusual physical signs

May have some unusual physical signs

Little or no communication skills but may have some understanding of speech and show some response

Congenital abnormalities often present

Can acquire practical skills

Can learn simple communication

May be taught daily routines and repetitive activities

Need close supervision

Useful reading and math skills up to grades 3 to 6 level

Can learn elementary health and safety habits

May be trained in simple self-care

Often need attendant care

Can conform socially

Can participate in simple activities and self-care

Need direction and supervision

May respond to regular physical activity and social stimulation

Can acquire vocational skills for self-maintenance

Can perform tasks in sheltered conditions

—

Not capable of self-care

Integrated into general society

Can travel alone to familiar places

—

—

note: Additional problems with vision, hearing or speech, congenital abnormalities, seizures, emotional problems or cerebral palsy may be present.

DSM IV = Diagnostic and Statistical Manual of Mental Disorders, 4th ed.; CA = chronological age; IQ = intelligence quotient.

Adapted with permission from Pelegano JP, Healy A. Mental retardation. Part II. Seeing the child within. Fam Pract Recertification 1992;14:63.

The inclusion of concurrent related limitations in two or more adaptive skill areas was added to the definition of mental retardation in 1992 by the American Association on Mental Retardation.3 Because standardized testing in very young children is less predictive of future cognitive outcome, the term “developmental delay” has been used to characterize the developmental status of children under age three.

Etiology
A number of environmental, genetic or multiple factors can cause mental retardation. Unfortunately, in approximately 30 to 50 percent of cases, the etiology is not identified even after thorough diagnostic evaluation.4,5 Some persons have a congenital malformation of the brain; others had damage to the brain at a critical period in pre- or postnatal development. Acquired causes of retardation include near-drowning, traumatic brain injury and central nervous system malignancy.

Prenatal causes of mental retardation include congenital infections such as cytomegalovirus, toxoplasmosis, herpes, syphilis, rubella and human immunodeficiency virus; prolonged maternal fever in the first trimester; exposure to anticonvulsants or alcohol; and untreated maternal phenylketonuria (PKU). Complications of prematurity, especially in extremely low-birth-weight infants, or postnatal exposure to lead can also cause mental retardation.6

Metabolic disorders are another possible cause of mental retardation. In some cases (e.g., PKU, hypothyroidism), retardation is preventable with early treatment. Other disorders (e.g., mucopolysaccharidosis, sphingolipidoses) are less responsive to early intervention. Molecular medicine has made it possible to diagnose a number of conditions referred to as mitochondrial cell diseases.7

A number of single-gene disorders result in mental retardation. Many of these are associated with atypical or dysmorphic physical characteristics. Such conditions include fragile X syndrome, neurofibromatosis, tuberous sclerosis, Noonan's syndrome and Cornelia de Lange's syndrome. A complete list of syndromes associated with mental retardation is beyond the scope of this article, and the reader is referred to the reference list.8,9

As many as one fourth of persons with mental retardation have a detectable chromosome abnormality. Children with Down syndrome (trisomy 21) usually have highly recognizable physical characteristics, but features associated with other chromosomal abnormalities, such as Klinefelter's syndrome (47,XXY), may not be as obvious to family members or the physician. Other children may have a small deletion or duplication of a particular chromosome that is rarely reported; thus, the phenotype is still undetermined. Some chromosomal abnormalities are inherited from a parent but most occur de novo. Many previously described clinical syndromes have been found to have an associated chromosomal abnormality (e.g., DiGeorge, Prader-Willi, Angelman and Williams syndromes).

The following case report highlights the importance of early diagnosis, in planning therapy for the child and in providing family planning information to the parents.

Illustrative Case
A 16-month-old boy was referred for developmental assessment because he was not yet talking.

He was born to a 30-year-old woman, gravida 2, para 2, living children 2. He was delivered at term by cesarean section with no prenatal, labor or postnatal complications. He was slightly blue at birth and required oxygen. Mother and infant went home in two days, and no other newborn problems were noted. Birth weight was 3.2 kg (7 lb, 1 oz). The infant was breast-fed for about 12 months. Solid foods were added at 10 months, but some difficulty was noted with chewing. The boy rolled over at three to four months, sat without support at seven months and crawled at seven to eight months. He began to walk at 16 months but still did not talk. The mother first became concerned about lack of speech when the child was 13 months old. The remainder of the medical history, the review of systems and the family history were noncontributory.

At 16 months, the child's height and weight were less than the 5th percentile; head circumference was at the 25th percentile. The child was pleasant, alert, active and cooperative. No vocalization of any kind was noted during the examination. Physical findings included a slightly prominent forehead with a depressed wide nasal bridge and a flat nose. The midface appeared depressed; the child's face closely resembled his mother's. The only other abnormal finding was a small left testis. The boy could stand for a few seconds without support and was able to take a few steps. His muscle tone was mildly low but within the reference range.

The physician's impressions included the following: midface hypoplasia, small stature, rule out hearing loss, speech and language delays and global developmental delay, hypoplastic left testicle, incoordinated swallowing, rule out genetic syndrome related to hypoplastic facial features, developmental delay, small stature and familial resemblance.

In the pediatric genetics dysmorphology clinic, the above dysmorphic features were confirmed. He also had distinctive blepharophimosis, ptosis, epicanthal folds, altered palmar creases and hyperextensibility of the fingers and knees. Ohdo blepharophimosis syndrome was diagnosed, based on a London Dysmorphology Database search. Chromosomal status was 46,XY.

At 17 months' chronologic age, his developmental quotient was 61, with most delay occurring in speech, which was at the five-month level. Motor skills were at the 11- to 12-month level. He was evaluated by subspecialists who addressed his various problems. Initial hearing assessment revealed moderate hearing loss. The child was referred to an early intervention program.

Subsequent follow-up at 52 months of age revealed that the boy still had difficulty with feedings and was not yet toilet trained. His cognitive skills were at approximately a 27-month level, and genetic follow-up confirmed Ohdo blepharophimosis syndrome. The mother had subsequently given birth to a second child with the same syndrome.

Diagnosis
The physician must have a high index of suspicion to consider the diagnosis of mental retardation in any child. Some helpful clues include delayed speech, dysmorphic features (minor anomalies), hypotonia generally or of the extremities, general inability to do things for self and, not least, expressed concern by the parents.

The first and most important step in the diagnosis of mental retardation is to obtain a comprehensive patient and family history. Previous gynecologic and obstetric history may reveal infertility or fetal loss. Assessment of maternal health status during pregnancy with the involved child should include questions regarding use of tobacco, alcohol and drugs (prescribed and illicit); lifestyle or other risks for sexually transmitted diseases; weight gain or loss; signs of infection; serious illness or injury; and surgery or hospitalization.

To establish a knowledgeable baseline history of the child, the physician should obtain information regarding length of pregnancy, premature onset of labor or rupture of the membranes, duration and course of labor, type of delivery and any complications. Apgar scores at one and (especially) five minutes should be reviewed, and birth weight, length and head circumference measurements obtained and plotted on appropriate growth charts. The parents should be asked about any illnesses, feeding or sleeping difficulties in the newborn period and problems with sucking or swallowing, as well as the baby's general disposition. Extremes in infant temperament are often the first clue to an atypical course in child development.

The systems review of the child should be complete, with special attention to growth problems, history of seizures, lethargy and episodic vomiting. A developmental screen should be used at all well-child visits to obtain information about the timing of the child's developmental milestones, any concerns by parents or caregivers and comparison of the child's developmental rate and pattern with those of siblings. Specific questions about the child's current developmental abilities should be asked at each visit.

The Revised Denver Prescreening Developmental Questionnaire10 is a useful screening tool that parents can readily complete to help determine the need for further evaluation with the time-honored Denver Developmental Screening Test.11,12 Another practical and reliable tool with which to monitor development in infants is the Kansas Infant Development Screen.13 The findings can be recorded and plotted just as with somatic growth charts and shared with parents. Other developmental screening tests are also available.

Delays in speech development are common and may become more obvious when contrasted with the speech development of a sibling. Inquiry should be made regarding concerns about hearing and vision. One cannot overemphasize the importance of addressing concerns voiced by a parent about a child's development, behavior and learning, because these expressed concerns accurately target the majority of children with developmental problems.

Information should be obtained about the family unit, parents' occupations and educational achievements, educational and developmental status of siblings, role of the patient in the family, discipline of the children and identity of the child's caregiver when the parents are not home. Family history of fetal loss, mental retardation, severe learning problems, congenital abnormalities and unexplained childhood deaths, as well as other serious illnesses in first- and second-degree family members, should be elicited.

A complete physical examination can begin with a review of growth curves since birth, if these are available. The head circumference should continue to be plotted. The examination should be thorough, with special attention to physical findings that are compatible with any risk factors obtained from the history.

The child should be examined closely for dysmorphic features or minor abnormalities, such as unusual eyebrow pattern, eyes that are widely or closely spaced, low-set ears or abnormal palmar crease patterns. Minor abnormalities are defined as defects that have unusual morphologic features without serious medical implications or untoward cosmetic appearance.8 Most minor abnormalities involve the face, ears, hands or feet, and are readily recognized even on cursory examination.14 The presence of three or more minor abnormalities in newborns is correlated with a 90 percent frequency of coexistent major abnormalities,15 suggesting close association with morphogenesis in utero. Thus, minor abnormalities may provide clues to developmental problems of possible prenatal origin.

Evaluation of the head, face, eyes, ears and mouth must include general assessment of visual acuity and hearing. Examination of the chest, heart, spine, abdomen, genitalia, extremities, muscles and neurologic reflexes can reveal abnormalities that may be associated with retardation. Table 2 highlights five common syndromes or problems associated with retardation.

View/Print Table

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TABLE 2.
Common Syndromes Associated with Mental Retardation
DIAGNOSIS INCIDENCE ETIOLOGY, INCLUDING INHERITANCE CLINICAL MANIFESTATIONS AND EARLY RECOGNITION ASSOCIATED CONDITIONS DIAGNOSTIC EVALUATION* PROGNOSIS SPECIAL CONSIDERATIONS
Down syndrome

1 in 600 to 800 births

Results from extra copy of chromosome 21, usually a sporadic event; 2% of cases may be inherited from a balanced translocation carrier parent

Hypotonia; flat facial profile; upslanting palpebral fissures; small ears; in-curving fifth fingers; single transverse palmar creases

Slow growth; congenital heart defect; thyroid dysfunction; developmental delay, especially speech

Chromosome analysis in all patients; chromosome analysis of parents if translocation is found; pediatric cardiology evaluation with echocardiogram by 6 weeks of age

Cognitive limitations, with most in mild to moderate MR range; decreased life expectancy can be associated with congenital heart defect, especially if not recognized in early infancy

Except in cases where parent has a translocation, risk for recurrence is 1%

Fetal alcohol syndrome

0.05 to 3 in 1,000 children diagnosed annually in United States

Alcohol consumption by mother during pregnancy

Diagnosis can be made at birth, based on history, baby's facial features (medial epicanthal folds, wide nasal bridge, small upturned nose, long philtrum, narrow or wide upper lip), low birth measurements

May include retardation, behavior problems, ADHD, seizures, autism

Good history and physical examination imperative; history of maternal drinking, pre- and postnatal growth retardation, dysmorphic facial features, CNS involvement; no laboratory tests available

Varies; growth may improve during adolescence and facial features may soften, but behaviors may cause serious problems

Many of these children are adopted; FAS and fetal alcohol effects (usually developmental and behavioral problems) are totally preventable

Fragile X syndrome

1 in 2,000 to 3,000 male live births; females may also be affected

Abnormality in FMR-1 gene located on X chromosome; inherited in X-linked manner so males are more severely affected

Macrocephaly; large ears; enlarged testicles after puberty; hyperextensible fingers

Autism/autistic- like behaviors; developmental delay, especially speech; clumsiness; mitral valve prolapse

DNA testing for fragile X mutation (chromosome testing for fragile X misses up to 7% of cases); mothers of affected boys are obligate carriers of the gene

Normal life expectancy; mild to profound MR

Females usually less severely affected than males; up to 50% of females with mutation have MR or educational difficulties; risk for recurrence is 50%

[ corrected] Velocardiofacial syndrome

1 in 700 live births

Deletion of chromosome 22; usually de novo but may be inherited in an autosomal dominant manner

Cleft palate; congenital heart defect; speech delay; elongated face with almond-shaped eyes; wide nose with hypoplastic alae nasi; small ears; slender, hyperextensible fingers

Learning disabilities ± mild MR; psychiatric disorder in 10%

High-resolution chromosome analysis with chromosome painting (FISH) to detect chromosome 22 deletion; parents should also be tested

Normal life expectancy unless severe heart defect (e.g., truncus arteriosus, interrupted aortic arch) is present

Risk for recurrence as high as 50%, depending on family history

Unknown cause of MR

30 to 50% of all cases of MR

Variable; diagnosis may evolve over time, so repeated evaluations may be helpful

Nonspecific cluster of minor malformations; delayed milestones, especially language development

Behavioral phenotype may also aid diagnosis as course evolves

Cytogenetic studies; brain imaging; metabolic studies

Will vary considerably based on etiology (if it can be established) and/or severity

Diagnostic techniques that may aid in diagnosis are constantly being refined

*— See Table 3 for summary of indications for diagnostic and screening tests.

MR = mental retardation; ADHD = attention-deficit/hyperactivity disorder; CNS = central nervous system; FAS = fetal alcohol syndrome; FISH = fluorescence in situ hybridization.

Information from references 4, 5, 7 and 18.

Evaluation and Referrals
Findings from the history and physical examination of the child will help determine which diagnostic tests and referrals are appropriate for further assessment. The physician needs to explain to the parents what these findings are and the reasons for further evaluation. The laboratory and radiographic assessment of individual children should be based on clinical presentation (Table 3).16

View/Print Table

TABLE 3.
Suggested Indications for Tests When Mental Retardation Is Unexplained
Magnetic resonance imaging of the brain

Cerebral palsy or motor asymmetry

Abnormal head size or shape

Craniofacial malformation

Loss or plateau of developmental skills

Multiple somatic anomalies

Neurocutaneous findings

Seizures

IQ < 50

Cytogenetic studies

Microcephaly

Multiple (even minor) somatic anomalies

Family history of mental retardation

Family history of fetal loss

IQ < 50

Skin pigment anomalies (mosaicism)

Suspected contiguous gene syndromes (e.g., Prader-Willi, Angelman, Smith-Magenis)

Metabolic studies

Episodic vomiting or lethargy

Poor growth

Seizures

Unusual body odors

Somatic evidence of storage disease

Loss or plateau of developmental skills

Movement disorder(choreoathetosis, dystonia, ataxia)

Sensory loss (especially retinal abnormality)

Acquired cutaneous disorders

IQ = intelligence quotient.

Adapted with permission from Palmer FB, Capute AJ. Mental retardation. Pediatr Rev 1994;15:476.

This initial sharing of information with parents is an extremely important step and will probably set the stage for the future physician-family-patient relationship. Ample time should be scheduled to discuss the findings and to allow for questions, which will be numerous. The family should be encouraged to write a list of questions for further communication with the physician. The clinician should clarify the term “developmental delay,” because parents frequently misinterpret this as meaning the child has the ability to catch up.

It is best to seek other opinions as soon as mental retardation is suspected rather than adopting a “wait-and-see” approach. The Individuals with Disabilities Education Act (1997)17 provides for developmental assessment of children older than three years in every school district. For children younger than three, similar infant-toddler assessment and early intervention resources are available, usually through local health departments, school districts or regional assessment centers. (The responsible agency varies in each state.)

Referral may be made to a tertiary-level child development unit that can provide interdisciplinary evaluations (developmental pediatrics, genetics, neurology, ophthalmology) as well as functional assessments (occupational and physical therapy, speech/language pathology, audiology, psychology). Families will usually welcome such a referral and comprehensive evaluation, especially if the mental retardation is unexplained. Evaluations by a nutritionist and a child psychiatrist may also be appropriate for some patients.

The family physician should expect complete information on the findings from this type of team evaluation. The family should expect to be referred back to their local community for ongoing primary care and, in some instances, subspecialty care. Information about early intervention resources in the local community should be shared with the family, and appropriate support services should be identified.

If the child with mental retardation has a head circumference that falls below the 5th percentile (microcephaly) or above the 95th percentile (macrocephaly), a magnetic resonance imaging scan of the brain should be considered. This is usually preferable to computed tomographic scanning because of the enhanced visualization of developmental abnormalities of the cerebral cortex, such as pachygyria, polymicrogyria and schizencephaly. These disorders reflect an abnormality during the first 25 weeks of gestation in the early migration of the neurons into the normally six-layered cortex.

A consultation with a medical geneticist/dysmorphologist is invaluable. This would include a review of a three-generation pedigree and records of pertinent relatives, evaluation for subtle dysmorphic features and assessment for a pattern to the patient's presenting characteristics.

Most mentally retarded patients who visit a genetics office undergo chromosome analysis. While this testing could be done by the referring physician, there are different levels of test quality, and it is usually best performed by a good cytogenetics laboratory associated with a university hospital or children's hospital. This allows for ease in interpretation of the results to the patient's family in the event an abnormality is found. DNA testing for fragile X syndrome should be done instead of cytogenetic testing, which can miss up to 7 percent of those who are affected.18 Metabolic testing in the absence of a history suggestive of metabolic disease is probably of little value.4

Diagnosis may require several periodic visits to a geneticist, because a phenotype may evolve slowly, and new syndromes are constantly being reported. The importance of making a diagnosis in a child with mental retardation cannot be overemphasized. An accurate diagnosis allows for anticipatory guidance for the patient, recurrence risk information and genetic counseling for the parents, and opportunities for the family to become involved in specific support groups. An uncertain diagnosis should be conveyed as such; no diagnosis is preferable to an incorrect one.

Within a given family, the risk of recurrence of mental retardation in future siblings or other relatives of the patient depends on the specific diagnosis. The recurrence risk for mental retardation cannot be given to the family until a diagnosis has been made, although a general discussion with a geneticist may be of benefit. The family physician is a valuable resource in periodically reviewing the recurrence risk for the family.

Practice guidelines for primary care of children with certain conditions (Down syndrome, fragile X syndrome) are also available,19–21 as are special somatic growth charts for some syndromes. There are also guidelines for the management of adults with mental retardation who have been deinstitutionalized.22 Table 4 lists Internet resources that may be valuable to the family physician.

View/Print Table

TABLE 4.
Internet and Computer Resources on Mental Retardation for Family Physicians
Syndrome Diagnosis, Pediatrics in Review, Multimedia Pages CD-ROM, Vol 18, No.11-CD, 11/97

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Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation1

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Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation2

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation3

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation4

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation5

[Dirty Harry]

Very Juvenile monde.

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation1

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation2

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation3

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation4

[m0nde]

Skip to Main content

Mental Retardation
Mental retardation is defined by the American Association on Intellectual and Developmental Disabilities as “a disability characterized by significant limitations both in intellectual functioning and in adaptive behavior as expressed in conceptual, social, and practical adaptive skills” that originates before age 18 years.

From: Adolescent Medicine, 2008

Related terms:
FMR1Down SyndromeNested GenePrevalencePhenotypeMutationAutosomal Recessive Inheritance
View all Topics
Learn more about Mental Retardation
Mental Retardation
Susan L. Hyman MD, in Pediatric Clinical Advisor (Second Edition), 2007

Basic Information
Definition
Mental retardation is cognitive limitation as characterized by scores greater than 2 standard deviations below the mean on a valid intelligence quotient (IQ) measure, with limitation of adaptive function in communication, self‐care, daily living skills at home or in the community, or social skills.

Synonyms

Cognitive limitation

Developmental delay (global)

Learning disability (in Europe, not in United States)

Slow learner

ICD‐9‐CM Codes

317 Mild mental retardation

318.0 Moderate mental retardation

318.1 Severe mental retardation

318 Profound mental retardation

319 Mental retardation, unspecified

783.4 Global delays

Epidemiology & Demographics

•
The incidence is 1% of the population, with a male preponderance.

•
Most affected individuals have mild mental retardation (IQ of 50 to 70).

○
Moderate mental retardation is defined by a tested IQ of between 35 to 40 and 50 to 55.

○
Severe mental retardation is defined by a tested IQ of between 20 to 25 and 35 to 40.

○
Profound mental retardation is defined by a tested IQ of less than 20 to 25.

•
Approximately 70% of cases of severe to profound mental retardation have a known cause.

•
About 24% of cases with an IQ in the 50 to 70 range have a specific medical cause identified.

Clinical Presentation

•
Relative preservation of motor skills may delay diagnosis.

•
Initial manifestation in early childhood may be language delay.

•
Medical and family histories help guide the workup (see “Etiology”).

•
Careful physical examination with attention to the following:

○
Skin examination to rule out neurocutaneous syndromes

○
Hearing and vision assessment

○
Motor examination

○
Head circumference: evaluation for large or small heads

○
Syndrome stigmata: examination should include dysmorphic features to allow diagnosis of specific syndromes associated with mental retardation

Etiology

•
A cause has been identified for 70% of individuals with severe or profound mental retardation and for 24% with mild mental retardation.

•
Embryologic causes

•
Microcephaly

○
Early decreased cell proliferation (e.g., genetic, embryologic origin)

○
Prenatal events with disruption of architecture (e.g., viral infections, vascular insults, migrational errors)

○
Early perinatal events (e.g., hypoxic encephalopathy, intracranial bleeding)

•
Macrocephaly

○
Hydrocephalus

○
Sotos' syndrome

○
Fragile X syndrome

○
Autism

○
Chronic subdural bleeding

•
Genetic causes

○
Fragile X syndrome, also called X‐linked mental retardation, causes developmental delays in male maternal relatives and is the most common inherited form of mental retardation.

○
Trisomy 21, also known as Down syndrome, is the most common genetic cause of mental retardation5

[Dirty Harry]

https://i.postimg.cc/15z8397T/Found-on-the-net-1468.jpg

[m0nde]

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1

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[m0nde]

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5

[Dirty Harry]

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[maks]

why do you keep sending me racist pms, I;m white

[Dirty Harry]

why do you keep sending me racist pms, I;m white

I did not send you or anyone here pm's ! So just stop lying !

[maks]

you called me a poprch monkey and implied that my father had run out on us

[Dirty Harry]

you called me a poprch monkey and implied that my father had run out on us

I did not !

[m0nde]

blank posting these shit tier spam threads are so very satisfying

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cras egestas urna metus, vel faucibus augue tempus sed. Suspendisse potenti. Duis faucibus rutrum dui sit amet gravida. Quisque a finibus lacus. Praesent in libero nec dui sollicitudin iaculis sit amet vel massa. Vestibulum vulputate neque eget facilisis molestie. Nunc quam sapien, aliquam a bibendum vel, fermentum sed ligula. Duis condimentum congue urna, iaculis euismod neque hendrerit et. Suspendisse lacinia ligula nec risus suscipit, sit amet elementum turpis tempor. Fusce sed erat sem. Quisque sed sem quis mi lacinia rhoncus et at nisi. Vivamus sapien nisl, eleifend quis ligula id, ultrices sagittis mi. Aenean vitae viverra mauris, sit amet luctus leo. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec suscipit metus sit amet lacus sodales hendrerit.

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Praesent quis ante sed leo iaculis congue id vulputate mi. Aliquam dignissim ipsum ex, et vulputate justo tincidunt rutrum. Integer congue neque et vestibulum ultrices. Praesent hendrerit tempus molestie. Donec porttitor nibh in mi venenatis tincidunt. Cras eu lorem id sem vulputate ornare. Aenean tincidunt eget lacus quis ornare. Vivamus pulvinar sit amet orci sed vehicula. Donec porttitor odio eu magna tempus, nec pretium ligula euismod.

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Curabitur dictum sodales magna, et efficitur lectus rutrum vehicula. Nulla lacus ipsum, suscipit vel consectetur non, laoreet a libero. Sed semper ullamcorper tortor, quis porttitor mauris molestie quis. Praesent sit amet massa orci. Quisque mollis libero magna, vitae varius metus cursus vel. Nunc maximus turpis nec ullamcorper tempus. Donec pharetra elit justo, non bibendum felis aliquam quis. Sed in leo lacus. Sed maximus vel lacus vel scelerisque. Duis blandit vel nulla et hendrerit.

Nam scelerisque condimentum erat vitae laoreet. Donec id ligula hendrerit nisi dignissim pharetra eu ut felis. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Proin vehicula dignissim fermentum. Vestibulum vel nunc tincidunt, volutpat arcu eleifend, lacinia leo. Donec quis lectus ex. Curabitur elementum ultricies nibh ut vehicula. Suspendisse placerat hendrerit nulla, a lobortis est sagittis nec. Ut cursus nunc purus, eu euismod erat imperdiet vel.

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Nam ullamcorper nibh lacus, at fermentum dui consectetur et. Pellentesque sed lacus dui. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Ut dignissim tortor in ante euismod, at volutpat eros porta. Suspendisse aliquam nisl quis maximus dignissim. Proin porttitor augue sit amet aliquet rhoncus. Maecenas sed feugiat dui. Morbi pharetra quam id nisi volutpat cursus.

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Nullam at turpis vitae urna tincidunt lobortis et sed nisl. Suspendisse tincidunt quam vel mi suscipit, in placerat arcu porttitor. Mauris metus lacus, rutrum nec consectetur a, aliquam a enim. Sed in gravida turpis. Nullam ex nulla, interdum eget mattis vitae, pretium ac orci. Pellentesque luctus arcu nec est rhoncus, eu aliquet metus gravida. Donec ornare dolor lacus, quis dignissim est cursus sit amet.

Pellentesque elementum facilisis mi et fermentum. Praesent fringilla diam non purus faucibus porta non nec libero. Aliquam erat volutpat. Pellentesque porta elit eget nisi scelerisque sagittis. Phasellus sollicitudin, massa id mollis luctus, neque erat ornare lectus, ac elementum dui nisi eu metus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nam vulputate interdum ipsum vel egestas. Nulla posuere nisl ut urna sagittis, quis mollis est elementum. Fusce faucibus hendrerit eros a tincidunt. Etiam quis ultrices quam, eu posuere enim. Vestibulum vitae aliquam nunc. Sed libero tellus, eleifend et pretium non, tempus ut neque. Ut varius, mi eget faucibus pellentesque, lacus odio elementum magna, nec pharetra magna lacus non massa. Vivamus eu sagittis dolor.

Integer aliquam tincidunt odio ac fermentum. Praesent bibendum, justo non interdum aliquam, nunc leo semper velit, ac mollis nisi dui a risus. Nunc cursus purus ut leo tincidunt, sagittis tincidunt quam posuere. Nunc sit amet ipsum tortor. Mauris cursus tellus a quam vulputate feugiat. In laoreet auctor justo, eget fermentum enim pretium non. Duis rutrum sapien at fringilla congue.

Integer et condimentum ex. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Maecenas mattis dapibus nulla, sed lobortis eros tempus id. Nunc scelerisque posuere nulla id finibus. Nam diam orci, sagittis non tincidunt quis, sollicitudin non dui. Integer non massa sed purus venenatis finibus a eu enim. Nulla rhoncus lacus elit. Integer eleifend enim sit amet nisl consectetur feugiat. Nulla laoreet nibh quis neque sodales, ac sollicitudin purus luctus. Suspendisse ligula eros, placerat vel nibh nec, lobortis venenatis velit. Nunc placerat orci eros, vel dictum sem pharetra vitae. Pellentesque sed hendrerit mauris. Donec sit amet orci enim. Mauris imperdiet interdum nisi ut bibendum.

Vivamus finibus sapien sed lacus imperdiet finibus. Vestibulum suscipit porta sem, vel malesuada mi. Fusce accumsan lorem et odio iaculis condimentum. Suspendisse in consectetur turpis. Sed in massa id metus lobortis viverra. Duis pretium ipsum risus. Ut fermentum faucibus ipsum. Ut placerat libero sit amet tortor volutpat, aliquam commodo lorem egestas. Aenean quis sapien vel turpis laoreet congue.

Ut rutrum augue at lacinia posuere. Etiam pellentesque nisl id elit tempor mollis. Morbi iaculis ante ante. Suspendisse et nunc sed eros tristique tincidunt. Pellentesque aliquet nulla sit amet nisl egestas semper. Quisque nec venenatis velit, nec viverra elit. Donec orci massa, vulputate ac ex in, porttitor vestibulum tellus. Pellentesque dolor odio, consequat volutpat enim et, vulputate molestie metus. Ut eget convallis risus. Quisque dui risus, fringilla ac sapien a, cursus euismod nisl.

Aliquam tempor ipsum vel mauris posuere, a iaculis augue euismod. Etiam cursus elementum gravida. Quisque ac euismod nunc, nec tempus est. Proin gravida enim eu purus blandit iaculis. Praesent non diam ut dolor convallis faucibus. Etiam euismod leo felis, sit amet cursus metus porttitor cursus. Aenean sit amet massa ipsum. Duis sagittis tincidunt rutrum. Nam vel feugiat nibh. Proin tincidunt viverra mi, pellentesque vestibulum massa laoreet in. Vivamus eget risus mattis, lacinia odio ac, elementum dui. Ut sit amet nisi non odio dapibus euismod. In finibus, mi ac hendrerit congue, urna eros feugiat dolor, tincidunt rhoncus sapien lorem at mi. Fusce scelerisque eros lobortis metus condimentum egestas. Quisque dapibus velit libero, in molestie libero fermentum eget.

Aenean mi quam, blandit vel libero at, maximus mollis sem. Praesent scelerisque purus sodales mauris lacinia congue. Cras enim enim, ullamcorper non scelerisque ut, porta at augue. Nam a nisl at leo vestibulum iaculis. Donec sit amet finibus tellus, at fermentum enim. Mauris tellus lectus, vulputate eget auctor id, lobortis a justo. Curabitur tristique, ante et pellentesque suscipit, ex quam rhoncus magna, a vulputate nisl ipsum sit amet diam. Aliquam elementum porta ultrices. Proin consequat sit amet dui in blandit. Ut efficitur, ex at tempus venenatis, erat sapien tempus diam, a malesuada ante massa eget lorem.

Duis gravida ipsum eget libero tristique, tincidunt egestas risus gravida. Phasellus tincidunt arcu felis, in ultricies risus consectetur sed. Etiam commodo, ipsum in consectetur finibus, odio urna blandit magna, a consectetur mi magna vel ligula. Vestibulum semper, orci ut vulputate dictum, sapien felis molestie nunc, quis viverra neque elit nec elit. Donec quis ex malesuada, placerat massa vitae, scelerisque ipsum. In sit amet libero eros. Donec tempus, ex eget fringilla efficitur, odio justo placerat sem, sit amet condimentum neque odio a tortor. Curabitur ornare fermentum velit, a bibendum lacus feugiat eget. Cras posuere urna vitae mauris iaculis, vitae tincidunt arcu semper. Sed dapibus elit ut nunc iaculis, sit amet dapibus orci imperdiet. Vestibulum malesuada elit nibh, vel ornare nisi laoreet sit amet. Ut laoreet tortor quis scelerisque consequat. Fusce leo diam, imperdiet non nulla nec, auctor ornare tellus. Morbi a blandit nisi, aliquet rhoncus velit. In imperdiet augue eu blandit lacinia. Donec in purus quis justo egestas aliquet eget nec nulla.

Integer tincidunt massa id sem fermentum iaculis. In convallis maximus nulla, ut dictum urna hendrerit sit amet. Aliquam ullamcorper imperdiet sapien eget placerat. Maecenas sed dapibus tortor. Vivamus eget sapien et augue accumsan luctus. Quisque et placerat turpis. Nullam et nunc in urna fermentum ullamcorper sed tempus sapien. Phasellus dignissim quam eu orci bibendum blandit eu eu nisi. Etiam ac est arcu.

Donec ut purus eget justo dapibus imperdiet sed vel nibh. Suspendisse a fermentum leo, vitae porttitor leo. Pellentesque bibendum iaculis gravida. Aenean interdum nisi purus, sit amet rhoncus elit luctus ac. Proin vel magna at libero sollicitudin tempus. Vivamus accumsan ac tellus sed dignissim. Praesent laoreet sed erat eu lacinia. Proin consectetur ultrices mi non finibus. Mauris ultricies justo a massa finibus dictum. Suspendisse ultricies urna et pulvinar faucibus. Ut eget massa risus. Etiam aliquet varius turpis, et ullamcorper erat condimentum eu. Nulla eu dui non elit facilisis vulputate ac ultricies magna. Mauris commodo a felis condimentum accumsan. Sed justo metus, imperdiet a facilisis eget, porttitor quis eros.

Mauris venenatis maximus neque, in iaculis tortor dictum ut. Proin ut orci sit amet elit egestas aliquet. Curabitur aliquet, lectus nec placerat feugiat, erat massa varius ligula, eu aliquet metus augue mollis nibh. Maecenas elementum ut arcu ut porttitor. Integer vestibulum est justo, eu viverra mi scelerisque vel. Suspendisse tellus neque, ullamcorper at massa ac, ornare maximus justo. Aenean dignissim lacus libero, non cursus lorem tristique sed. Donec ultricies egestas neque eget scelerisque. Ut porta sit amet odio vel hendrerit. Morbi vitae tellus rutrum, viverra nisl in, malesuada ipsum. Maecenas volutpat quam nisi, sit amet tempus nunc commodo vel.

Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Nulla faucibus cursus tortor, non molestie justo blandit quis. Aenean malesuada lectus nisi, sed iaculis est bibendum vitae. Mauris ut nulla volutpat, semper elit vitae, auctor orci. Integer porttitor efficitur nibh vitae ultrices. In egestas sodales nulla, ut commodo augue. Phasellus tristique porta purus a mollis. Quisque aliquet, velit eu sollicitudin scelerisque, massa quam finibus elit, nec elementum lorem dui ac diam.

Suspendisse auctor mollis magna, ut semper nibh consequat id. Aenean porttitor risus at pharetra commodo. Etiam ac pulvinar dolor. Donec nisl mi, luctus ac commodo ac, euismod non ipsum. Quisque placerat dolor in sapien eleifend eleifend. Maecenas et turpis vitae erat suscipit bibendum. Nunc euismod a lacus et convallis. Vestibulum sed maximus ligula. Praesent id ex pulvinar, euismod neque at, accumsan enim. Nulla mattis diam sit amet felis viverra, id commodo orci sodales. Etiam ultricies gravida mauris, eu finibus magna euismod nec. Donec tempor erat magna, in consectetur nisl sagittis et. Vestibulum sed arcu nibh. Nam tempor arcu at tincidunt dignissim. Curabitur porta est nec ex vulputate, sit amet lobortis justo fermentum.

Vivamus quis rutrum dolor. Suspendisse sollicitudin nisi ut leo suscipit elementum. In fermentum lobortis mauris ac dapibus. Donec maximus laoreet ante. Phasellus quam risus, varius rutrum lacus sit amet, ullamcorper tempor ante. Fusce at nunc condimentum, tincidunt tellus a, sagittis dolor. Suspendisse potenti. Pellentesque imperdiet dapibus nisi, eget faucibus dolor sollicitudin in. In mollis leo quis condimentum mollis. Aliquam massa dolor, faucibus elementum vulputate eget, tincidunt vel metus. Donec rutrum enim non lectus consequat imperdiet. In feugiat lacus vitae felis congue rhoncus. Aliquam ut imperdiet sapien. Duis aliquam finibus justo, in ultrices turpis elementum molestie. Phasellus id vehicula nibh. Integer eget ligula ultricies, consequat tortor vitae, dapibus nunc.

Praesent posuere libero ac justo blandit cursus. Fusce eu pharetra nunc, vitae rhoncus erat. Maecenas pretium nisi ac pulvinar dignissim. Suspendisse erat augue, posuere vel erat ac, vestibulum malesuada velit. Cras sed lacus velit. Aliquam hendrerit fermentum laoreet. Interdum et malesuada fames ac ante ipsum primis in faucibus. Donec quis nulla vel massa hendrerit pharetra nec vitae nunc. Vestibulum rhoncus imperdiet augue, at dictum neque convallis sed. Fusce mollis sapien et erat consequat, at blandit dui ornare. Phasellus tristique eget nisi a pellentesque. Ut sit amet eros eget ligula elementum dapibus. Praesent gravida porttitor nunc nec finibus. In fringilla felis nec cursus condimentum. Quisque ultrices pulvinar justo et consequat. Donec vitae justo lacus.

Ut condimentum congue molestie. Donec pretium imperdiet lorem sit amet sodales. Maecenas eu massa vestibulum, rhoncus justo vel, porttitor eros. Integer faucibus consectetur arcu a iaculis. Suspendisse consectetur augue in sem imperdiet, sed molestie sapien tristique. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Curabitur feugiat risus odio, sit amet rhoncus diam imperdiet vel.

Vivamus et tellus quis urna porttitor hendrerit. Curabitur nec aliquet nunc, ac porta massa. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nam eget consectetur nisl. Aliquam finibus mollis velit et convallis. Praesent at elit ante. Maecenas eget nisl ut metus ultrices lobortis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Donec posuere purus non justo ultricies ullamcorper. Sed malesuada, quam in porttitor feugiat, lorem sapien egestas dui, nec accumsan ante arcu et diam. Duis lorem lacus, maximus non urna quis, pulvinar vehicula sem. Vestibulum diam odio, pulvinar id metus ut, iaculis interdum dui. Etiam malesuada purus at nibh feugiat vulputate non nec enim. Suspendisse purus risus, dictum a sollicitudin ut, euismod nec arcu. Nam at sodales ipsum.

Suspendisse vel massa ipsum. Curabitur elementum nibh erat. Phasellus hendrerit eros ante, id aliquet sem ornare consectetur. Quisque lacinia ac nisl vitae molestie. Maecenas convallis, velit quis luctus posuere, ipsum dui condimentum massa, a varius purus ligula nec nisl. Fusce maximus, lacus in varius malesuada, velit risus dapibus sem, eu imperdiet augue nulla eget tellus. Aenean turpis purus, rutrum eu augue at, fringilla feugiat enim. Quisque nec metus in felis tristique eleifend. Nam nec libero enim. Donec quis molestie ligula. Integer tincidunt eget quam id lobortis. Aliquam vel ligula neque. Duis convallis libero eget sem interdum, id lobortis ante sollicitudin. Cras a ullamcorper nibh.

Vivamus nec leo lacinia, volutpat mi commodo, finibus nunc. Aliquam fermentum felis sit amet neque aliquet bibendum. Nunc nulla dui, porta a vehicula ut, feugiat et elit. Phasellus aliquet mollis est vitae scelerisque. Orci varius natoque penatibus et magnis dis parturient montes, nascetur posuere.1

[m0nde]

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cras egestas urna metus, vel faucibus augue tempus sed. Suspendisse potenti. Duis faucibus rutrum dui sit amet gravida. Quisque a finibus lacus. Praesent in libero nec dui sollicitudin iaculis sit amet vel massa. Vestibulum vulputate neque eget facilisis molestie. Nunc quam sapien, aliquam a bibendum vel, fermentum sed ligula. Duis condimentum congue urna, iaculis euismod neque hendrerit et. Suspendisse lacinia ligula nec risus suscipit, sit amet elementum turpis tempor. Fusce sed erat sem. Quisque sed sem quis mi lacinia rhoncus et at nisi. Vivamus sapien nisl, eleifend quis ligula id, ultrices sagittis mi. Aenean vitae viverra mauris, sit amet luctus leo. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec suscipit metus sit amet lacus sodales hendrerit.

Aliquam pulvinar at nulla vitae maximus. Vivamus vulputate dolor nec venenatis aliquam. Sed laoreet tincidunt diam imperdiet elementum. Etiam ut gravida nulla. Cras eget purus vel est maximus pellentesque. Duis eget suscipit leo. Curabitur ullamcorper at nulla eu molestie. Sed at neque pretium, ornare sapien non, rhoncus erat. Pellentesque ligula eros, varius ut porttitor in, vehicula at sem. Suspendisse in maximus orci. Phasellus convallis consequat quam, non posuere mi condimentum in. Fusce blandit bibendum cursus. Donec in porttitor mi. Aliquam erat volutpat.

Curabitur lobortis odio vitae egestas vehicula. Aliquam erat volutpat. Maecenas dignissim pulvinar enim, eget condimentum ante congue nec. Pellentesque id tincidunt diam. Sed laoreet, erat nec ultrices bibendum, diam orci facilisis diam, sit amet varius neque erat et sem. Quisque nec faucibus mauris, ut iaculis est. Ut diam ante, mollis quis accumsan id, dapibus vel dui.

Sed a diam eu nisi sollicitudin dictum. Nunc sed augue at justo pretium semper. Quisque laoreet rhoncus augue, ac congue elit bibendum id. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Donec mauris eros, mattis in felis a, fringilla semper ligula. Donec leo arcu, tincidunt molestie pellentesque vel, lobortis id est. Nam congue ullamcorper dui. Aliquam tincidunt, ex vitae dapibus tristique, sem erat laoreet risus, et pharetra neque tellus sit amet tellus. Maecenas convallis tincidunt lectus, a accumsan orci sollicitudin vitae. Proin ac suscipit metus. In nec lacus tellus. Vestibulum porta sollicitudin ex, at pellentesque odio laoreet in.

Vivamus euismod felis tincidunt, malesuada neque id, scelerisque felis. Sed tincidunt massa vehicula imperdiet tempor. Vivamus ullamcorper posuere tellus, quis congue eros gravida sed. Nulla eu est quis erat imperdiet eleifend eu vitae ligula. Etiam hendrerit elit vestibulum est porta dignissim. Maecenas a porta orci. Curabitur consequat semper ipsum, molestie auctor nunc varius id. Vestibulum posuere tortor ut ligula lobortis, at dictum leo mollis. Integer enim felis, accumsan pretium nisl vel, pretium fermentum enim. Quisque a congue felis. Fusce a metus rhoncus arcu feugiat imperdiet. Nunc tristique leo ut dui porttitor, eu venenatis tortor ullamcorper. Duis scelerisque luctus arcu a lobortis. In scelerisque dui id ligula ultrices, ac rutrum nisl suscipit. Mauris nec molestie velit, at hendrerit ante.

Praesent quis ante sed leo iaculis congue id vulputate mi. Aliquam dignissim ipsum ex, et vulputate justo tincidunt rutrum. Integer congue neque et vestibulum ultrices. Praesent hendrerit tempus molestie. Donec porttitor nibh in mi venenatis tincidunt. Cras eu lorem id sem vulputate ornare. Aenean tincidunt eget lacus quis ornare. Vivamus pulvinar sit amet orci sed vehicula. Donec porttitor odio eu magna tempus, nec pretium ligula euismod.

Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Proin ipsum urna, ullamcorper at maximus in, feugiat molestie magna. Proin tristique pellentesque tempor. Curabitur erat enim, faucibus eu nibh at, volutpat posuere tellus. Vestibulum faucibus elementum purus et laoreet. Donec in libero magna. Vestibulum tellus eros, auctor ut ullamcorper id, sagittis quis nisl. Vivamus a fermentum metus, ac consectetur massa. Pellentesque non viverra mauris. Nullam porttitor augue eu nunc tempus euismod. Etiam pharetra tellus neque, vel auctor leo condimentum non. Sed mi nulla, ornare quis volutpat eu, pharetra nec risus. Nam placerat orci sit amet ipsum iaculis blandit. Vivamus interdum facilisis feugiat. Morbi pretium cursus augue, non feugiat tellus.

Curabitur dictum sodales magna, et efficitur lectus rutrum vehicula. Nulla lacus ipsum, suscipit vel consectetur non, laoreet a libero. Sed semper ullamcorper tortor, quis porttitor mauris molestie quis. Praesent sit amet massa orci. Quisque mollis libero magna, vitae varius metus cursus vel. Nunc maximus turpis nec ullamcorper tempus. Donec pharetra elit justo, non bibendum felis aliquam quis. Sed in leo lacus. Sed maximus vel lacus vel scelerisque. Duis blandit vel nulla et hendrerit.

Nam scelerisque condimentum erat vitae laoreet. Donec id ligula hendrerit nisi dignissim pharetra eu ut felis. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Proin vehicula dignissim fermentum. Vestibulum vel nunc tincidunt, volutpat arcu eleifend, lacinia leo. Donec quis lectus ex. Curabitur elementum ultricies nibh ut vehicula. Suspendisse placerat hendrerit nulla, a lobortis est sagittis nec. Ut cursus nunc purus, eu euismod erat imperdiet vel.

Fusce porttitor velit interdum fermentum congue. Mauris vel fringilla neque. Phasellus sed eros sollicitudin, ultricies mi ornare, egestas nisi. Aenean tellus eros, gravida ac viverra et, vestibulum in orci. Maecenas id iaculis nulla. Curabitur mauris purus, tempus et varius eu, tristique id enim. Integer consectetur dui enim, vel auctor augue vulputate pulvinar. Aliquam finibus gravida congue.

Vivamus tempus eros eu nulla molestie, a rhoncus lacus mollis. Pellentesque mattis leo risus, in vulputate massa dictum in. Quisque imperdiet ligula vitae nisi lobortis, ut finibus libero dictum. Nam dignissim eleifend nisi, at pretium velit consequat a. Etiam nec diam feugiat libero consectetur imperdiet at et neque. Integer at odio ac magna finibus hendrerit. Integer feugiat vehicula pretium. Donec a congue lacus, eget aliquet tellus.

Nam ullamcorper nibh lacus, at fermentum dui consectetur et. Pellentesque sed lacus dui. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Ut dignissim tortor in ante euismod, at volutpat eros porta. Suspendisse aliquam nisl quis maximus dignissim. Proin porttitor augue sit amet aliquet rhoncus. Maecenas sed feugiat dui. Morbi pharetra quam id nisi volutpat cursus.

Cras vestibulum et dui at eleifend. Cras eu interdum mauris. Suspendisse potenti. Ut purus dolor, interdum non quam et, accumsan fermentum purus. Vivamus pharetra nisl eget urna efficitur mattis. Suspendisse porta sapien vitae bibendum dictum. Phasellus eu lorem quis odio convallis porttitor. Maecenas tempus venenatis leo et fermentum.

Nullam maximus posuere leo eget egestas. Pellentesque non justo tristique, efficitur velit non, sagittis eros. Donec congue egestas cursus. Donec nibh urna, fermentum et dui eget, malesuada convallis lectus. Nulla efficitur velit sed libero aliquam condimentum. Curabitur nec velit fermentum quam lacinia lobortis. Suspendisse dignissim, mi ut pellentesque semper, nisl mauris accumsan lectus, a sollicitudin tortor magna interdum sem. Nulla efficitur nulla in faucibus imperdiet. Aenean aliquam risus ut ligula elementum tempor. In vehicula leo at diam vehicula ultrices vel id lacus. Curabitur elementum metus non eleifend dapibus. Aliquam erat volutpat. Sed congue urna non felis varius accumsan. Aliquam et mi in lectus cursus convallis eget sit amet sapien. In scelerisque nisl nec vehicula sagittis. Donec eros magna, blandit et dui nec, tempus dictum nibh.

Nullam at turpis vitae urna tincidunt lobortis et sed nisl. Suspendisse tincidunt quam vel mi suscipit, in placerat arcu porttitor. Mauris metus lacus, rutrum nec consectetur a, aliquam a enim. Sed in gravida turpis. Nullam ex nulla, interdum eget mattis vitae, pretium ac orci. Pellentesque luctus arcu nec est rhoncus, eu aliquet metus gravida. Donec ornare dolor lacus, quis dignissim est cursus sit amet.

Pellentesque elementum facilisis mi et fermentum. Praesent fringilla diam non purus faucibus porta non nec libero. Aliquam erat volutpat. Pellentesque porta elit eget nisi scelerisque sagittis. Phasellus sollicitudin, massa id mollis luctus, neque erat ornare lectus, ac elementum dui nisi eu metus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nam vulputate interdum ipsum vel egestas. Nulla posuere nisl ut urna sagittis, quis mollis est elementum. Fusce faucibus hendrerit eros a tincidunt. Etiam quis ultrices quam, eu posuere enim. Vestibulum vitae aliquam nunc. Sed libero tellus, eleifend et pretium non, tempus ut neque. Ut varius, mi eget faucibus pellentesque, lacus odio elementum magna, nec pharetra magna lacus non massa. Vivamus eu sagittis dolor.

Integer aliquam tincidunt odio ac fermentum. Praesent bibendum, justo non interdum aliquam, nunc leo semper velit, ac mollis nisi dui a risus. Nunc cursus purus ut leo tincidunt, sagittis tincidunt quam posuere. Nunc sit amet ipsum tortor. Mauris cursus tellus a quam vulputate feugiat. In laoreet auctor justo, eget fermentum enim pretium non. Duis rutrum sapien at fringilla congue.

Integer et condimentum ex. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Maecenas mattis dapibus nulla, sed lobortis eros tempus id. Nunc scelerisque posuere nulla id finibus. Nam diam orci, sagittis non tincidunt quis, sollicitudin non dui. Integer non massa sed purus venenatis finibus a eu enim. Nulla rhoncus lacus elit. Integer eleifend enim sit amet nisl consectetur feugiat. Nulla laoreet nibh quis neque sodales, ac sollicitudin purus luctus. Suspendisse ligula eros, placerat vel nibh nec, lobortis venenatis velit. Nunc placerat orci eros, vel dictum sem pharetra vitae. Pellentesque sed hendrerit mauris. Donec sit amet orci enim. Mauris imperdiet interdum nisi ut bibendum.

Vivamus finibus sapien sed lacus imperdiet finibus. Vestibulum suscipit porta sem, vel malesuada mi. Fusce accumsan lorem et odio iaculis condimentum. Suspendisse in consectetur turpis. Sed in massa id metus lobortis viverra. Duis pretium ipsum risus. Ut fermentum faucibus ipsum. Ut placerat libero sit amet tortor volutpat, aliquam commodo lorem egestas. Aenean quis sapien vel turpis laoreet congue.

Ut rutrum augue at lacinia posuere. Etiam pellentesque nisl id elit tempor mollis. Morbi iaculis ante ante. Suspendisse et nunc sed eros tristique tincidunt. Pellentesque aliquet nulla sit amet nisl egestas semper. Quisque nec venenatis velit, nec viverra elit. Donec orci massa, vulputate ac ex in, porttitor vestibulum tellus. Pellentesque dolor odio, consequat volutpat enim et, vulputate molestie metus. Ut eget convallis risus. Quisque dui risus, fringilla ac sapien a, cursus euismod nisl.

Aliquam tempor ipsum vel mauris posuere, a iaculis augue euismod. Etiam cursus elementum gravida. Quisque ac euismod nunc, nec tempus est. Proin gravida enim eu purus blandit iaculis. Praesent non diam ut dolor convallis faucibus. Etiam euismod leo felis, sit amet cursus metus porttitor cursus. Aenean sit amet massa ipsum. Duis sagittis tincidunt rutrum. Nam vel feugiat nibh. Proin tincidunt viverra mi, pellentesque vestibulum massa laoreet in. Vivamus eget risus mattis, lacinia odio ac, elementum dui. Ut sit amet nisi non odio dapibus euismod. In finibus, mi ac hendrerit congue, urna eros feugiat dolor, tincidunt rhoncus sapien lorem at mi. Fusce scelerisque eros lobortis metus condimentum egestas. Quisque dapibus velit libero, in molestie libero fermentum eget.

Aenean mi quam, blandit vel libero at, maximus mollis sem. Praesent scelerisque purus sodales mauris lacinia congue. Cras enim enim, ullamcorper non scelerisque ut, porta at augue. Nam a nisl at leo vestibulum iaculis. Donec sit amet finibus tellus, at fermentum enim. Mauris tellus lectus, vulputate eget auctor id, lobortis a justo. Curabitur tristique, ante et pellentesque suscipit, ex quam rhoncus magna, a vulputate nisl ipsum sit amet diam. Aliquam elementum porta ultrices. Proin consequat sit amet dui in blandit. Ut efficitur, ex at tempus venenatis, erat sapien tempus diam, a malesuada ante massa eget lorem.

Duis gravida ipsum eget libero tristique, tincidunt egestas risus gravida. Phasellus tincidunt arcu felis, in ultricies risus consectetur sed. Etiam commodo, ipsum in consectetur finibus, odio urna blandit magna, a consectetur mi magna vel ligula. Vestibulum semper, orci ut vulputate dictum, sapien felis molestie nunc, quis viverra neque elit nec elit. Donec quis ex malesuada, placerat massa vitae, scelerisque ipsum. In sit amet libero eros. Donec tempus, ex eget fringilla efficitur, odio justo placerat sem, sit amet condimentum neque odio a tortor. Curabitur ornare fermentum velit, a bibendum lacus feugiat eget. Cras posuere urna vitae mauris iaculis, vitae tincidunt arcu semper. Sed dapibus elit ut nunc iaculis, sit amet dapibus orci imperdiet. Vestibulum malesuada elit nibh, vel ornare nisi laoreet sit amet. Ut laoreet tortor quis scelerisque consequat. Fusce leo diam, imperdiet non nulla nec, auctor ornare tellus. Morbi a blandit nisi, aliquet rhoncus velit. In imperdiet augue eu blandit lacinia. Donec in purus quis justo egestas aliquet eget nec nulla.

Integer tincidunt massa id sem fermentum iaculis. In convallis maximus nulla, ut dictum urna hendrerit sit amet. Aliquam ullamcorper imperdiet sapien eget placerat. Maecenas sed dapibus tortor. Vivamus eget sapien et augue accumsan luctus. Quisque et placerat turpis. Nullam et nunc in urna fermentum ullamcorper sed tempus sapien. Phasellus dignissim quam eu orci bibendum blandit eu eu nisi. Etiam ac est arcu.

Donec ut purus eget justo dapibus imperdiet sed vel nibh. Suspendisse a fermentum leo, vitae porttitor leo. Pellentesque bibendum iaculis gravida. Aenean interdum nisi purus, sit amet rhoncus elit luctus ac. Proin vel magna at libero sollicitudin tempus. Vivamus accumsan ac tellus sed dignissim. Praesent laoreet sed erat eu lacinia. Proin consectetur ultrices mi non finibus. Mauris ultricies justo a massa finibus dictum. Suspendisse ultricies urna et pulvinar faucibus. Ut eget massa risus. Etiam aliquet varius turpis, et ullamcorper erat condimentum eu. Nulla eu dui non elit facilisis vulputate ac ultricies magna. Mauris commodo a felis condimentum accumsan. Sed justo metus, imperdiet a facilisis eget, porttitor quis eros.

Mauris venenatis maximus neque, in iaculis tortor dictum ut. Proin ut orci sit amet elit egestas aliquet. Curabitur aliquet, lectus nec placerat feugiat, erat massa varius ligula, eu aliquet metus augue mollis nibh. Maecenas elementum ut arcu ut porttitor. Integer vestibulum est justo, eu viverra mi scelerisque vel. Suspendisse tellus neque, ullamcorper at massa ac, ornare maximus justo. Aenean dignissim lacus libero, non cursus lorem tristique sed. Donec ultricies egestas neque eget scelerisque. Ut porta sit amet odio vel hendrerit. Morbi vitae tellus rutrum, viverra nisl in, malesuada ipsum. Maecenas volutpat quam nisi, sit amet tempus nunc commodo vel.

Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Nulla faucibus cursus tortor, non molestie justo blandit quis. Aenean malesuada lectus nisi, sed iaculis est bibendum vitae. Mauris ut nulla volutpat, semper elit vitae, auctor orci. Integer porttitor efficitur nibh vitae ultrices. In egestas sodales nulla, ut commodo augue. Phasellus tristique porta purus a mollis. Quisque aliquet, velit eu sollicitudin scelerisque, massa quam finibus elit, nec elementum lorem dui ac diam.

Suspendisse auctor mollis magna, ut semper nibh consequat id. Aenean porttitor risus at pharetra commodo. Etiam ac pulvinar dolor. Donec nisl mi, luctus ac commodo ac, euismod non ipsum. Quisque placerat dolor in sapien eleifend eleifend. Maecenas et turpis vitae erat suscipit bibendum. Nunc euismod a lacus et convallis. Vestibulum sed maximus ligula. Praesent id ex pulvinar, euismod neque at, accumsan enim. Nulla mattis diam sit amet felis viverra, id commodo orci sodales. Etiam ultricies gravida mauris, eu finibus magna euismod nec. Donec tempor erat magna, in consectetur nisl sagittis et. Vestibulum sed arcu nibh. Nam tempor arcu at tincidunt dignissim. Curabitur porta est nec ex vulputate, sit amet lobortis justo fermentum.

Vivamus quis rutrum dolor. Suspendisse sollicitudin nisi ut leo suscipit elementum. In fermentum lobortis mauris ac dapibus. Donec maximus laoreet ante. Phasellus quam risus, varius rutrum lacus sit amet, ullamcorper tempor ante. Fusce at nunc condimentum, tincidunt tellus a, sagittis dolor. Suspendisse potenti. Pellentesque imperdiet dapibus nisi, eget faucibus dolor sollicitudin in. In mollis leo quis condimentum mollis. Aliquam massa dolor, faucibus elementum vulputate eget, tincidunt vel metus. Donec rutrum enim non lectus consequat imperdiet. In feugiat lacus vitae felis congue rhoncus. Aliquam ut imperdiet sapien. Duis aliquam finibus justo, in ultrices turpis elementum molestie. Phasellus id vehicula nibh. Integer eget ligula ultricies, consequat tortor vitae, dapibus nunc.

Praesent posuere libero ac justo blandit cursus. Fusce eu pharetra nunc, vitae rhoncus erat. Maecenas pretium nisi ac pulvinar dignissim. Suspendisse erat augue, posuere vel erat ac, vestibulum malesuada velit. Cras sed lacus velit. Aliquam hendrerit fermentum laoreet. Interdum et malesuada fames ac ante ipsum primis in faucibus. Donec quis nulla vel massa hendrerit pharetra nec vitae nunc. Vestibulum rhoncus imperdiet augue, at dictum neque convallis sed. Fusce mollis sapien et erat consequat, at blandit dui ornare. Phasellus tristique eget nisi a pellentesque. Ut sit amet eros eget ligula elementum dapibus. Praesent gravida porttitor nunc nec finibus. In fringilla felis nec cursus condimentum. Quisque ultrices pulvinar justo et consequat. Donec vitae justo lacus.

Ut condimentum congue molestie. Donec pretium imperdiet lorem sit amet sodales. Maecenas eu massa vestibulum, rhoncus justo vel, porttitor eros. Integer faucibus consectetur arcu a iaculis. Suspendisse consectetur augue in sem imperdiet, sed molestie sapien tristique. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Curabitur feugiat risus odio, sit amet rhoncus diam imperdiet vel.

Vivamus et tellus quis urna porttitor hendrerit. Curabitur nec aliquet nunc, ac porta massa. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nam eget consectetur nisl. Aliquam finibus mollis velit et convallis. Praesent at elit ante. Maecenas eget nisl ut metus ultrices lobortis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Donec posuere purus non justo ultricies ullamcorper. Sed malesuada, quam in porttitor feugiat, lorem sapien egestas dui, nec accumsan ante arcu et diam. Duis lorem lacus, maximus non urna quis, pulvinar vehicula sem. Vestibulum diam odio, pulvinar id metus ut, iaculis interdum dui. Etiam malesuada purus at nibh feugiat vulputate non nec enim. Suspendisse purus risus, dictum a sollicitudin ut, euismod nec arcu. Nam at sodales ipsum.

Suspendisse vel massa ipsum. Curabitur elementum nibh erat. Phasellus hendrerit eros ante, id aliquet sem ornare consectetur. Quisque lacinia ac nisl vitae molestie. Maecenas convallis, velit quis luctus posuere, ipsum dui condimentum massa, a varius purus ligula nec nisl. Fusce maximus, lacus in varius malesuada, velit risus dapibus sem, eu imperdiet augue nulla eget tellus. Aenean turpis purus, rutrum eu augue at, fringilla feugiat enim. Quisque nec metus in felis tristique eleifend. Nam nec libero enim. Donec quis molestie ligula. Integer tincidunt eget quam id lobortis. Aliquam vel ligula neque. Duis convallis libero eget sem interdum, id lobortis ante sollicitudin. Cras a ullamcorper nibh.

Vivamus nec leo lacinia, volutpat mi commodo, finibus nunc. Aliquam fermentum felis sit amet neque aliquet bibendum. Nunc nulla dui, porta a vehicula ut, feugiat et elit. Phasellus aliquet mollis est vitae scelerisque. Orci varius natoque penatibus et magnis dis parturient montes, nascetur posuere.2

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cras egestas urna metus, vel faucibus augue tempus sed. Suspendisse potenti. Duis faucibus rutrum dui sit amet gravida. Quisque a finibus lacus. Praesent in libero nec dui sollicitudin iaculis sit amet vel massa. Vestibulum vulputate neque eget facilisis molestie. Nunc quam sapien, aliquam a bibendum vel, fermentum sed ligula. Duis condimentum congue urna, iaculis euismod neque hendrerit et. Suspendisse lacinia ligula nec risus suscipit, sit amet elementum turpis tempor. Fusce sed erat sem. Quisque sed sem quis mi lacinia rhoncus et at nisi. Vivamus sapien nisl, eleifend quis ligula id, ultrices sagittis mi. Aenean vitae viverra mauris, sit amet luctus leo. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec suscipit metus sit amet lacus sodales hendrerit.

Aliquam pulvinar at nulla vitae maximus. Vivamus vulputate dolor nec venenatis aliquam. Sed laoreet tincidunt diam imperdiet elementum. Etiam ut gravida nulla. Cras eget purus vel est maximus pellentesque. Duis eget suscipit leo. Curabitur ullamcorper at nulla eu molestie. Sed at neque pretium, ornare sapien non, rhoncus erat. Pellentesque ligula eros, varius ut porttitor in, vehicula at sem. Suspendisse in maximus orci. Phasellus convallis consequat quam, non posuere mi condimentum in. Fusce blandit bibendum cursus. Donec in porttitor mi. Aliquam erat volutpat.

Curabitur lobortis odio vitae egestas vehicula. Aliquam erat volutpat. Maecenas dignissim pulvinar enim, eget condimentum ante congue nec. Pellentesque id tincidunt diam. Sed laoreet, erat nec ultrices bibendum, diam orci facilisis diam, sit amet varius neque erat et sem. Quisque nec faucibus mauris, ut iaculis est. Ut diam ante, mollis quis accumsan id, dapibus vel dui.

Sed a diam eu nisi sollicitudin dictum. Nunc sed augue at justo pretium semper. Quisque laoreet rhoncus augue, ac congue elit bibendum id. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Donec mauris eros, mattis in felis a, fringilla semper ligula. Donec leo arcu, tincidunt molestie pellentesque vel, lobortis id est. Nam congue ullamcorper dui. Aliquam tincidunt, ex vitae dapibus tristique, sem erat laoreet risus, et pharetra neque tellus sit amet tellus. Maecenas convallis tincidunt lectus, a accumsan orci sollicitudin vitae. Proin ac suscipit metus. In nec lacus tellus. Vestibulum porta sollicitudin ex, at pellentesque odio laoreet in.

Vivamus euismod felis tincidunt, malesuada neque id, scelerisque felis. Sed tincidunt massa vehicula imperdiet tempor. Vivamus ullamcorper posuere tellus, quis congue eros gravida sed. Nulla eu est quis erat imperdiet eleifend eu vitae ligula. Etiam hendrerit elit vestibulum est porta dignissim. Maecenas a porta orci. Curabitur consequat semper ipsum, molestie auctor nunc varius id. Vestibulum posuere tortor ut ligula lobortis, at dictum leo mollis. Integer enim felis, accumsan pretium nisl vel, pretium fermentum enim. Quisque a congue felis. Fusce a metus rhoncus arcu feugiat imperdiet. Nunc tristique leo ut dui porttitor, eu venenatis tortor ullamcorper. Duis scelerisque luctus arcu a lobortis. In scelerisque dui id ligula ultrices, ac rutrum nisl suscipit. Mauris nec molestie velit, at hendrerit ante.

Praesent quis ante sed leo iaculis congue id vulputate mi. Aliquam dignissim ipsum ex, et vulputate justo tincidunt rutrum. Integer congue neque et vestibulum ultrices. Praesent hendrerit tempus molestie. Donec porttitor nibh in mi venenatis tincidunt. Cras eu lorem id sem vulputate ornare. Aenean tincidunt eget lacus quis ornare. Vivamus pulvinar sit amet orci sed vehicula. Donec porttitor odio eu magna tempus, nec pretium ligula euismod.

Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Proin ipsum urna, ullamcorper at maximus in, feugiat molestie magna. Proin tristique pellentesque tempor. Curabitur erat enim, faucibus eu nibh at, volutpat posuere tellus. Vestibulum faucibus elementum purus et laoreet. Donec in libero magna. Vestibulum tellus eros, auctor ut ullamcorper id, sagittis quis nisl. Vivamus a fermentum metus, ac consectetur massa. Pellentesque non viverra mauris. Nullam porttitor augue eu nunc tempus euismod. Etiam pharetra tellus neque, vel auctor leo condimentum non. Sed mi nulla, ornare quis volutpat eu, pharetra nec risus. Nam placerat orci sit amet ipsum iaculis blandit. Vivamus interdum facilisis feugiat. Morbi pretium cursus augue, non feugiat tellus.

Curabitur dictum sodales magna, et efficitur lectus rutrum vehicula. Nulla lacus ipsum, suscipit vel consectetur non, laoreet a libero. Sed semper ullamcorper tortor, quis porttitor mauris molestie quis. Praesent sit amet massa orci. Quisque mollis libero magna, vitae varius metus cursus vel. Nunc maximus turpis nec ullamcorper tempus. Donec pharetra elit justo, non bibendum felis aliquam quis. Sed in leo lacus. Sed maximus vel lacus vel scelerisque. Duis blandit vel nulla et hendrerit.

Nam scelerisque condimentum erat vitae laoreet. Donec id ligula hendrerit nisi dignissim pharetra eu ut felis. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Proin vehicula dignissim fermentum. Vestibulum vel nunc tincidunt, volutpat arcu eleifend, lacinia leo. Donec quis lectus ex. Curabitur elementum ultricies nibh ut vehicula. Suspendisse placerat hendrerit nulla, a lobortis est sagittis nec. Ut cursus nunc purus, eu euismod erat imperdiet vel.

Fusce porttitor velit interdum fermentum congue. Mauris vel fringilla neque. Phasellus sed eros sollicitudin, ultricies mi ornare, egestas nisi. Aenean tellus eros, gravida ac viverra et, vestibulum in orci. Maecenas id iaculis nulla. Curabitur mauris purus, tempus et varius eu, tristique id enim. Integer consectetur dui enim, vel auctor augue vulputate pulvinar. Aliquam finibus gravida congue.

Vivamus tempus eros eu nulla molestie, a rhoncus lacus mollis. Pellentesque mattis leo risus, in vulputate massa dictum in. Quisque imperdiet ligula vitae nisi lobortis, ut finibus libero dictum. Nam dignissim eleifend nisi, at pretium velit consequat a. Etiam nec diam feugiat libero consectetur imperdiet at et neque. Integer at odio ac magna finibus hendrerit. Integer feugiat vehicula pretium. Donec a congue lacus, eget aliquet tellus.

Nam ullamcorper nibh lacus, at fermentum dui consectetur et. Pellentesque sed lacus dui. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Ut dignissim tortor in ante euismod, at volutpat eros porta. Suspendisse aliquam nisl quis maximus dignissim. Proin porttitor augue sit amet aliquet rhoncus. Maecenas sed feugiat dui. Morbi pharetra quam id nisi volutpat cursus.

Cras vestibulum et dui at eleifend. Cras eu interdum mauris. Suspendisse potenti. Ut purus dolor, interdum non quam et, accumsan fermentum purus. Vivamus pharetra nisl eget urna efficitur mattis. Suspendisse porta sapien vitae bibendum dictum. Phasellus eu lorem quis odio convallis porttitor. Maecenas tempus venenatis leo et fermentum.

Nullam maximus posuere leo eget egestas. Pellentesque non justo tristique, efficitur velit non, sagittis eros. Donec congue egestas cursus. Donec nibh urna, fermentum et dui eget, malesuada convallis lectus. Nulla efficitur velit sed libero aliquam condimentum. Curabitur nec velit fermentum quam lacinia lobortis. Suspendisse dignissim, mi ut pellentesque semper, nisl mauris accumsan lectus, a sollicitudin tortor magna interdum sem. Nulla efficitur nulla in faucibus imperdiet. Aenean aliquam risus ut ligula elementum tempor. In vehicula leo at diam vehicula ultrices vel id lacus. Curabitur elementum metus non eleifend dapibus. Aliquam erat volutpat. Sed congue urna non felis varius accumsan. Aliquam et mi in lectus cursus convallis eget sit amet sapien. In scelerisque nisl nec vehicula sagittis. Donec eros magna, blandit et dui nec, tempus dictum nibh.

Nullam at turpis vitae urna tincidunt lobortis et sed nisl. Suspendisse tincidunt quam vel mi suscipit, in placerat arcu porttitor. Mauris metus lacus, rutrum nec consectetur a, aliquam a enim. Sed in gravida turpis. Nullam ex nulla, interdum eget mattis vitae, pretium ac orci. Pellentesque luctus arcu nec est rhoncus, eu aliquet metus gravida. Donec ornare dolor lacus, quis dignissim est cursus sit amet.

Pellentesque elementum facilisis mi et fermentum. Praesent fringilla diam non purus faucibus porta non nec libero. Aliquam erat volutpat. Pellentesque porta elit eget nisi scelerisque sagittis. Phasellus sollicitudin, massa id mollis luctus, neque erat ornare lectus, ac elementum dui nisi eu metus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nam vulputate interdum ipsum vel egestas. Nulla posuere nisl ut urna sagittis, quis mollis est elementum. Fusce faucibus hendrerit eros a tincidunt. Etiam quis ultrices quam, eu posuere enim. Vestibulum vitae aliquam nunc. Sed libero tellus, eleifend et pretium non, tempus ut neque. Ut varius, mi eget faucibus pellentesque, lacus odio elementum magna, nec pharetra magna lacus non massa. Vivamus eu sagittis dolor.

Integer aliquam tincidunt odio ac fermentum. Praesent bibendum, justo non interdum aliquam, nunc leo semper velit, ac mollis nisi dui a risus. Nunc cursus purus ut leo tincidunt, sagittis tincidunt quam posuere. Nunc sit amet ipsum tortor. Mauris cursus tellus a quam vulputate feugiat. In laoreet auctor justo, eget fermentum enim pretium non. Duis rutrum sapien at fringilla congue.

Integer et condimentum ex. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Maecenas mattis dapibus nulla, sed lobortis eros tempus id. Nunc scelerisque posuere nulla id finibus. Nam diam orci, sagittis non tincidunt quis, sollicitudin non dui. Integer non massa sed purus venenatis finibus a eu enim. Nulla rhoncus lacus elit. Integer eleifend enim sit amet nisl consectetur feugiat. Nulla laoreet nibh quis neque sodales, ac sollicitudin purus luctus. Suspendisse ligula eros, placerat vel nibh nec, lobortis venenatis velit. Nunc placerat orci eros, vel dictum sem pharetra vitae. Pellentesque sed hendrerit mauris. Donec sit amet orci enim. Mauris imperdiet interdum nisi ut bibendum.

Vivamus finibus sapien sed lacus imperdiet finibus. Vestibulum suscipit porta sem, vel malesuada mi. Fusce accumsan lorem et odio iaculis condimentum. Suspendisse in consectetur turpis. Sed in massa id metus lobortis viverra. Duis pretium ipsum risus. Ut fermentum faucibus ipsum. Ut placerat libero sit amet tortor volutpat, aliquam commodo lorem egestas. Aenean quis sapien vel turpis laoreet congue.

Ut rutrum augue at lacinia posuere. Etiam pellentesque nisl id elit tempor mollis. Morbi iaculis ante ante. Suspendisse et nunc sed eros tristique tincidunt. Pellentesque aliquet nulla sit amet nisl egestas semper. Quisque nec venenatis velit, nec viverra elit. Donec orci massa, vulputate ac ex in, porttitor vestibulum tellus. Pellentesque dolor odio, consequat volutpat enim et, vulputate molestie metus. Ut eget convallis risus. Quisque dui risus, fringilla ac sapien a, cursus euismod nisl.

Aliquam tempor ipsum vel mauris posuere, a iaculis augue euismod. Etiam cursus elementum gravida. Quisque ac euismod nunc, nec tempus est. Proin gravida enim eu purus blandit iaculis. Praesent non diam ut dolor convallis faucibus. Etiam euismod leo felis, sit amet cursus metus porttitor cursus. Aenean sit amet massa ipsum. Duis sagittis tincidunt rutrum. Nam vel feugiat nibh. Proin tincidunt viverra mi, pellentesque vestibulum massa laoreet in. Vivamus eget risus mattis, lacinia odio ac, elementum dui. Ut sit amet nisi non odio dapibus euismod. In finibus, mi ac hendrerit congue, urna eros feugiat dolor, tincidunt rhoncus sapien lorem at mi. Fusce scelerisque eros lobortis metus condimentum egestas. Quisque dapibus velit libero, in molestie libero fermentum eget.

Aenean mi quam, blandit vel libero at, maximus mollis sem. Praesent scelerisque purus sodales mauris lacinia congue. Cras enim enim, ullamcorper non scelerisque ut, porta at augue. Nam a nisl at leo vestibulum iaculis. Donec sit amet finibus tellus, at fermentum enim. Mauris tellus lectus, vulputate eget auctor id, lobortis a justo. Curabitur tristique, ante et pellentesque suscipit, ex quam rhoncus magna, a vulputate nisl ipsum sit amet diam. Aliquam elementum porta ultrices. Proin consequat sit amet dui in blandit. Ut efficitur, ex at tempus venenatis, erat sapien tempus diam, a malesuada ante massa eget lorem.

Duis gravida ipsum eget libero tristique, tincidunt egestas risus gravida. Phasellus tincidunt arcu felis, in ultricies risus consectetur sed. Etiam commodo, ipsum in consectetur finibus, odio urna blandit magna, a consectetur mi magna vel ligula. Vestibulum semper, orci ut vulputate dictum, sapien felis molestie nunc, quis viverra neque elit nec elit. Donec quis ex malesuada, placerat massa vitae, scelerisque ipsum. In sit amet libero eros. Donec tempus, ex eget fringilla efficitur, odio justo placerat sem, sit amet condimentum neque odio a tortor. Curabitur ornare fermentum velit, a bibendum lacus feugiat eget. Cras posuere urna vitae mauris iaculis, vitae tincidunt arcu semper. Sed dapibus elit ut nunc iaculis, sit amet dapibus orci imperdiet. Vestibulum malesuada elit nibh, vel ornare nisi laoreet sit amet. Ut laoreet tortor quis scelerisque consequat. Fusce leo diam, imperdiet non nulla nec, auctor ornare tellus. Morbi a blandit nisi, aliquet rhoncus velit. In imperdiet augue eu blandit lacinia. Donec in purus quis justo egestas aliquet eget nec nulla.

Integer tincidunt massa id sem fermentum iaculis. In convallis maximus nulla, ut dictum urna hendrerit sit amet. Aliquam ullamcorper imperdiet sapien eget placerat. Maecenas sed dapibus tortor. Vivamus eget sapien et augue accumsan luctus. Quisque et placerat turpis. Nullam et nunc in urna fermentum ullamcorper sed tempus sapien. Phasellus dignissim quam eu orci bibendum blandit eu eu nisi. Etiam ac est arcu.

Donec ut purus eget justo dapibus imperdiet sed vel nibh. Suspendisse a fermentum leo, vitae porttitor leo. Pellentesque bibendum iaculis gravida. Aenean interdum nisi purus, sit amet rhoncus elit luctus ac. Proin vel magna at libero sollicitudin tempus. Vivamus accumsan ac tellus sed dignissim. Praesent laoreet sed erat eu lacinia. Proin consectetur ultrices mi non finibus. Mauris ultricies justo a massa finibus dictum. Suspendisse ultricies urna et pulvinar faucibus. Ut eget massa risus. Etiam aliquet varius turpis, et ullamcorper erat condimentum eu. Nulla eu dui non elit facilisis vulputate ac ultricies magna. Mauris commodo a felis condimentum accumsan. Sed justo metus, imperdiet a facilisis eget, porttitor quis eros.

Mauris venenatis maximus neque, in iaculis tortor dictum ut. Proin ut orci sit amet elit egestas aliquet. Curabitur aliquet, lectus nec placerat feugiat, erat massa varius ligula, eu aliquet metus augue mollis nibh. Maecenas elementum ut arcu ut porttitor. Integer vestibulum est justo, eu viverra mi scelerisque vel. Suspendisse tellus neque, ullamcorper at massa ac, ornare maximus justo. Aenean dignissim lacus libero, non cursus lorem tristique sed. Donec ultricies egestas neque eget scelerisque. Ut porta sit amet odio vel hendrerit. Morbi vitae tellus rutrum, viverra nisl in, malesuada ipsum. Maecenas volutpat quam nisi, sit amet tempus nunc commodo vel.

Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Nulla faucibus cursus tortor, non molestie justo blandit quis. Aenean malesuada lectus nisi, sed iaculis est bibendum vitae. Mauris ut nulla volutpat, semper elit vitae, auctor orci. Integer porttitor efficitur nibh vitae ultrices. In egestas sodales nulla, ut commodo augue. Phasellus tristique porta purus a mollis. Quisque aliquet, velit eu sollicitudin scelerisque, massa quam finibus elit, nec elementum lorem dui ac diam.

Suspendisse auctor mollis magna, ut semper nibh consequat id. Aenean porttitor risus at pharetra commodo. Etiam ac pulvinar dolor. Donec nisl mi, luctus ac commodo ac, euismod non ipsum. Quisque placerat dolor in sapien eleifend eleifend. Maecenas et turpis vitae erat suscipit bibendum. Nunc euismod a lacus et convallis. Vestibulum sed maximus ligula. Praesent id ex pulvinar, euismod neque at, accumsan enim. Nulla mattis diam sit amet felis viverra, id commodo orci sodales. Etiam ultricies gravida mauris, eu finibus magna euismod nec. Donec tempor erat magna, in consectetur nisl sagittis et. Vestibulum sed arcu nibh. Nam tempor arcu at tincidunt dignissim. Curabitur porta est nec ex vulputate, sit amet lobortis justo fermentum.

Vivamus quis rutrum dolor. Suspendisse sollicitudin nisi ut leo suscipit elementum. In fermentum lobortis mauris ac dapibus. Donec maximus laoreet ante. Phasellus quam risus, varius rutrum lacus sit amet, ullamcorper tempor ante. Fusce at nunc condimentum, tincidunt tellus a, sagittis dolor. Suspendisse potenti. Pellentesque imperdiet dapibus nisi, eget faucibus dolor sollicitudin in. In mollis leo quis condimentum mollis. Aliquam massa dolor, faucibus elementum vulputate eget, tincidunt vel metus. Donec rutrum enim non lectus consequat imperdiet. In feugiat lacus vitae felis congue rhoncus. Aliquam ut imperdiet sapien. Duis aliquam finibus justo, in ultrices turpis elementum molestie. Phasellus id vehicula nibh. Integer eget ligula ultricies, consequat tortor vitae, dapibus nunc.

Praesent posuere libero ac justo blandit cursus. Fusce eu pharetra nunc, vitae rhoncus erat. Maecenas pretium nisi ac pulvinar dignissim. Suspendisse erat augue, posuere vel erat ac, vestibulum malesuada velit. Cras sed lacus velit. Aliquam hendrerit fermentum laoreet. Interdum et malesuada fames ac ante ipsum primis in faucibus. Donec quis nulla vel massa hendrerit pharetra nec vitae nunc. Vestibulum rhoncus imperdiet augue, at dictum neque convallis sed. Fusce mollis sapien et erat consequat, at blandit dui ornare. Phasellus tristique eget nisi a pellentesque. Ut sit amet eros eget ligula elementum dapibus. Praesent gravida porttitor nunc nec finibus. In fringilla felis nec cursus condimentum. Quisque ultrices pulvinar justo et consequat. Donec vitae justo lacus.

Ut condimentum congue molestie. Donec pretium imperdiet lorem sit amet sodales. Maecenas eu massa vestibulum, rhoncus justo vel, porttitor eros. Integer faucibus consectetur arcu a iaculis. Suspendisse consectetur augue in sem imperdiet, sed molestie sapien tristique. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Curabitur feugiat risus odio, sit amet rhoncus diam imperdiet vel.

Vivamus et tellus quis urna porttitor hendrerit. Curabitur nec aliquet nunc, ac porta massa. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nam eget consectetur nisl. Aliquam finibus mollis velit et convallis. Praesent at elit ante. Maecenas eget nisl ut metus ultrices lobortis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Donec posuere purus non justo ultricies ullamcorper. Sed malesuada, quam in porttitor feugiat, lorem sapien egestas dui, nec accumsan ante arcu et diam. Duis lorem lacus, maximus non urna quis, pulvinar vehicula sem. Vestibulum diam odio, pulvinar id metus ut, iaculis interdum dui. Etiam malesuada purus at nibh feugiat vulputate non nec enim. Suspendisse purus risus, dictum a sollicitudin ut, euismod nec arcu. Nam at sodales ipsum.

Suspendisse vel massa ipsum. Curabitur elementum nibh erat. Phasellus hendrerit eros ante, id aliquet sem ornare consectetur. Quisque lacinia ac nisl vitae molestie. Maecenas convallis, velit quis luctus posuere, ipsum dui condimentum massa, a varius purus ligula nec nisl. Fusce maximus, lacus in varius malesuada, velit risus dapibus sem, eu imperdiet augue nulla eget tellus. Aenean turpis purus, rutrum eu augue at, fringilla feugiat enim. Quisque nec metus in felis tristique eleifend. Nam nec libero enim. Donec quis molestie ligula. Integer tincidunt eget quam id lobortis. Aliquam vel ligula neque. Duis convallis libero eget sem interdum, id lobortis ante sollicitudin. Cras a ullamcorper nibh.

Vivamus nec leo lacinia, volutpat mi commodo, finibus nunc. Aliquam fermentum felis sit amet neque aliquet bibendum. Nunc nulla dui, porta a vehicula ut, feugiat et elit. Phasellus aliquet mollis est vitae scelerisque. Orci varius natoque penatibus et magnis dis parturient montes, nascetur posuere.3

[m0nde]

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cras egestas urna metus, vel faucibus augue tempus sed. Suspendisse potenti. Duis faucibus rutrum dui sit amet gravida. Quisque a finibus lacus. Praesent in libero nec dui sollicitudin iaculis sit amet vel massa. Vestibulum vulputate neque eget facilisis molestie. Nunc quam sapien, aliquam a bibendum vel, fermentum sed ligula. Duis condimentum congue urna, iaculis euismod neque hendrerit et. Suspendisse lacinia ligula nec risus suscipit, sit amet elementum turpis tempor. Fusce sed erat sem. Quisque sed sem quis mi lacinia rhoncus et at nisi. Vivamus sapien nisl, eleifend quis ligula id, ultrices sagittis mi. Aenean vitae viverra mauris, sit amet luctus leo. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec suscipit metus sit amet lacus sodales hendrerit.

Aliquam pulvinar at nulla vitae maximus. Vivamus vulputate dolor nec venenatis aliquam. Sed laoreet tincidunt diam imperdiet elementum. Etiam ut gravida nulla. Cras eget purus vel est maximus pellentesque. Duis eget suscipit leo. Curabitur ullamcorper at nulla eu molestie. Sed at neque pretium, ornare sapien non, rhoncus erat. Pellentesque ligula eros, varius ut porttitor in, vehicula at sem. Suspendisse in maximus orci. Phasellus convallis consequat quam, non posuere mi condimentum in. Fusce blandit bibendum cursus. Donec in porttitor mi. Aliquam erat volutpat.

Curabitur lobortis odio vitae egestas vehicula. Aliquam erat volutpat. Maecenas dignissim pulvinar enim, eget condimentum ante congue nec. Pellentesque id tincidunt diam. Sed laoreet, erat nec ultrices bibendum, diam orci facilisis diam, sit amet varius neque erat et sem. Quisque nec faucibus mauris, ut iaculis est. Ut diam ante, mollis quis accumsan id, dapibus vel dui.

Sed a diam eu nisi sollicitudin dictum. Nunc sed augue at justo pretium semper. Quisque laoreet rhoncus augue, ac congue elit bibendum id. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Donec mauris eros, mattis in felis a, fringilla semper ligula. Donec leo arcu, tincidunt molestie pellentesque vel, lobortis id est. Nam congue ullamcorper dui. Aliquam tincidunt, ex vitae dapibus tristique, sem erat laoreet risus, et pharetra neque tellus sit amet tellus. Maecenas convallis tincidunt lectus, a accumsan orci sollicitudin vitae. Proin ac suscipit metus. In nec lacus tellus. Vestibulum porta sollicitudin ex, at pellentesque odio laoreet in.

Vivamus euismod felis tincidunt, malesuada neque id, scelerisque felis. Sed tincidunt massa vehicula imperdiet tempor. Vivamus ullamcorper posuere tellus, quis congue eros gravida sed. Nulla eu est quis erat imperdiet eleifend eu vitae ligula. Etiam hendrerit elit vestibulum est porta dignissim. Maecenas a porta orci. Curabitur consequat semper ipsum, molestie auctor nunc varius id. Vestibulum posuere tortor ut ligula lobortis, at dictum leo mollis. Integer enim felis, accumsan pretium nisl vel, pretium fermentum enim. Quisque a congue felis. Fusce a metus rhoncus arcu feugiat imperdiet. Nunc tristique leo ut dui porttitor, eu venenatis tortor ullamcorper. Duis scelerisque luctus arcu a lobortis. In scelerisque dui id ligula ultrices, ac rutrum nisl suscipit. Mauris nec molestie velit, at hendrerit ante.

Praesent quis ante sed leo iaculis congue id vulputate mi. Aliquam dignissim ipsum ex, et vulputate justo tincidunt rutrum. Integer congue neque et vestibulum ultrices. Praesent hendrerit tempus molestie. Donec porttitor nibh in mi venenatis tincidunt. Cras eu lorem id sem vulputate ornare. Aenean tincidunt eget lacus quis ornare. Vivamus pulvinar sit amet orci sed vehicula. Donec porttitor odio eu magna tempus, nec pretium ligula euismod.

Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Proin ipsum urna, ullamcorper at maximus in, feugiat molestie magna. Proin tristique pellentesque tempor. Curabitur erat enim, faucibus eu nibh at, volutpat posuere tellus. Vestibulum faucibus elementum purus et laoreet. Donec in libero magna. Vestibulum tellus eros, auctor ut ullamcorper id, sagittis quis nisl. Vivamus a fermentum metus, ac consectetur massa. Pellentesque non viverra mauris. Nullam porttitor augue eu nunc tempus euismod. Etiam pharetra tellus neque, vel auctor leo condimentum non. Sed mi nulla, ornare quis volutpat eu, pharetra nec risus. Nam placerat orci sit amet ipsum iaculis blandit. Vivamus interdum facilisis feugiat. Morbi pretium cursus augue, non feugiat tellus.

Curabitur dictum sodales magna, et efficitur lectus rutrum vehicula. Nulla lacus ipsum, suscipit vel consectetur non, laoreet a libero. Sed semper ullamcorper tortor, quis porttitor mauris molestie quis. Praesent sit amet massa orci. Quisque mollis libero magna, vitae varius metus cursus vel. Nunc maximus turpis nec ullamcorper tempus. Donec pharetra elit justo, non bibendum felis aliquam quis. Sed in leo lacus. Sed maximus vel lacus vel scelerisque. Duis blandit vel nulla et hendrerit.

Nam scelerisque condimentum erat vitae laoreet. Donec id ligula hendrerit nisi dignissim pharetra eu ut felis. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Proin vehicula dignissim fermentum. Vestibulum vel nunc tincidunt, volutpat arcu eleifend, lacinia leo. Donec quis lectus ex. Curabitur elementum ultricies nibh ut vehicula. Suspendisse placerat hendrerit nulla, a lobortis est sagittis nec. Ut cursus nunc purus, eu euismod erat imperdiet vel.

Fusce porttitor velit interdum fermentum congue. Mauris vel fringilla neque. Phasellus sed eros sollicitudin, ultricies mi ornare, egestas nisi. Aenean tellus eros, gravida ac viverra et, vestibulum in orci. Maecenas id iaculis nulla. Curabitur mauris purus, tempus et varius eu, tristique id enim. Integer consectetur dui enim, vel auctor augue vulputate pulvinar. Aliquam finibus gravida congue.

Vivamus tempus eros eu nulla molestie, a rhoncus lacus mollis. Pellentesque mattis leo risus, in vulputate massa dictum in. Quisque imperdiet ligula vitae nisi lobortis, ut finibus libero dictum. Nam dignissim eleifend nisi, at pretium velit consequat a. Etiam nec diam feugiat libero consectetur imperdiet at et neque. Integer at odio ac magna finibus hendrerit. Integer feugiat vehicula pretium. Donec a congue lacus, eget aliquet tellus.

Nam ullamcorper nibh lacus, at fermentum dui consectetur et. Pellentesque sed lacus dui. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Ut dignissim tortor in ante euismod, at volutpat eros porta. Suspendisse aliquam nisl quis maximus dignissim. Proin porttitor augue sit amet aliquet rhoncus. Maecenas sed feugiat dui. Morbi pharetra quam id nisi volutpat cursus.

Cras vestibulum et dui at eleifend. Cras eu interdum mauris. Suspendisse potenti. Ut purus dolor, interdum non quam et, accumsan fermentum purus. Vivamus pharetra nisl eget urna efficitur mattis. Suspendisse porta sapien vitae bibendum dictum. Phasellus eu lorem quis odio convallis porttitor. Maecenas tempus venenatis leo et fermentum.

Nullam maximus posuere leo eget egestas. Pellentesque non justo tristique, efficitur velit non, sagittis eros. Donec congue egestas cursus. Donec nibh urna, fermentum et dui eget, malesuada convallis lectus. Nulla efficitur velit sed libero aliquam condimentum. Curabitur nec velit fermentum quam lacinia lobortis. Suspendisse dignissim, mi ut pellentesque semper, nisl mauris accumsan lectus, a sollicitudin tortor magna interdum sem. Nulla efficitur nulla in faucibus imperdiet. Aenean aliquam risus ut ligula elementum tempor. In vehicula leo at diam vehicula ultrices vel id lacus. Curabitur elementum metus non eleifend dapibus. Aliquam erat volutpat. Sed congue urna non felis varius accumsan. Aliquam et mi in lectus cursus convallis eget sit amet sapien. In scelerisque nisl nec vehicula sagittis. Donec eros magna, blandit et dui nec, tempus dictum nibh.

Nullam at turpis vitae urna tincidunt lobortis et sed nisl. Suspendisse tincidunt quam vel mi suscipit, in placerat arcu porttitor. Mauris metus lacus, rutrum nec consectetur a, aliquam a enim. Sed in gravida turpis. Nullam ex nulla, interdum eget mattis vitae, pretium ac orci. Pellentesque luctus arcu nec est rhoncus, eu aliquet metus gravida. Donec ornare dolor lacus, quis dignissim est cursus sit amet.

Pellentesque elementum facilisis mi et fermentum. Praesent fringilla diam non purus faucibus porta non nec libero. Aliquam erat volutpat. Pellentesque porta elit eget nisi scelerisque sagittis. Phasellus sollicitudin, massa id mollis luctus, neque erat ornare lectus, ac elementum dui nisi eu metus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nam vulputate interdum ipsum vel egestas. Nulla posuere nisl ut urna sagittis, quis mollis est elementum. Fusce faucibus hendrerit eros a tincidunt. Etiam quis ultrices quam, eu posuere enim. Vestibulum vitae aliquam nunc. Sed libero tellus, eleifend et pretium non, tempus ut neque. Ut varius, mi eget faucibus pellentesque, lacus odio elementum magna, nec pharetra magna lacus non massa. Vivamus eu sagittis dolor.

Integer aliquam tincidunt odio ac fermentum. Praesent bibendum, justo non interdum aliquam, nunc leo semper velit, ac mollis nisi dui a risus. Nunc cursus purus ut leo tincidunt, sagittis tincidunt quam posuere. Nunc sit amet ipsum tortor. Mauris cursus tellus a quam vulputate feugiat. In laoreet auctor justo, eget fermentum enim pretium non. Duis rutrum sapien at fringilla congue.

Integer et condimentum ex. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Maecenas mattis dapibus nulla, sed lobortis eros tempus id. Nunc scelerisque posuere nulla id finibus. Nam diam orci, sagittis non tincidunt quis, sollicitudin non dui. Integer non massa sed purus venenatis finibus a eu enim. Nulla rhoncus lacus elit. Integer eleifend enim sit amet nisl consectetur feugiat. Nulla laoreet nibh quis neque sodales, ac sollicitudin purus luctus. Suspendisse ligula eros, placerat vel nibh nec, lobortis venenatis velit. Nunc placerat orci eros, vel dictum sem pharetra vitae. Pellentesque sed hendrerit mauris. Donec sit amet orci enim. Mauris imperdiet interdum nisi ut bibendum.

Vivamus finibus sapien sed lacus imperdiet finibus. Vestibulum suscipit porta sem, vel malesuada mi. Fusce accumsan lorem et odio iaculis condimentum. Suspendisse in consectetur turpis. Sed in massa id metus lobortis viverra. Duis pretium ipsum risus. Ut fermentum faucibus ipsum. Ut placerat libero sit amet tortor volutpat, aliquam commodo lorem egestas. Aenean quis sapien vel turpis laoreet congue.

Ut rutrum augue at lacinia posuere. Etiam pellentesque nisl id elit tempor mollis. Morbi iaculis ante ante. Suspendisse et nunc sed eros tristique tincidunt. Pellentesque aliquet nulla sit amet nisl egestas semper. Quisque nec venenatis velit, nec viverra elit. Donec orci massa, vulputate ac ex in, porttitor vestibulum tellus. Pellentesque dolor odio, consequat volutpat enim et, vulputate molestie metus. Ut eget convallis risus. Quisque dui risus, fringilla ac sapien a, cursus euismod nisl.

Aliquam tempor ipsum vel mauris posuere, a iaculis augue euismod. Etiam cursus elementum gravida. Quisque ac euismod nunc, nec tempus est. Proin gravida enim eu purus blandit iaculis. Praesent non diam ut dolor convallis faucibus. Etiam euismod leo felis, sit amet cursus metus porttitor cursus. Aenean sit amet massa ipsum. Duis sagittis tincidunt rutrum. Nam vel feugiat nibh. Proin tincidunt viverra mi, pellentesque vestibulum massa laoreet in. Vivamus eget risus mattis, lacinia odio ac, elementum dui. Ut sit amet nisi non odio dapibus euismod. In finibus, mi ac hendrerit congue, urna eros feugiat dolor, tincidunt rhoncus sapien lorem at mi. Fusce scelerisque eros lobortis metus condimentum egestas. Quisque dapibus velit libero, in molestie libero fermentum eget.

Aenean mi quam, blandit vel libero at, maximus mollis sem. Praesent scelerisque purus sodales mauris lacinia congue. Cras enim enim, ullamcorper non scelerisque ut, porta at augue. Nam a nisl at leo vestibulum iaculis. Donec sit amet finibus tellus, at fermentum enim. Mauris tellus lectus, vulputate eget auctor id, lobortis a justo. Curabitur tristique, ante et pellentesque suscipit, ex quam rhoncus magna, a vulputate nisl ipsum sit amet diam. Aliquam elementum porta ultrices. Proin consequat sit amet dui in blandit. Ut efficitur, ex at tempus venenatis, erat sapien tempus diam, a malesuada ante massa eget lorem.

Duis gravida ipsum eget libero tristique, tincidunt egestas risus gravida. Phasellus tincidunt arcu felis, in ultricies risus consectetur sed. Etiam commodo, ipsum in consectetur finibus, odio urna blandit magna, a consectetur mi magna vel ligula. Vestibulum semper, orci ut vulputate dictum, sapien felis molestie nunc, quis viverra neque elit nec elit. Donec quis ex malesuada, placerat massa vitae, scelerisque ipsum. In sit amet libero eros. Donec tempus, ex eget fringilla efficitur, odio justo placerat sem, sit amet condimentum neque odio a tortor. Curabitur ornare fermentum velit, a bibendum lacus feugiat eget. Cras posuere urna vitae mauris iaculis, vitae tincidunt arcu semper. Sed dapibus elit ut nunc iaculis, sit amet dapibus orci imperdiet. Vestibulum malesuada elit nibh, vel ornare nisi laoreet sit amet. Ut laoreet tortor quis scelerisque consequat. Fusce leo diam, imperdiet non nulla nec, auctor ornare tellus. Morbi a blandit nisi, aliquet rhoncus velit. In imperdiet augue eu blandit lacinia. Donec in purus quis justo egestas aliquet eget nec nulla.

Integer tincidunt massa id sem fermentum iaculis. In convallis maximus nulla, ut dictum urna hendrerit sit amet. Aliquam ullamcorper imperdiet sapien eget placerat. Maecenas sed dapibus tortor. Vivamus eget sapien et augue accumsan luctus. Quisque et placerat turpis. Nullam et nunc in urna fermentum ullamcorper sed tempus sapien. Phasellus dignissim quam eu orci bibendum blandit eu eu nisi. Etiam ac est arcu.

Donec ut purus eget justo dapibus imperdiet sed vel nibh. Suspendisse a fermentum leo, vitae porttitor leo. Pellentesque bibendum iaculis gravida. Aenean interdum nisi purus, sit amet rhoncus elit luctus ac. Proin vel magna at libero sollicitudin tempus. Vivamus accumsan ac tellus sed dignissim. Praesent laoreet sed erat eu lacinia. Proin consectetur ultrices mi non finibus. Mauris ultricies justo a massa finibus dictum. Suspendisse ultricies urna et pulvinar faucibus. Ut eget massa risus. Etiam aliquet varius turpis, et ullamcorper erat condimentum eu. Nulla eu dui non elit facilisis vulputate ac ultricies magna. Mauris commodo a felis condimentum accumsan. Sed justo metus, imperdiet a facilisis eget, porttitor quis eros.

Mauris venenatis maximus neque, in iaculis tortor dictum ut. Proin ut orci sit amet elit egestas aliquet. Curabitur aliquet, lectus nec placerat feugiat, erat massa varius ligula, eu aliquet metus augue mollis nibh. Maecenas elementum ut arcu ut porttitor. Integer vestibulum est justo, eu viverra mi scelerisque vel. Suspendisse tellus neque, ullamcorper at massa ac, ornare maximus justo. Aenean dignissim lacus libero, non cursus lorem tristique sed. Donec ultricies egestas neque eget scelerisque. Ut porta sit amet odio vel hendrerit. Morbi vitae tellus rutrum, viverra nisl in, malesuada ipsum. Maecenas volutpat quam nisi, sit amet tempus nunc commodo vel.

Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Nulla faucibus cursus tortor, non molestie justo blandit quis. Aenean malesuada lectus nisi, sed iaculis est bibendum vitae. Mauris ut nulla volutpat, semper elit vitae, auctor orci. Integer porttitor efficitur nibh vitae ultrices. In egestas sodales nulla, ut commodo augue. Phasellus tristique porta purus a mollis. Quisque aliquet, velit eu sollicitudin scelerisque, massa quam finibus elit, nec elementum lorem dui ac diam.

Suspendisse auctor mollis magna, ut semper nibh consequat id. Aenean porttitor risus at pharetra commodo. Etiam ac pulvinar dolor. Donec nisl mi, luctus ac commodo ac, euismod non ipsum. Quisque placerat dolor in sapien eleifend eleifend. Maecenas et turpis vitae erat suscipit bibendum. Nunc euismod a lacus et convallis. Vestibulum sed maximus ligula. Praesent id ex pulvinar, euismod neque at, accumsan enim. Nulla mattis diam sit amet felis viverra, id commodo orci sodales. Etiam ultricies gravida mauris, eu finibus magna euismod nec. Donec tempor erat magna, in consectetur nisl sagittis et. Vestibulum sed arcu nibh. Nam tempor arcu at tincidunt dignissim. Curabitur porta est nec ex vulputate, sit amet lobortis justo fermentum.

Vivamus quis rutrum dolor. Suspendisse sollicitudin nisi ut leo suscipit elementum. In fermentum lobortis mauris ac dapibus. Donec maximus laoreet ante. Phasellus quam risus, varius rutrum lacus sit amet, ullamcorper tempor ante. Fusce at nunc condimentum, tincidunt tellus a, sagittis dolor. Suspendisse potenti. Pellentesque imperdiet dapibus nisi, eget faucibus dolor sollicitudin in. In mollis leo quis condimentum mollis. Aliquam massa dolor, faucibus elementum vulputate eget, tincidunt vel metus. Donec rutrum enim non lectus consequat imperdiet. In feugiat lacus vitae felis congue rhoncus. Aliquam ut imperdiet sapien. Duis aliquam finibus justo, in ultrices turpis elementum molestie. Phasellus id vehicula nibh. Integer eget ligula ultricies, consequat tortor vitae, dapibus nunc.

Praesent posuere libero ac justo blandit cursus. Fusce eu pharetra nunc, vitae rhoncus erat. Maecenas pretium nisi ac pulvinar dignissim. Suspendisse erat augue, posuere vel erat ac, vestibulum malesuada velit. Cras sed lacus velit. Aliquam hendrerit fermentum laoreet. Interdum et malesuada fames ac ante ipsum primis in faucibus. Donec quis nulla vel massa hendrerit pharetra nec vitae nunc. Vestibulum rhoncus imperdiet augue, at dictum neque convallis sed. Fusce mollis sapien et erat consequat, at blandit dui ornare. Phasellus tristique eget nisi a pellentesque. Ut sit amet eros eget ligula elementum dapibus. Praesent gravida porttitor nunc nec finibus. In fringilla felis nec cursus condimentum. Quisque ultrices pulvinar justo et consequat. Donec vitae justo lacus.

Ut condimentum congue molestie. Donec pretium imperdiet lorem sit amet sodales. Maecenas eu massa vestibulum, rhoncus justo vel, porttitor eros. Integer faucibus consectetur arcu a iaculis. Suspendisse consectetur augue in sem imperdiet, sed molestie sapien tristique. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Curabitur feugiat risus odio, sit amet rhoncus diam imperdiet vel.

Vivamus et tellus quis urna porttitor hendrerit. Curabitur nec aliquet nunc, ac porta massa. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nam eget consectetur nisl. Aliquam finibus mollis velit et convallis. Praesent at elit ante. Maecenas eget nisl ut metus ultrices lobortis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Donec posuere purus non justo ultricies ullamcorper. Sed malesuada, quam in porttitor feugiat, lorem sapien egestas dui, nec accumsan ante arcu et diam. Duis lorem lacus, maximus non urna quis, pulvinar vehicula sem. Vestibulum diam odio, pulvinar id metus ut, iaculis interdum dui. Etiam malesuada purus at nibh feugiat vulputate non nec enim. Suspendisse purus risus, dictum a sollicitudin ut, euismod nec arcu. Nam at sodales ipsum.

Suspendisse vel massa ipsum. Curabitur elementum nibh erat. Phasellus hendrerit eros ante, id aliquet sem ornare consectetur. Quisque lacinia ac nisl vitae molestie. Maecenas convallis, velit quis luctus posuere, ipsum dui condimentum massa, a varius purus ligula nec nisl. Fusce maximus, lacus in varius malesuada, velit risus dapibus sem, eu imperdiet augue nulla eget tellus. Aenean turpis purus, rutrum eu augue at, fringilla feugiat enim. Quisque nec metus in felis tristique eleifend. Nam nec libero enim. Donec quis molestie ligula. Integer tincidunt eget quam id lobortis. Aliquam vel ligula neque. Duis convallis libero eget sem interdum, id lobortis ante sollicitudin. Cras a ullamcorper nibh.

Vivamus nec leo lacinia, volutpat mi commodo, finibus nunc. Aliquam fermentum felis sit amet neque aliquet bibendum. Nunc nulla dui, porta a vehicula ut, feugiat et elit. Phasellus aliquet mollis est vitae scelerisque. Orci varius natoque penatibus et magnis dis parturient montes, nascetur posuere.4

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Lorem ipsum dolor sit amet, consectetur adipiscing elit. Cras egestas urna metus, vel faucibus augue tempus sed. Suspendisse potenti. Duis faucibus rutrum dui sit amet gravida. Quisque a finibus lacus. Praesent in libero nec dui sollicitudin iaculis sit amet vel massa. Vestibulum vulputate neque eget facilisis molestie. Nunc quam sapien, aliquam a bibendum vel, fermentum sed ligula. Duis condimentum congue urna, iaculis euismod neque hendrerit et. Suspendisse lacinia ligula nec risus suscipit, sit amet elementum turpis tempor. Fusce sed erat sem. Quisque sed sem quis mi lacinia rhoncus et at nisi. Vivamus sapien nisl, eleifend quis ligula id, ultrices sagittis mi. Aenean vitae viverra mauris, sit amet luctus leo. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Donec suscipit metus sit amet lacus sodales hendrerit.

Aliquam pulvinar at nulla vitae maximus. Vivamus vulputate dolor nec venenatis aliquam. Sed laoreet tincidunt diam imperdiet elementum. Etiam ut gravida nulla. Cras eget purus vel est maximus pellentesque. Duis eget suscipit leo. Curabitur ullamcorper at nulla eu molestie. Sed at neque pretium, ornare sapien non, rhoncus erat. Pellentesque ligula eros, varius ut porttitor in, vehicula at sem. Suspendisse in maximus orci. Phasellus convallis consequat quam, non posuere mi condimentum in. Fusce blandit bibendum cursus. Donec in porttitor mi. Aliquam erat volutpat.

Curabitur lobortis odio vitae egestas vehicula. Aliquam erat volutpat. Maecenas dignissim pulvinar enim, eget condimentum ante congue nec. Pellentesque id tincidunt diam. Sed laoreet, erat nec ultrices bibendum, diam orci facilisis diam, sit amet varius neque erat et sem. Quisque nec faucibus mauris, ut iaculis est. Ut diam ante, mollis quis accumsan id, dapibus vel dui.

Sed a diam eu nisi sollicitudin dictum. Nunc sed augue at justo pretium semper. Quisque laoreet rhoncus augue, ac congue elit bibendum id. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Donec mauris eros, mattis in felis a, fringilla semper ligula. Donec leo arcu, tincidunt molestie pellentesque vel, lobortis id est. Nam congue ullamcorper dui. Aliquam tincidunt, ex vitae dapibus tristique, sem erat laoreet risus, et pharetra neque tellus sit amet tellus. Maecenas convallis tincidunt lectus, a accumsan orci sollicitudin vitae. Proin ac suscipit metus. In nec lacus tellus. Vestibulum porta sollicitudin ex, at pellentesque odio laoreet in.

Vivamus euismod felis tincidunt, malesuada neque id, scelerisque felis. Sed tincidunt massa vehicula imperdiet tempor. Vivamus ullamcorper posuere tellus, quis congue eros gravida sed. Nulla eu est quis erat imperdiet eleifend eu vitae ligula. Etiam hendrerit elit vestibulum est porta dignissim. Maecenas a porta orci. Curabitur consequat semper ipsum, molestie auctor nunc varius id. Vestibulum posuere tortor ut ligula lobortis, at dictum leo mollis. Integer enim felis, accumsan pretium nisl vel, pretium fermentum enim. Quisque a congue felis. Fusce a metus rhoncus arcu feugiat imperdiet. Nunc tristique leo ut dui porttitor, eu venenatis tortor ullamcorper. Duis scelerisque luctus arcu a lobortis. In scelerisque dui id ligula ultrices, ac rutrum nisl suscipit. Mauris nec molestie velit, at hendrerit ante.

Praesent quis ante sed leo iaculis congue id vulputate mi. Aliquam dignissim ipsum ex, et vulputate justo tincidunt rutrum. Integer congue neque et vestibulum ultrices. Praesent hendrerit tempus molestie. Donec porttitor nibh in mi venenatis tincidunt. Cras eu lorem id sem vulputate ornare. Aenean tincidunt eget lacus quis ornare. Vivamus pulvinar sit amet orci sed vehicula. Donec porttitor odio eu magna tempus, nec pretium ligula euismod.

Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Proin ipsum urna, ullamcorper at maximus in, feugiat molestie magna. Proin tristique pellentesque tempor. Curabitur erat enim, faucibus eu nibh at, volutpat posuere tellus. Vestibulum faucibus elementum purus et laoreet. Donec in libero magna. Vestibulum tellus eros, auctor ut ullamcorper id, sagittis quis nisl. Vivamus a fermentum metus, ac consectetur massa. Pellentesque non viverra mauris. Nullam porttitor augue eu nunc tempus euismod. Etiam pharetra tellus neque, vel auctor leo condimentum non. Sed mi nulla, ornare quis volutpat eu, pharetra nec risus. Nam placerat orci sit amet ipsum iaculis blandit. Vivamus interdum facilisis feugiat. Morbi pretium cursus augue, non feugiat tellus.

Curabitur dictum sodales magna, et efficitur lectus rutrum vehicula. Nulla lacus ipsum, suscipit vel consectetur non, laoreet a libero. Sed semper ullamcorper tortor, quis porttitor mauris molestie quis. Praesent sit amet massa orci. Quisque mollis libero magna, vitae varius metus cursus vel. Nunc maximus turpis nec ullamcorper tempus. Donec pharetra elit justo, non bibendum felis aliquam quis. Sed in leo lacus. Sed maximus vel lacus vel scelerisque. Duis blandit vel nulla et hendrerit.

Nam scelerisque condimentum erat vitae laoreet. Donec id ligula hendrerit nisi dignissim pharetra eu ut felis. Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Proin vehicula dignissim fermentum. Vestibulum vel nunc tincidunt, volutpat arcu eleifend, lacinia leo. Donec quis lectus ex. Curabitur elementum ultricies nibh ut vehicula. Suspendisse placerat hendrerit nulla, a lobortis est sagittis nec. Ut cursus nunc purus, eu euismod erat imperdiet vel.

Fusce porttitor velit interdum fermentum congue. Mauris vel fringilla neque. Phasellus sed eros sollicitudin, ultricies mi ornare, egestas nisi. Aenean tellus eros, gravida ac viverra et, vestibulum in orci. Maecenas id iaculis nulla. Curabitur mauris purus, tempus et varius eu, tristique id enim. Integer consectetur dui enim, vel auctor augue vulputate pulvinar. Aliquam finibus gravida congue.

Vivamus tempus eros eu nulla molestie, a rhoncus lacus mollis. Pellentesque mattis leo risus, in vulputate massa dictum in. Quisque imperdiet ligula vitae nisi lobortis, ut finibus libero dictum. Nam dignissim eleifend nisi, at pretium velit consequat a. Etiam nec diam feugiat libero consectetur imperdiet at et neque. Integer at odio ac magna finibus hendrerit. Integer feugiat vehicula pretium. Donec a congue lacus, eget aliquet tellus.

Nam ullamcorper nibh lacus, at fermentum dui consectetur et. Pellentesque sed lacus dui. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Ut dignissim tortor in ante euismod, at volutpat eros porta. Suspendisse aliquam nisl quis maximus dignissim. Proin porttitor augue sit amet aliquet rhoncus. Maecenas sed feugiat dui. Morbi pharetra quam id nisi volutpat cursus.

Cras vestibulum et dui at eleifend. Cras eu interdum mauris. Suspendisse potenti. Ut purus dolor, interdum non quam et, accumsan fermentum purus. Vivamus pharetra nisl eget urna efficitur mattis. Suspendisse porta sapien vitae bibendum dictum. Phasellus eu lorem quis odio convallis porttitor. Maecenas tempus venenatis leo et fermentum.

Nullam maximus posuere leo eget egestas. Pellentesque non justo tristique, efficitur velit non, sagittis eros. Donec congue egestas cursus. Donec nibh urna, fermentum et dui eget, malesuada convallis lectus. Nulla efficitur velit sed libero aliquam condimentum. Curabitur nec velit fermentum quam lacinia lobortis. Suspendisse dignissim, mi ut pellentesque semper, nisl mauris accumsan lectus, a sollicitudin tortor magna interdum sem. Nulla efficitur nulla in faucibus imperdiet. Aenean aliquam risus ut ligula elementum tempor. In vehicula leo at diam vehicula ultrices vel id lacus. Curabitur elementum metus non eleifend dapibus. Aliquam erat volutpat. Sed congue urna non felis varius accumsan. Aliquam et mi in lectus cursus convallis eget sit amet sapien. In scelerisque nisl nec vehicula sagittis. Donec eros magna, blandit et dui nec, tempus dictum nibh.

Nullam at turpis vitae urna tincidunt lobortis et sed nisl. Suspendisse tincidunt quam vel mi suscipit, in placerat arcu porttitor. Mauris metus lacus, rutrum nec consectetur a, aliquam a enim. Sed in gravida turpis. Nullam ex nulla, interdum eget mattis vitae, pretium ac orci. Pellentesque luctus arcu nec est rhoncus, eu aliquet metus gravida. Donec ornare dolor lacus, quis dignissim est cursus sit amet.

Pellentesque elementum facilisis mi et fermentum. Praesent fringilla diam non purus faucibus porta non nec libero. Aliquam erat volutpat. Pellentesque porta elit eget nisi scelerisque sagittis. Phasellus sollicitudin, massa id mollis luctus, neque erat ornare lectus, ac elementum dui nisi eu metus. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Nam vulputate interdum ipsum vel egestas. Nulla posuere nisl ut urna sagittis, quis mollis est elementum. Fusce faucibus hendrerit eros a tincidunt. Etiam quis ultrices quam, eu posuere enim. Vestibulum vitae aliquam nunc. Sed libero tellus, eleifend et pretium non, tempus ut neque. Ut varius, mi eget faucibus pellentesque, lacus odio elementum magna, nec pharetra magna lacus non massa. Vivamus eu sagittis dolor.

Integer aliquam tincidunt odio ac fermentum. Praesent bibendum, justo non interdum aliquam, nunc leo semper velit, ac mollis nisi dui a risus. Nunc cursus purus ut leo tincidunt, sagittis tincidunt quam posuere. Nunc sit amet ipsum tortor. Mauris cursus tellus a quam vulputate feugiat. In laoreet auctor justo, eget fermentum enim pretium non. Duis rutrum sapien at fringilla congue.

Integer et condimentum ex. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Maecenas mattis dapibus nulla, sed lobortis eros tempus id. Nunc scelerisque posuere nulla id finibus. Nam diam orci, sagittis non tincidunt quis, sollicitudin non dui. Integer non massa sed purus venenatis finibus a eu enim. Nulla rhoncus lacus elit. Integer eleifend enim sit amet nisl consectetur feugiat. Nulla laoreet nibh quis neque sodales, ac sollicitudin purus luctus. Suspendisse ligula eros, placerat vel nibh nec, lobortis venenatis velit. Nunc placerat orci eros, vel dictum sem pharetra vitae. Pellentesque sed hendrerit mauris. Donec sit amet orci enim. Mauris imperdiet interdum nisi ut bibendum.

Vivamus finibus sapien sed lacus imperdiet finibus. Vestibulum suscipit porta sem, vel malesuada mi. Fusce accumsan lorem et odio iaculis condimentum. Suspendisse in consectetur turpis. Sed in massa id metus lobortis viverra. Duis pretium ipsum risus. Ut fermentum faucibus ipsum. Ut placerat libero sit amet tortor volutpat, aliquam commodo lorem egestas. Aenean quis sapien vel turpis laoreet congue.

Ut rutrum augue at lacinia posuere. Etiam pellentesque nisl id elit tempor mollis. Morbi iaculis ante ante. Suspendisse et nunc sed eros tristique tincidunt. Pellentesque aliquet nulla sit amet nisl egestas semper. Quisque nec venenatis velit, nec viverra elit. Donec orci massa, vulputate ac ex in, porttitor vestibulum tellus. Pellentesque dolor odio, consequat volutpat enim et, vulputate molestie metus. Ut eget convallis risus. Quisque dui risus, fringilla ac sapien a, cursus euismod nisl.

Aliquam tempor ipsum vel mauris posuere, a iaculis augue euismod. Etiam cursus elementum gravida. Quisque ac euismod nunc, nec tempus est. Proin gravida enim eu purus blandit iaculis. Praesent non diam ut dolor convallis faucibus. Etiam euismod leo felis, sit amet cursus metus porttitor cursus. Aenean sit amet massa ipsum. Duis sagittis tincidunt rutrum. Nam vel feugiat nibh. Proin tincidunt viverra mi, pellentesque vestibulum massa laoreet in. Vivamus eget risus mattis, lacinia odio ac, elementum dui. Ut sit amet nisi non odio dapibus euismod. In finibus, mi ac hendrerit congue, urna eros feugiat dolor, tincidunt rhoncus sapien lorem at mi. Fusce scelerisque eros lobortis metus condimentum egestas. Quisque dapibus velit libero, in molestie libero fermentum eget.

Aenean mi quam, blandit vel libero at, maximus mollis sem. Praesent scelerisque purus sodales mauris lacinia congue. Cras enim enim, ullamcorper non scelerisque ut, porta at augue. Nam a nisl at leo vestibulum iaculis. Donec sit amet finibus tellus, at fermentum enim. Mauris tellus lectus, vulputate eget auctor id, lobortis a justo. Curabitur tristique, ante et pellentesque suscipit, ex quam rhoncus magna, a vulputate nisl ipsum sit amet diam. Aliquam elementum porta ultrices. Proin consequat sit amet dui in blandit. Ut efficitur, ex at tempus venenatis, erat sapien tempus diam, a malesuada ante massa eget lorem.

Duis gravida ipsum eget libero tristique, tincidunt egestas risus gravida. Phasellus tincidunt arcu felis, in ultricies risus consectetur sed. Etiam commodo, ipsum in consectetur finibus, odio urna blandit magna, a consectetur mi magna vel ligula. Vestibulum semper, orci ut vulputate dictum, sapien felis molestie nunc, quis viverra neque elit nec elit. Donec quis ex malesuada, placerat massa vitae, scelerisque ipsum. In sit amet libero eros. Donec tempus, ex eget fringilla efficitur, odio justo placerat sem, sit amet condimentum neque odio a tortor. Curabitur ornare fermentum velit, a bibendum lacus feugiat eget. Cras posuere urna vitae mauris iaculis, vitae tincidunt arcu semper. Sed dapibus elit ut nunc iaculis, sit amet dapibus orci imperdiet. Vestibulum malesuada elit nibh, vel ornare nisi laoreet sit amet. Ut laoreet tortor quis scelerisque consequat. Fusce leo diam, imperdiet non nulla nec, auctor ornare tellus. Morbi a blandit nisi, aliquet rhoncus velit. In imperdiet augue eu blandit lacinia. Donec in purus quis justo egestas aliquet eget nec nulla.

Integer tincidunt massa id sem fermentum iaculis. In convallis maximus nulla, ut dictum urna hendrerit sit amet. Aliquam ullamcorper imperdiet sapien eget placerat. Maecenas sed dapibus tortor. Vivamus eget sapien et augue accumsan luctus. Quisque et placerat turpis. Nullam et nunc in urna fermentum ullamcorper sed tempus sapien. Phasellus dignissim quam eu orci bibendum blandit eu eu nisi. Etiam ac est arcu.

Donec ut purus eget justo dapibus imperdiet sed vel nibh. Suspendisse a fermentum leo, vitae porttitor leo. Pellentesque bibendum iaculis gravida. Aenean interdum nisi purus, sit amet rhoncus elit luctus ac. Proin vel magna at libero sollicitudin tempus. Vivamus accumsan ac tellus sed dignissim. Praesent laoreet sed erat eu lacinia. Proin consectetur ultrices mi non finibus. Mauris ultricies justo a massa finibus dictum. Suspendisse ultricies urna et pulvinar faucibus. Ut eget massa risus. Etiam aliquet varius turpis, et ullamcorper erat condimentum eu. Nulla eu dui non elit facilisis vulputate ac ultricies magna. Mauris commodo a felis condimentum accumsan. Sed justo metus, imperdiet a facilisis eget, porttitor quis eros.

Mauris venenatis maximus neque, in iaculis tortor dictum ut. Proin ut orci sit amet elit egestas aliquet. Curabitur aliquet, lectus nec placerat feugiat, erat massa varius ligula, eu aliquet metus augue mollis nibh. Maecenas elementum ut arcu ut porttitor. Integer vestibulum est justo, eu viverra mi scelerisque vel. Suspendisse tellus neque, ullamcorper at massa ac, ornare maximus justo. Aenean dignissim lacus libero, non cursus lorem tristique sed. Donec ultricies egestas neque eget scelerisque. Ut porta sit amet odio vel hendrerit. Morbi vitae tellus rutrum, viverra nisl in, malesuada ipsum. Maecenas volutpat quam nisi, sit amet tempus nunc commodo vel.

Orci varius natoque penatibus et magnis dis parturient montes, nascetur ridiculus mus. Nulla faucibus cursus tortor, non molestie justo blandit quis. Aenean malesuada lectus nisi, sed iaculis est bibendum vitae. Mauris ut nulla volutpat, semper elit vitae, auctor orci. Integer porttitor efficitur nibh vitae ultrices. In egestas sodales nulla, ut commodo augue. Phasellus tristique porta purus a mollis. Quisque aliquet, velit eu sollicitudin scelerisque, massa quam finibus elit, nec elementum lorem dui ac diam.

Suspendisse auctor mollis magna, ut semper nibh consequat id. Aenean porttitor risus at pharetra commodo. Etiam ac pulvinar dolor. Donec nisl mi, luctus ac commodo ac, euismod non ipsum. Quisque placerat dolor in sapien eleifend eleifend. Maecenas et turpis vitae erat suscipit bibendum. Nunc euismod a lacus et convallis. Vestibulum sed maximus ligula. Praesent id ex pulvinar, euismod neque at, accumsan enim. Nulla mattis diam sit amet felis viverra, id commodo orci sodales. Etiam ultricies gravida mauris, eu finibus magna euismod nec. Donec tempor erat magna, in consectetur nisl sagittis et. Vestibulum sed arcu nibh. Nam tempor arcu at tincidunt dignissim. Curabitur porta est nec ex vulputate, sit amet lobortis justo fermentum.

Vivamus quis rutrum dolor. Suspendisse sollicitudin nisi ut leo suscipit elementum. In fermentum lobortis mauris ac dapibus. Donec maximus laoreet ante. Phasellus quam risus, varius rutrum lacus sit amet, ullamcorper tempor ante. Fusce at nunc condimentum, tincidunt tellus a, sagittis dolor. Suspendisse potenti. Pellentesque imperdiet dapibus nisi, eget faucibus dolor sollicitudin in. In mollis leo quis condimentum mollis. Aliquam massa dolor, faucibus elementum vulputate eget, tincidunt vel metus. Donec rutrum enim non lectus consequat imperdiet. In feugiat lacus vitae felis congue rhoncus. Aliquam ut imperdiet sapien. Duis aliquam finibus justo, in ultrices turpis elementum molestie. Phasellus id vehicula nibh. Integer eget ligula ultricies, consequat tortor vitae, dapibus nunc.

Praesent posuere libero ac justo blandit cursus. Fusce eu pharetra nunc, vitae rhoncus erat. Maecenas pretium nisi ac pulvinar dignissim. Suspendisse erat augue, posuere vel erat ac, vestibulum malesuada velit. Cras sed lacus velit. Aliquam hendrerit fermentum laoreet. Interdum et malesuada fames ac ante ipsum primis in faucibus. Donec quis nulla vel massa hendrerit pharetra nec vitae nunc. Vestibulum rhoncus imperdiet augue, at dictum neque convallis sed. Fusce mollis sapien et erat consequat, at blandit dui ornare. Phasellus tristique eget nisi a pellentesque. Ut sit amet eros eget ligula elementum dapibus. Praesent gravida porttitor nunc nec finibus. In fringilla felis nec cursus condimentum. Quisque ultrices pulvinar justo et consequat. Donec vitae justo lacus.

Ut condimentum congue molestie. Donec pretium imperdiet lorem sit amet sodales. Maecenas eu massa vestibulum, rhoncus justo vel, porttitor eros. Integer faucibus consectetur arcu a iaculis. Suspendisse consectetur augue in sem imperdiet, sed molestie sapien tristique. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos himenaeos. Curabitur feugiat risus odio, sit amet rhoncus diam imperdiet vel.

Vivamus et tellus quis urna porttitor hendrerit. Curabitur nec aliquet nunc, ac porta massa. Interdum et malesuada fames ac ante ipsum primis in faucibus. Nam eget consectetur nisl. Aliquam finibus mollis velit et convallis. Praesent at elit ante. Maecenas eget nisl ut metus ultrices lobortis. Vestibulum ante ipsum primis in faucibus orci luctus et ultrices posuere cubilia Curae; Donec posuere purus non justo ultricies ullamcorper. Sed malesuada, quam in porttitor feugiat, lorem sapien egestas dui, nec accumsan ante arcu et diam. Duis lorem lacus, maximus non urna quis, pulvinar vehicula sem. Vestibulum diam odio, pulvinar id metus ut, iaculis interdum dui. Etiam malesuada purus at nibh feugiat vulputate non nec enim. Suspendisse purus risus, dictum a sollicitudin ut, euismod nec arcu. Nam at sodales ipsum.

Suspendisse vel massa ipsum. Curabitur elementum nibh erat. Phasellus hendrerit eros ante, id aliquet sem ornare consectetur. Quisque lacinia ac nisl vitae molestie. Maecenas convallis, velit quis luctus posuere, ipsum dui condimentum massa, a varius purus ligula nec nisl. Fusce maximus, lacus in varius malesuada, velit risus dapibus sem, eu imperdiet augue nulla eget tellus. Aenean turpis purus, rutrum eu augue at, fringilla feugiat enim. Quisque nec metus in felis tristique eleifend. Nam nec libero enim. Donec quis molestie ligula. Integer tincidunt eget quam id lobortis. Aliquam vel ligula neque. Duis convallis libero eget sem interdum, id lobortis ante sollicitudin. Cras a ullamcorper nibh.

Vivamus nec leo lacinia, volutpat mi commodo, finibus nunc. Aliquam fermentum felis sit amet neque aliquet bibendum. Nunc nulla dui, porta a vehicula ut, feugiat et elit. Phasellus aliquet mollis est vitae scelerisque. Orci varius natoque penatibus et magnis dis parturient montes, nascetur posuere.5

[Ԍᴏrdon МϲВurnie]

GAY
https://i.imgur.com/Sv3tEaE.jpg
OLD
https://i.imgur.com/tdMyLoc.jpg
RETARDED
https://i.imgur.com/JwfH5FR.jpg
FAGGOT !!!
https://i.imgur.com/zEML1tK.jpg
GAY
https://i.imgur.com/vLC2YVh.jpg
OLD
https://i.imgur.com/DYHgSfL.jpg
RETARDED
https://i.imgur.com/jNjSl7H.jpg
FAGGOT !!!
https://i.imgur.com/hfDRUf9.jpg
GAY
https://i.imgur.com/YWxEmrl.jpg
OLD
https://i.imgur.com/rOL3vqO.jpg
RETARDED
https://i.imgur.com/GoWeARp.jpg
FAGGOT !!!
https://i.imgur.com/1nEGTbS.jpg
FAGGOT !!!!
https://i.imgur.com/JwfH5FR.jpg
FAGGOT !!!!!
https://i.imgur.com/UjEQlRp.jpg
FAGGOT !!!!!!
https://i.imgur.com/YR2R0gv.jpg
FAGGOT !!!!!!!
https://i.imgur.com/9gUoKyn.jpg
FAGGOT !!!!!!!!!
https://i.imgur.com/XYsC3U2.jpg
FAGGOT !!!!!!!!!!!!!!!!!!!

[bananadong]

https://media.tenor.com/images/d6646a00b188c5c0744e90d064a4ab17/tenor.gif