Gum changes in systemic conditions

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Hi,
Here are some gum changes in systemic conditions

• Chronic lead poisoning: Punctuate blue lesions
• Phenytoin treatment: Firm and hypertrophied
• Scurvy: Soft and hemorrhagic
• Cyanotic congenital heart disease: Spongy and hemorrhagic

Phenytoin Gum Hypertrophy

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Grading volume of a murmur

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