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arm hand fingers reach reaching out skin caucasian person body part appendage limb extremity digit finger thumb index middle ring pinky nail cuticle wrinkle crease line palm back side flesh bone muscle tendon ligament blood vessel nerve artery vein capillary anatomy physiology biology science medical medicine health care treatment cure disease illness injury wound infection pain suffering discomfort agony torture misery anguish distress affliction calamity disaster catastrophe tragedy nightmare hell damnation perdition suffering misery anguish distress affliction calamity disaster catastrophe tragedy nightmare hell damnation perdition