Chart 32-3 · 13 min
The first turn
A read of this page, with the plate.


Ornithine. Blocked when arginine is short. Needs manganese to proceed to citrulline. Chloramine in tap water as a named door. Reverse-osmosis as a kitchen word, not a student kit. When present: draws ammonia in. Growth hormone and muscle as pictures, not doses. When absent: ammonia rises.
Her voice, from the class.
The first turn — ornithine draws ammonia toward citrulline
The first turn — chloramine wipes manganese at the top
Practice
Point made-from, manganese, present, absent. If ammonia belongs with a physician, you leave.
Check
Manganese on 32-3:
- Bone field / mandible
- A name on ornithine to citrulline — the urea wheel ✓
- Arginine/lysine
That's the work.
The card above:
- Arginine/lysine
- Manganese on the urea wheel ✓
- Bone
That's the work.
Made from arginine:
- A dose of ornithine
- Blocked when arginine is short ✓
- Bone
That's the work.
When present:
- Ammonia rises
- Draws ammonia in ✓
- Lysine
That's the work.
When absent:
- Muscle mass
- Ammonia rises — a physician ✓
- Bone
That's the work.
Chloramine:
- A dose of Mn
- A named door on manganese ✓
- Lysine
That's the work.
The bone-field ask:
- Stays under all four
- Dropped — the field is the urea wheel, not bone ✓
- Citrulline
That's the work.
Growth hormone as a picture:
- A dose you write
- Named, not dosed ✓
- Bone
That's the work.
You do not write a dose from this practice because:
- The turn is named ✓
- A blood titer is a doctor's number
- Course 04 said so
That's the work.
If ammonia belongs with a physician:
- You prescribe ornithine
- You leave ✓
- You open lysine
That's the work.