19-Letter Words Containing: R,I,L,A
(In Any Order)
There are 160 19 letter words,
1,037 19 letter phrases and
0 19 letter abbr's with
R,I,L,A in.
Best Scoring 19 Letter Words With: R,I,L,A
Expand? | Word | Save? | Length | Usage | Points | Type | |
---|---|---|---|---|---|---|---|
We couldn't find any valid Scrabble US words with a length of 19. Try changing the version of the game.
Tip: Scrabble EU allows far more words than US! |
All 19 Letter Words
Words (160)
sternocleidomastoidhydrochlorothiazidecinematographicallyuntranslatabilitiesunderstandabilitiesuncontrollabilitiesunapproachabilitiesultrasegregationistultracontemporariestridimensionalitiestransplantabilitiestransformationalistterritorializationssuperspecializationrevolutionarinessesreticuloendothelialrepresentationalistrepresentationalismreinstitutionalizesreinstitutionalizedreindustrializationreconceptualizationradioallergosorbentpsychopharmacologicproletarianizationsposttranscriptionalpostmillenarianismspolyesterificationspolychromatophiliasphytogeographicallyphotofluorographiesphenylthiocarbamidepharmacodynamicallyparthenogeneticallyparadichlorobenzenepaleogeographicallypaleoanthropologistpaleoanthropologiesovolactovegetariansoverspecializationsoversimplificationsoverproportionatelyoverintellectualizeoverindustrializingovergeneralizationsovercommercializingoverclassificationsovercentralizationsovercapitalizationsnonrelativisticallynonenforceabilitiesneuropharmacologistneuropharmacologiesmucopolysaccharidesmicropaleontologistmicropaleontologiesmicrometeorologicalmicroencapsulationsmicroelectronicallylipopolysaccharidesirreproachabilitiesirreplaceablenessesirrecoverablenessesirreconcilabilitiesinterorganizationalinterjurisdictionalinterferometricallyinterdepartmentallyinteravailabilitiesindescribablenessesimpressionisticallyimpressionabilitieshyperirritabilitieshyperexcitabilitieshyperemotionalitieshydrometeorologicalhomotransplantationhistoriographicallygastroenterologistsgastroenterologicalextraterritorialityextralinguisticallyexpressionisticallyestablishmentariansentrepreneurialismselectroretinographyelectroretinographselectrophotographicelectrophoreticallyelectronegativitieselectrometallurgieselectromechanicallyelectromagneticallyelectrodesiccationselectrocorticogramselectrocardiographsdisrespectabilitiesdimethyltryptaminesdimethylnitrosaminedifferentiabilitiesdiethylcarbamazinesdepartmentalizationdendrochronologicaldeindustrializationdehydrochlorinationdehydrochlorinatingcrosslinguisticallycountersurveillancecounterretaliationscountermobilizationcounterinflationarycounterculturalismscontradistinctivelycomplementarinessescircumstantialitieschromolithographingchromolithographieschromolithographerscharacterologicallyantirevolutionariesantifluoridationistanticholinesterasesanthropomorphicallyanthropocentricallyxenotransplantationunproblematicalnessultracentrifugationthree-dimensionalitythird-dimensionalitytetramethyldiarsinesurface-assimilativeresorcinolphthaleinradiopharmaceuticalprofessionalizationprofessionalisationphenylpropanolaminepenicillin-resistantotorhinolaryngologynonrepresentationallarge-capitalizationlarge-capitalisationlanguedoc-roussilloninterdenominationalinterchangeablenesshysterosalpingogramhypolipoproteinemiahydroxytetracyclineglottochronologicalelectrocardiographycytophotometricallycross-linguisticallycross-classificationcortico-hypothalamicchromoblastomycosischromatographicallycartilaginificationballistocardiographbacteriochlorophyllauriculoventricularanarcho-collectivismPhrases (1037)
william henry mauldinwhite-leaved rockrosewheeled forecarriagewater-plantain familyvisceral pericardiumviral delivery vectorvertical combinationvena paraumbilicalisvena basivertebralisvalentina tereshkovatransmission channeltrans-alaska pipelinetragelaphus imberbistrachinotus falcatustheodore harold whitethalarctos maritimustelevision announcertaraxacum officinalesylvilagus palustrissuperfamily muroideasulphur hexafluoridesubfamily potoroinaesubfamily perdicidaesubclass archosauriastreptopelia risoriastephen michael reichsolitary confinementsolidarity surchargesir noel pierce cowardsierra madre orientalsemi-circular bastionself-adapting programscleropages jardiniisantiago ramon y cajalrugged individualismrotary internationalrichard the lionheartrestriction nucleaseresidential districtrepublic of the gambiarepublic of mauritiusrepublic of guatemalarepublic of costa ricarejoicing over the lawread between the linesquercus vaccinifoliaprobability theoristpositive correlationpinion and crown wheelpilosella aurantiacaphytolacca americanaphysical restorationpellaea rotundifoliapelecaniform seabirdpathological processpassionflower familypassiflora incarnatapart to whole relationorder spirochaetalesoperational casualtyoperational analysisoperating capabilityolympic national parkolfactory perceptionobstetrical deliverynorth atlantic treatyneurological diseasemyrciaria caulifloramusical organizationmusical organisationmuscular contractionmicromeria douglasiimickey charles mantlemathematical productmathematical processmartin luther king daymarmota flaviventrismaltese monetary unitmalpighian corpusclemalacosoma americanalonicera involucrataliterary compositionlighter-than-air craftlesotho monetary unitleon battista albertilegal representativelead-acid accumulatorlatvian monetary unitlaotian monetary unitlanguage requirementlagerstroemia indicakate o'flaherty chopinjohn edward masefieldjean-baptiste lamarckivan petrovich pavlovitalian monetary unitirrational hostilityirish gaelic languageinternal jugular veininformation bulletinindo-iranian languagehydrobates pelagicushuman papilloma virusheritiera littoralishelianthus tuberosushaliotis tuberculatagreater sunda islandsglycerinated gelatingiles lytton stracheygerard manley hopkinsgenus delphinapterusgenus branchiobdellafuel consumption ratefrench polish shellacfortunella margaritaflorence nightingalefixed-cycle operationfirst vatican councilfavourable receptionfamily zingiberaceaefamily tropaeolaceaefamily sterculiaceaefamily phalangeridaefamily orectolobidaefamily myristicaceaefamily morchellaceaefamily laminariaceaefamily istiophoridaefamily euphorbiaceaefamily eriocaulaceaefamily dasyproctidaefamily cyclopteridaefamily cucurbitaceaefamily calliphoridaefamily alligatoridaefamily acipenseridaeextragalactic nebulaexternal respirationeudromias morinellusempire state buildingelectrical convertereditorial departmentdreissena polymorphadiversionary landingdistribution channeldisability insurancedioscorea paniculatadibranchiate molluskdepartment of englishdelusions of grandeurdeclarative sentencedari persian languagedaniel chester frenchdame alice ellen terrycumberland mountainscornelius vanderbiltcorallorhiza striatacongressional recordconditional contractcombustible materialcollective agreementclass chondrichthyescivil rights activistchromosomal mutationcellulose triacetatecarpinus carolinianacapital of the ukrainecapital of south koreacapital of north koreacapital of madagascarcapital of luxembourgcapital of kyrgyzstancapital of californiacapital of azerbaijancanavalia ensiformiscampanula tracheliumcampanula divaricatacalycanthus floriduscallitris endlichericalifornia buckthornbronislaw malinowskibroadcast journalistbradypus tridactylusborrelia burgdorferiblacktail jackrabbitbertholletia excelsabearing false witnessbattle of the granicusbaroness karen blixenballistic trajectoryazerbaijani republicazerbaijani languageaustralian aborigineathyrium filix-feminaasexual reproductionascaris lumbricoidesarticles of agreementarmand jean du plessisarchosaurian reptilearabidopsis thalianaappointment calendaranterior crural nerveangolan monetary unitandrew william mellonamplitude distortionalpine type of glacieralopecurus pratensisallium schoenoprasumallium cepa viviparumalben william barkleyaccumulator registeraccounting principleabutilon theophrastizero-tolerance policyyellow mariposa tulipwomen's liberationistwilliam wymark jacobswilliam the conquerorwilliam sydney porterwilliam le baron jennywilliam harrison hayswilliam graham sumnerwholesale price indexwhole to part relationwhitetail prairie dogwhitetail jackrabbitwhite-stemmed filareewhite-rayed mule's earswestern silvery asterwestern gray squirrelwestern civilizationwave-particle dualitywater-soluble vitaminvolvariella volvaceavladimir ilyich leninvirginian witch hazelvirginia thimbleweedvibratory pile hammervestibular apparatusvesicular stomatitisvertical integrationveronica officinalisventricular aneurysmventral placentationvena musculophrenicavena gastroomentalisvariegated horsetailvallisneria spiralisvalerianella locustauvularia grandifloraurogenital apparatusuniversal quantifierunilateral paralysisuniform accelerationunfavorable positionunderground railroadulysses simpson grantultraviolet spectrumu. s. army special forcestwelfth cranial nerveturnip-rooted parsleytupi-guarani languagetrophoblastic cancertrilisa odoratissimatrigeminal neuralgiatrifolium incarnatumtricholoma sejunctumtricholoma populinumtricholoma aurantiumtrichloroacetic acidtrichinella spiralistreasury obligationstravel reimbursementtransit declinometertragelaphus scriptustomasso parentucellititus lucretius carustimothy francis learythyrsopteris elegansthrough bill of ladingthrombolytic therapythomas woodrow wilsonthird lateran councilthermal conductivitytheory of probabilitytheological doctrinethelypteris simulatathe malay archipelagoterritorial dominionterritorial divisionterrestrial guidanceterrain intelligencetent-caterpillar mothsystemic circulationsystema alimentariumsurgical suction pumpsurface-to-air missilesurface assimilationsupraglacial morainesuperclass myriapodasuksdorfia violaceaesuborder blennioideasubfamily perdicinaesubfamily garrulinaesubfamily corylaceaesubclass prototheriasubclass pantotheriastyle of architecturestructural sociologystriated muscle fiberstraight-fluted drillstinking bean trefoilsterculia acerifoliastenocarpus salignusspurious correlationspreading bellflowerspousal relationshipsplit-brain techniquespirodela polyrrhizaspherical aberrationsphaeralcea coccineaspecial court-martialspasmodic laryngitisspacecraft clock timesophora secundiflorasolanopteris bifronssodium lauryl sulfatesociology departmentsocialist labor partysitotroga cerealellasir arthur conan doylesir alexander flemingsinus venosus scleraesingular propositionsierra lodgepole pinesideroblastic anemiashortleaf yellow pineshigella dysenteriaeseventh cranial nervesesbania grandifloraserranus subligariussequoia national parksequential operationsenecio triangularisseiurus aurocapillusscorched-earth policyscleroderma citrinumsciurus carolinensissceloporus graciosusscarlet wisteria treesatureja grandiflorasarcochilus falcatussanta cruz de la sierrasanicula arctopoidessales representativesaint lawrence seawayrubus phoenicolasiusrotational nystagmusrose-colored starlingroman catholic churchrobert e lee's birthdayrobert anson heinleinright-angled trianglerichard milhous nixonrichard iii of englandrice-grain fritillaryrhamnus carolinianusrhamnus californicusrhagoletis pomonellarh-negative blood typeretromandibular veinretrobulbar neuritisretaliatory evictionrepublic of venezuelarepublic of singaporerepublic of san marinorepublic of nicaraguarepublic of macedoniarepublic of lithuaniarepublic of indonesiarepublic of cape verderelational adjectiveregulatory authorityregional anaesthesiarefracting telescoperedwood national parkred-flowered silky oakrecreational vehiclereconnaissance planerauwolfia serpentinarattlesnake plantainratibida columniferaranunculus aquatilisradioactive materialradiigera fuscoglebaradical hysterectomyradially symmetricalracial exterminationquercus sessilifloraquadratic polynomialpythagorean trianglepyrophorus noctilucapyrochemical processpulse height analyzerpulmonary congestionpublic address systempteroylglutamic acidpsychiatric hospitalpseudolarix amabilisprotium heptaphyllumproportional counterpropellant explosivepromotional materialprogramming languageprobiotic microfloraprickly custard appleprepositional phraseprepositional objectprenuptial agreementpotential differencepotamophis striatulapostural hypotensionposterior facial veinportable circular sawporphyrula martinicapopulus nigra italicapolyprion americanuspolypodium virgianumpolygonatum biflorumpolyarteritis nodosapolemonium caeruleumpolanisia graveolenspolanisia dodecandrapocketed freetail batplexus hypogastricusplatylobium formosumplatinum thermometerplate tectonic theoryplanck's radiation lawpin-tailed sandgrousepierre laporte bridgephylum echinodermataphotogelatin processphotochromic glassesphotinia arbutifoliapholiota astragalinaphineas taylor barnumphilosophical theoryphase i clinical trialphantom limb syndromephalaris canariensisphalaris arundinaceapetunia integrifoliapersonality disorderperissodactyl mammalpentobarbital sodiumpentecostal religionpennsylvanian periodpelargonium peltatumpelargonium limoneumpelargonium hortorumpassiflora ligularisparticolored buckeyeparticle acceleratorparkinsonia aculeataparietal pericardiumparadisea liliastrumparaboloid reflectorpapaver californicumpalpebra conjunctivapaleo-amerind culturepalace of westminsterour lady's mild thistleoriental bittersweetorder selaginellalesorder saprolegnialesorder perissodactylaorder pelecaniformesorder ophioglossalesorder geophilomorphaorder dinoflagellataorder auricularialesorder anguilliformesorchis papilionaceaeorange-blossom orchidoperational calculusolfactory impairmentoleandra neriiformisoccupational therapynuphar sagittifoliumnucifraga columbiananothofagus solanderinonvascular organismnonlinear distortionnine-banded armadillonilo-saharan languagenicandra physaloidesnew zealand wine berrynetherlands antillesnephrolepis exaltatanegative correlationneftali ricardo reyesnaval special warfarenational park servicenational guard bureaunancahuazu guerrillanabalus serpentariusmycobacterium lepraemutual understandingmunicipal governmentmultiple personalitymultiple correlationmultiengine airplanemountain parsley fernmountain everlastingmountain bladder fernmotorized wheelchairmotorcycle policemanmortgage applicationmoreton bay tulipwoodmorchella semiliberamonocular microscopemolluga verticillatamohammed reza pahlevimohammed reza pahlavimohammad reza pahlavimitral valve stenosismitral valve prolapsemirror-image relationmirabilis multifloramirabilis longifloramilitary engineeringmiliary tuberculosismiddle irish languagemiddle greek languagemichael philip jaggermexican beaded lizardmercurialis perennismembranous labyrinthmegalithic structuremedical social workermedical practitionermayetiola destructormass-action principlemarsilea quadrifoliamarital relationshipmarcus tullius ciceromanagerial economicsmalvastrum coccineummagnolia macrophyllamagnolia grandifloramagnetic line of forcemacular degenerationmachine-readable textmacadamia ternifolialythrum hyssopifolialouis comfort tiffanylord's resistance armylonicera caprifoliumlong-tailed porcupinelong-billed marsh wrenlobotes surinamensislithophragma affinislipid granulomatosislinguistic universallinguistic geographylimestone salamanderlily-of-the-valley treelieutenant commanderlichanura trivirgatalibyan fighting groupliatris pycnostachyalexington and concordleslie richard grovesleslie howard stainerlemmus trimucronatuslegionnaires' diseaselegal representationlebistes reticulatuslaw of thermodynamicslaurentian highlandslatent schizophrenialaser interferometerlarge-leaved magnolialampropeltis getuluslalthyrus tingitanuslaissez-faire economylactuca sativa crispalaburnum anagyroideskinyarwanda languagekayser-fleischer ringkarl waldemar zieglerjuniperus silicicolajob-oriented terminaljewish calendar monthjerome david salingerjean edouard vuillardjapanese archipelagojames henry leigh huntjames albert michenerjacquinia armillarisistiophorus albicansisraeli monetary unitisraeli defense forceislands of langerhansirish republican armyintraocular pressureinterplanetary spaceinterparietal sutureinternational watersinternational systeminternational flightinternational candleinternational ampereinternal respirationinternal iliac arteryinternal failure costinsulin shock therapyinflammatory diseaseinfant mortality rateindirect correlationindependent variableilich ramirez sanchezian lancaster fleminghygrophorus borealishydrangea petiolarishydrangea paniculatahorse-chestnut familyhooded ladies' tressesholocanthus tricolorhigh-level formattingheteroscelus incanusheterophile antibodyhemigalus hardwickiihelipterum manglesiihard-skinned puffballhans holbein the elderhamamelis virginianahalf-and-half dressinghairstreak butterflyhabenaria orbiculatahabenaria leucophaeahabenaria chloranthagulf of saint lawrenceguillaume de grimoardguevina heterophyllagrevillela parallelagreco-roman wrestlinggravitational theorygravimetric analysisgraptophyllum pictumgrammatical relationgrammatical cohesiongrammatical categorygrainy club mushroomsgovernment officialsglycyrrhiza lepidotaglycerol tristearateglenn hammond curtissgiant scrambling ferngerardia pediculariageological formationgenus ruptiliocarpongenus plesianthropusgenus plasmodiophoragenus periophthalmusgenus myrtillocactusgenus lemaireocereusgenus appendiculariagenus algeripithecusgentianella amarellageneralized epilepsygeneral practitionergaylussacia frondosagaultheria hispidulagastrocybe lateritiagastrocnemius musclegaillardia pulchellafundamental particlefriuli-venezia giuliafritillaria agrestisfriedrich august wolffrequency modulationfrederick william iiifrederick law olmstedfraxinus carolinianafrank breech deliveryfrancis edgar stanleyfouquieria splendensfore-topmast staysailfluorocarbon plasticflorida strangler figfloating-point numberflindersia australisflat-coated retrieverfive-flowered gentianfirst lateran councilfirst baron passfieldfifth lateran councilfibrovascular bundlefermentation alcoholferdinand julius cohnfamily valerianaceaefamily uranoscopidaefamily trombiculidaefamily troglodytidaefamily tribonemaceaefamily theraphosidaefamily tetranychidaefamily tenebrionidaefamily struthionidaefamily sparganiaceaefamily simaroubaceaefamily saxifragaceaefamily salvadoraceaefamily salamandridaefamily sagittariidaefamily rhinolophidaefamily ranunculaceaefamily rafflesiaceaefamily pyrrhocoridaefamily pteroclididaefamily priacanthidaefamily portulacaceaefamily pomacentridaefamily podocarpaceaefamily pinnotheridaefamily phylloxeridaefamily paradisaeidaefamily orobanchaceaefamily nidulariaceaefamily monotropaceaefamily microdesmidaefamily meleagrididaefamily megatheriidaefamily lycoperdaceaefamily leitneriaceaefamily kinosternidaefamily indicatoridaefamily hydrangeaceaefamily holocentridaefamily hexagrammidaefamily hemiramphidaefamily hemiprocnidaefamily haemodoraceaefamily hadrosauridaefamily gracilariidaefamily gigartinaceaefamily formicariidaefamily fistulariidaefamily fissurellidaefamily drosophilidaefamily dracunculidaefamily dioscoreaceaefamily dinornithidaefamily curculionidaefamily coryphaenidaefamily chytridiaceaefamily chrysomelidaefamily centropomidaefamily centrarchidaefamily casuarinaceaefamily caryocaraceaefamily caprimulgidaefamily capparidaceaefamily burmanniaceaefamily berberidaceaefamily araucariaceaefamily antennariidaefamily anacardiaceaefamily amaranthaceaefamily ailuropodidaefaisal of saudi arabiaexternal jugular veinexternal iliac arteryexternal failure costexistential operatoreustoma grandiflorumeupatorium maculatumerythrina lysistemoneriophyllum wallaceieriocaulon aquaticumequilibrium constantequilateral triangleequiangular triangleequal-area projectionepitrochoidal engineepiscia dianthifloraepilachna varivestisepiglottic cartilageepidural anaesthesiaepidemic pleurodyniaenglish breakfast teaemberiza schoenicluselimination reactionelettaria cardamomumelephantiasis scrotieleocharis palustriselementary educationelectrostatic chargeelectronic messagingelectromagnetic waveelectromagnetic unitelectrical elastanceelectrical dischargeelectrical condenserelaphurus davidianuselanoides forficatuseigenvalue of a matrixedward wyllis scrippsedward osborne wilsonedward douglass whiteedward calvin kendalleconomic libertarianecological terrorismeastern silvery astereastern grey squirreleastern gray squirreldriving beam headlampdracunculus vulgarisdoctor of musical artsdivision chlorophytadipsosaurus dorsalisdiplotaxis erucoidesdidelphis virginianadicentra spectabilisdevil's darning needledesert mariposa tulipdermochelys coriaceadepartment of biologydegree of a polynomialdedicated file serverdecimal number systemdavid oliver selznickdavallia canariensisdarryl francis zanuckdark-field microscopedardanelles campaigndaniel hudson burnhamdactylorhiza fuchsiidacrydium frankliniidacridium laxifoliuscystopteris fragiliscystoid macular edemacupressus lusitanicacumulative preferredcultivated crab applecristobal balenciagacriminal prosecutioncriminal maintenancecrescent-cell anaemiacrataegus marshalliicrataegus aestivaliscotula coronopifoliacortinarius gentiliscorpus amygdaloideumcornelia otis skinnercordyline terminaliscorallorhiza trifidacopernicia australisconvolvulus arvensiscontinental congressconspiracy of silenceconformal projectionconditional responseconditional relationconditional reactionconcessive adverbialcommunity of scholarscommodore vanderbiltcommercial travellercome hell or high watercollinsia parvifloraclinical thermometerclass anthoceropsidaclass acrasiomycetescladonia rangiferinacitrophilus mealybugcitellus richardsonicircumflex iliac veincinnamomum loureiriicinnabar chanterellechronological recordchronic renal failurechromosonal disorderchromic-sulfuric acidchlamydosaurus kingichinese lantern plantchinese angelica treechimaphila corymbosachilean monetary unitchild welfare servicechenopodium vulvariachemistry laboratorychemical equilibriumchemical engineeringcheiranthus allioniicharles robert darwincharles hardin holleychaim azriel weizmanncentral veins of livercentral vein of retinacentral standard timecentaurium calycosumcentauria calcitrapacentaurea imperialiscellular respirationcayman islands dollarcatastrophic illnesscastilleja sulphureacarlovingian dynastycarl clinton van dorencarduelis hornemannicarbon tetrachloridecarbohydrate loadingcapsicum pepper plantcaloosahatchee rivercalochortus kennedyicalochortus amabiliscallitris parlatoreicallimorpha jacobeaecalifornia whipsnakecalifornia tree poppycalifornia sagebrushcalifornia dandelioncalifornia buckwheatcalcium hypochloritecaladenia cairnsianacaesalpinia sepiariacaesalpinia coriariaburrill bernard crohnbulletin board systembubble gum dermatitisbryanthus taxifoliusbrunfelsia americanabroadcast schedulingbroad-leaved plantainbritish commonwealthbristly sarsaparillabrick-molding machinebrazilian potato treebrazilian pepper treebrachiocephalic veinbouviers des flandresbougainvillea glabraborassus flabelliferboiling water reactorblacktail prairie dogblackcurrant liqueurblackburnian warblerbismarck archipelagobiserial correlationbiological terrorismbinocular microscopebilingual dictionarybig shellbark hickorybig bend national parkbartramia longicaudabaron clive of plasseybanksia integrifoliabalkan mountain rangebairdiella chrysouraayapana triplinervisautomobile insuranceaustralian sword lilyaustralian reed grassaustralian hare's footaustralian grass treeaustralian cockroachauricularia auriculaaureolaria virginicaaugustin-jean fresnelatriplex lentiformisatriplex hymenelytraastatic galvanometerartificial satelliteartificial pacemakerarthur schlesinger jr.arthur edwin kennellyarterial blood vesselarteria testicularisarteria iliolumbalisarmillariella melleaarmillaria ponderosaaristotelia racemosaarenaria carolinianaarchimedes' principlearchilochus colubrisaraucaria columnarisarab republic of egyptanticholinergic druganti-racketeering lawanthyllis vulnerariaanthyllis barba-jovisantheropeas wallaceianterior labial veinsanterior jugular veinangular accelerationanatomical structureanatomical sphincteranatomical referenceanaclitic depressionamerican saddle horseamerican red squirrelamerican parsley fernamerican featherfoilamerican bog asphodelamaryllis belladonnaalternative pleadingalternative medicinealternative birthingalsobia dianthifloraalphanumeric displayalphabetic characteralocasia macrorrhizaallium scorodoprasumallied command europealliaria officinalisallamanda catharticaalgorithmic languagealfred charles kinseyalfred alistair cookealexander ii of russiaalex boncayao brigadealbizzia julibrissinair-to-surface missileagriocharis ocellataagricultural laborerafroasiatic languageaffirmative pleadingacute-angled triangleacute pyelonephritisacid-base equilibriumaccommodation reflexaccommodation ladderacanthisitta chlorisabruptly-pinnate leaf