SlideShare une entreprise Scribd logo
1  sur  66
OBSTETRIC & GYNECOLOGY  COMMON GYNECOLOGICAL  PROBLEMS Part II Pascale Gehy-Andre PA-C
Common Gynecological Problems LEIOMYOMA ADENOMYOSIS ENDOMETRIAL POLYPS ENDOMETRIOSIS GYNECOLOGICAL ABDOMINAL PAIN
Leiomyomas
Leiomyomas
 
 
 
 
UTERINE LEIOMYOMA INCIDENCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEIOMYOMA ETIOLOGY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LOCATION OF LEIOMYOMAS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Leiomyoma of the Uterus
LEIOMYOMA History -Most are asymptomatic Symptoms depends on size, location, pregnancy, sarcomatous degeneration (0.1 to 0.5%) Abnormal uterine bleeding;  most common -Menorrhagia, metrorrhagia Dysmenorrhea is not a typical feature Pain:  Vascular compromise, torsion, infection Large fibroids can put pressure on the rectum causing constipation. Fever, spontaneous abortion, infertility
LEIOMYOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
LEIOMYOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LEIOMYOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
ADENOMYOSIS INTERNAL ENDOMETRIOSIS
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADENOMYSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADENOMYOSIS
ADENOMYOSIS
ADENOMYOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ENDOMETRIAL  POLYPS
POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
POLYPS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Uterine Polyps ,[object Object],[object Object],[object Object],[object Object]
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
ENDOMETRIOSIS  Clinical Findings ,[object Object],[object Object],[object Object],[object Object]
ENDOMETRIOSIS  Clinical Findings ,[object Object],[object Object]
 
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
ENDOMETRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT OF ENDOMITRIOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
Still Alive ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ETIOLOGY CHRONIC PELVIC PAIN
 
Fistulas
 
 
 
 
Salpingitis
 
 
 

Contenu connexe

Tendances

Female reproductive pathology
Female reproductive pathologyFemale reproductive pathology
Female reproductive pathologyChavaboon
 
Puperial sepsis
Puperial sepsisPuperial sepsis
Puperial sepsisishamagar
 
REPRODUCTIVE DISORDERS OF FENWICK, FILAMER
REPRODUCTIVE DISORDERS OF FENWICK, FILAMERREPRODUCTIVE DISORDERS OF FENWICK, FILAMER
REPRODUCTIVE DISORDERS OF FENWICK, FILAMERshenell delfin
 
Breast disharge
Breast dishargeBreast disharge
Breast dishargedrmcbansal
 
Breast & its diseases
Breast & its diseasesBreast & its diseases
Breast & its diseasesraj kumar
 
Pelvic inflammatory disease ppt
Pelvic inflammatory disease pptPelvic inflammatory disease ppt
Pelvic inflammatory disease pptMeenakshi Kaushik
 
Clinical Features of Ectopic Pregnancy
Clinical Features of Ectopic PregnancyClinical Features of Ectopic Pregnancy
Clinical Features of Ectopic PregnancySrinivasan Gunasekaran
 
Clinical approach to gynaecological patient (part 2)
Clinical approach to gynaecological patient (part 2)Clinical approach to gynaecological patient (part 2)
Clinical approach to gynaecological patient (part 2)drmcbansal
 
Ectopic pregnancy by Dr qurat ul ain
Ectopic pregnancy by Dr qurat ul ainEctopic pregnancy by Dr qurat ul ain
Ectopic pregnancy by Dr qurat ul ainAyub Medical College
 
Carcinoma endometrium Dr. M.C.Bansal
Carcinoma  endometrium  Dr. M.C.BansalCarcinoma  endometrium  Dr. M.C.Bansal
Carcinoma endometrium Dr. M.C.Bansaldrmcbansal
 
Rectal bleeding during pregnancy
Rectal bleeding during pregnancyRectal bleeding during pregnancy
Rectal bleeding during pregnancydrmcbansal
 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015Mohammad Emam
 
metrorrhagia NITISH SINGH
metrorrhagia NITISH SINGH metrorrhagia NITISH SINGH
metrorrhagia NITISH SINGH nitishsingh08
 

Tendances (20)

Female reproductive pathology
Female reproductive pathologyFemale reproductive pathology
Female reproductive pathology
 
Puperial sepsis
Puperial sepsisPuperial sepsis
Puperial sepsis
 
Menorrhagia
MenorrhagiaMenorrhagia
Menorrhagia
 
REPRODUCTIVE DISORDERS OF FENWICK, FILAMER
REPRODUCTIVE DISORDERS OF FENWICK, FILAMERREPRODUCTIVE DISORDERS OF FENWICK, FILAMER
REPRODUCTIVE DISORDERS OF FENWICK, FILAMER
 
Breast disharge
Breast dishargeBreast disharge
Breast disharge
 
Breast & its diseases
Breast & its diseasesBreast & its diseases
Breast & its diseases
 
Foetal measure
Foetal measureFoetal measure
Foetal measure
 
Pelvic inflammatory disease ppt
Pelvic inflammatory disease pptPelvic inflammatory disease ppt
Pelvic inflammatory disease ppt
 
Cysts and fibroids
Cysts and fibroidsCysts and fibroids
Cysts and fibroids
 
Diseases of the ovaries
Diseases of the ovariesDiseases of the ovaries
Diseases of the ovaries
 
Clinical Features of Ectopic Pregnancy
Clinical Features of Ectopic PregnancyClinical Features of Ectopic Pregnancy
Clinical Features of Ectopic Pregnancy
 
Pelvic organ prolapse
Pelvic organ prolapsePelvic organ prolapse
Pelvic organ prolapse
 
Clinical approach to gynaecological patient (part 2)
Clinical approach to gynaecological patient (part 2)Clinical approach to gynaecological patient (part 2)
Clinical approach to gynaecological patient (part 2)
 
Ectopic pregnancy by Dr qurat ul ain
Ectopic pregnancy by Dr qurat ul ainEctopic pregnancy by Dr qurat ul ain
Ectopic pregnancy by Dr qurat ul ain
 
Carcinoma endometrium Dr. M.C.Bansal
Carcinoma  endometrium  Dr. M.C.BansalCarcinoma  endometrium  Dr. M.C.Bansal
Carcinoma endometrium Dr. M.C.Bansal
 
Rectal bleeding during pregnancy
Rectal bleeding during pregnancyRectal bleeding during pregnancy
Rectal bleeding during pregnancy
 
Amenorrhea made easy slideshare 2015
Amenorrhea made easy   slideshare  2015Amenorrhea made easy   slideshare  2015
Amenorrhea made easy slideshare 2015
 
metrorrhagia NITISH SINGH
metrorrhagia NITISH SINGH metrorrhagia NITISH SINGH
metrorrhagia NITISH SINGH
 
ectopic pregnancy
ectopic pregnancyectopic pregnancy
ectopic pregnancy
 
Common gynaecological problems
Common  gynaecological  problemsCommon  gynaecological  problems
Common gynaecological problems
 

En vedette

Pregnancy with adenomyosis and leiomyoma with component of pelvic congestion
Pregnancy with adenomyosis  and leiomyoma with component of pelvic congestion Pregnancy with adenomyosis  and leiomyoma with component of pelvic congestion
Pregnancy with adenomyosis and leiomyoma with component of pelvic congestion Ritesh Mahajan
 
instruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology pptinstruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology pptTONY SCARIA
 
Pre ivf assessment of the female
Pre ivf assessment of the femalePre ivf assessment of the female
Pre ivf assessment of the femaleOsama Abdalmageed
 
Looking back at our theoretical research
Looking back at our theoretical researchLooking back at our theoretical research
Looking back at our theoretical researchwlaufs
 
Interpretation of research results comendador, g.
Interpretation of research results  comendador, g.Interpretation of research results  comendador, g.
Interpretation of research results comendador, g.Ginalyn Comendador
 
4 375921006901985281
4 3759210069019852814 375921006901985281
4 375921006901985281Barby Akiila
 
Measurement and evaluation
Measurement and evaluationMeasurement and evaluation
Measurement and evaluationseena george
 
Reproductive Health and Responsible Sexuality by Darleen Estuart
Reproductive Health and Responsible Sexuality by Darleen EstuartReproductive Health and Responsible Sexuality by Darleen Estuart
Reproductive Health and Responsible Sexuality by Darleen EstuartMindanao Youth for Peace
 
Research tool.rating scale
Research tool.rating scaleResearch tool.rating scale
Research tool.rating scaleMukut Deori
 
Myoma & preg
Myoma & pregMyoma & preg
Myoma & pregmagdy abdel
 
Endometrial polyps
Endometrial polypsEndometrial polyps
Endometrial polypsraj kumar
 
Abnormal puerperium
Abnormal puerperium Abnormal puerperium
Abnormal puerperium Salini Mandal
 
Abnormal puerperium
Abnormal puerperiumAbnormal puerperium
Abnormal puerperiumChandan N
 

En vedette (20)

Pregnancy with adenomyosis and leiomyoma with component of pelvic congestion
Pregnancy with adenomyosis  and leiomyoma with component of pelvic congestion Pregnancy with adenomyosis  and leiomyoma with component of pelvic congestion
Pregnancy with adenomyosis and leiomyoma with component of pelvic congestion
 
Osce revision in obstetrics and gynecology
Osce revision in obstetrics and gynecologyOsce revision in obstetrics and gynecology
Osce revision in obstetrics and gynecology
 
instruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology pptinstruments ostetrics and gynaecology ppt
instruments ostetrics and gynaecology ppt
 
Pre ivf assessment of the female
Pre ivf assessment of the femalePre ivf assessment of the female
Pre ivf assessment of the female
 
Male inferility
Male inferilityMale inferility
Male inferility
 
Looking back at our theoretical research
Looking back at our theoretical researchLooking back at our theoretical research
Looking back at our theoretical research
 
Paper i unit ii
Paper i   unit iiPaper i   unit ii
Paper i unit ii
 
Interpretation of research results comendador, g.
Interpretation of research results  comendador, g.Interpretation of research results  comendador, g.
Interpretation of research results comendador, g.
 
4 375921006901985281
4 3759210069019852814 375921006901985281
4 375921006901985281
 
Core paper 1 unit 1
Core paper 1 unit 1Core paper 1 unit 1
Core paper 1 unit 1
 
Measurement and evaluation
Measurement and evaluationMeasurement and evaluation
Measurement and evaluation
 
Reproductive Health and Responsible Sexuality by Darleen Estuart
Reproductive Health and Responsible Sexuality by Darleen EstuartReproductive Health and Responsible Sexuality by Darleen Estuart
Reproductive Health and Responsible Sexuality by Darleen Estuart
 
Research tool.rating scale
Research tool.rating scaleResearch tool.rating scale
Research tool.rating scale
 
Demonstration method
Demonstration methodDemonstration method
Demonstration method
 
Myoma & preg
Myoma & pregMyoma & preg
Myoma & preg
 
Endometrial polyps
Endometrial polypsEndometrial polyps
Endometrial polyps
 
Abnormal puerperium
Abnormal puerperium Abnormal puerperium
Abnormal puerperium
 
Vaginal discharge
Vaginal dischargeVaginal discharge
Vaginal discharge
 
Abnormal puerperium
Abnormal puerperiumAbnormal puerperium
Abnormal puerperium
 
Rating scale
Rating scaleRating scale
Rating scale
 

Similaire à Obgyn Gyn Problems Ii

Similaire à Obgyn Gyn Problems Ii (20)

Myoma Uteri
Myoma UteriMyoma Uteri
Myoma Uteri
 
ectopic pregnancy.ppt
ectopic pregnancy.pptectopic pregnancy.ppt
ectopic pregnancy.ppt
 
Post Menopausal Bleeding
Post Menopausal BleedingPost Menopausal Bleeding
Post Menopausal Bleeding
 
Uterine fibroid (leiomyoma) and new treatment modalities
Uterine fibroid (leiomyoma) and new treatment modalitiesUterine fibroid (leiomyoma) and new treatment modalities
Uterine fibroid (leiomyoma) and new treatment modalities
 
Inguino scrotall umps
Inguino scrotall umpsInguino scrotall umps
Inguino scrotall umps
 
PRIMARY AMENNORHOEA
PRIMARY AMENNORHOEAPRIMARY AMENNORHOEA
PRIMARY AMENNORHOEA
 
Management of UTERINE FIBROIDS or myoma.pptx
Management of UTERINE FIBROIDS or myoma.pptxManagement of UTERINE FIBROIDS or myoma.pptx
Management of UTERINE FIBROIDS or myoma.pptx
 
peritoneum.ppt
peritoneum.pptperitoneum.ppt
peritoneum.ppt
 
26.2008 Reproductive Endocrinology
26.2008 Reproductive Endocrinology26.2008 Reproductive Endocrinology
26.2008 Reproductive Endocrinology
 
Leiomyomata uteri
Leiomyomata uteriLeiomyomata uteri
Leiomyomata uteri
 
UTERINE tumours.pptx
UTERINE tumours.pptxUTERINE tumours.pptx
UTERINE tumours.pptx
 
Disorders of the menstrual cycle 2
Disorders of the menstrual cycle  2Disorders of the menstrual cycle  2
Disorders of the menstrual cycle 2
 
L35 Endometriosis
L35 EndometriosisL35 Endometriosis
L35 Endometriosis
 
Endometriosis
EndometriosisEndometriosis
Endometriosis
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Amenorrhea
AmenorrheaAmenorrhea
Amenorrhea
 
Pelvic pain and dysmenorrhea
Pelvic pain and dysmenorrheaPelvic pain and dysmenorrhea
Pelvic pain and dysmenorrhea
 
Ectopic pregnancy BY DR SHASHWAT JANI
Ectopic pregnancy BY DR SHASHWAT JANIEctopic pregnancy BY DR SHASHWAT JANI
Ectopic pregnancy BY DR SHASHWAT JANI
 
Ectopic pregnancy
Ectopic pregnancy Ectopic pregnancy
Ectopic pregnancy
 
ectopicpregnancydpg-170824070854.pdf
ectopicpregnancydpg-170824070854.pdfectopicpregnancydpg-170824070854.pdf
ectopicpregnancydpg-170824070854.pdf
 

Plus de Miami Dade

Psych Lecture 7 Somatoform.1ppt
Psych Lecture 7 Somatoform.1pptPsych Lecture 7 Somatoform.1ppt
Psych Lecture 7 Somatoform.1pptMiami Dade
 
7 13 Connective Tissue Disease
7 13 Connective Tissue Disease7 13 Connective Tissue Disease
7 13 Connective Tissue DiseaseMiami Dade
 
5spondyloarthropaties Seronegative Arthritis
5spondyloarthropaties Seronegative Arthritis5spondyloarthropaties Seronegative Arthritis
5spondyloarthropaties Seronegative ArthritisMiami Dade
 
Urinary Incontinence
Urinary IncontinenceUrinary Incontinence
Urinary IncontinenceMiami Dade
 
Child Infec. Diseases
Child Infec. DiseasesChild Infec. Diseases
Child Infec. DiseasesMiami Dade
 
Health Maintenance
Health  MaintenanceHealth  Maintenance
Health MaintenanceMiami Dade
 
Presentation Mdc Hematology
Presentation Mdc HematologyPresentation Mdc Hematology
Presentation Mdc HematologyMiami Dade
 
Presentation Mdc Nephro Uro
Presentation Mdc Nephro UroPresentation Mdc Nephro Uro
Presentation Mdc Nephro UroMiami Dade
 
Pressure Sores
Pressure SoresPressure Sores
Pressure SoresMiami Dade
 
Gyn Infections
Gyn  InfectionsGyn  Infections
Gyn InfectionsMiami Dade
 
Sports Medicine
Sports MedicineSports Medicine
Sports MedicineMiami Dade
 
Presentation Mdc Pulmo
Presentation Mdc PulmoPresentation Mdc Pulmo
Presentation Mdc PulmoMiami Dade
 
Lecture 4 Schizophrenia Disorders
Lecture 4 Schizophrenia DisordersLecture 4 Schizophrenia Disorders
Lecture 4 Schizophrenia DisordersMiami Dade
 
Skin And Soft Tissue Infections
Skin And Soft Tissue InfectionsSkin And Soft Tissue Infections
Skin And Soft Tissue InfectionsMiami Dade
 
Surgery Small Intestine And Appendix T G
Surgery Small Intestine And Appendix  T GSurgery Small Intestine And Appendix  T G
Surgery Small Intestine And Appendix T GMiami Dade
 
Lecture 3 Personality Disorders 1
Lecture 3 Personality Disorders 1Lecture 3 Personality Disorders 1
Lecture 3 Personality Disorders 1Miami Dade
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgMiami Dade
 

Plus de Miami Dade (20)

Pulmonary
PulmonaryPulmonary
Pulmonary
 
Psych Lecture 7 Somatoform.1ppt
Psych Lecture 7 Somatoform.1pptPsych Lecture 7 Somatoform.1ppt
Psych Lecture 7 Somatoform.1ppt
 
7 13 Connective Tissue Disease
7 13 Connective Tissue Disease7 13 Connective Tissue Disease
7 13 Connective Tissue Disease
 
4 Sle2009
4 Sle20094 Sle2009
4 Sle2009
 
5spondyloarthropaties Seronegative Arthritis
5spondyloarthropaties Seronegative Arthritis5spondyloarthropaties Seronegative Arthritis
5spondyloarthropaties Seronegative Arthritis
 
Urinary Incontinence
Urinary IncontinenceUrinary Incontinence
Urinary Incontinence
 
Urology
UrologyUrology
Urology
 
Child Infec. Diseases
Child Infec. DiseasesChild Infec. Diseases
Child Infec. Diseases
 
Health Maintenance
Health  MaintenanceHealth  Maintenance
Health Maintenance
 
Presentation Mdc Hematology
Presentation Mdc HematologyPresentation Mdc Hematology
Presentation Mdc Hematology
 
Presentation Mdc Nephro Uro
Presentation Mdc Nephro UroPresentation Mdc Nephro Uro
Presentation Mdc Nephro Uro
 
Pressure Sores
Pressure SoresPressure Sores
Pressure Sores
 
Gyn Infections
Gyn  InfectionsGyn  Infections
Gyn Infections
 
Sports Medicine
Sports MedicineSports Medicine
Sports Medicine
 
Presentation Mdc Pulmo
Presentation Mdc PulmoPresentation Mdc Pulmo
Presentation Mdc Pulmo
 
Lecture 4 Schizophrenia Disorders
Lecture 4 Schizophrenia DisordersLecture 4 Schizophrenia Disorders
Lecture 4 Schizophrenia Disorders
 
Skin And Soft Tissue Infections
Skin And Soft Tissue InfectionsSkin And Soft Tissue Infections
Skin And Soft Tissue Infections
 
Surgery Small Intestine And Appendix T G
Surgery Small Intestine And Appendix  T GSurgery Small Intestine And Appendix  T G
Surgery Small Intestine And Appendix T G
 
Lecture 3 Personality Disorders 1
Lecture 3 Personality Disorders 1Lecture 3 Personality Disorders 1
Lecture 3 Personality Disorders 1
 
Surgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum TgSurgery Stomach & Duodenum Tg
Surgery Stomach & Duodenum Tg
 

Dernier

Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi NcrDelhi Call Girls
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknownarwatsonia7
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...narwatsonia7
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Nehru place Escorts
 

Dernier (20)

Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service LucknowVIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
VIP Call Girls Lucknow Nandini 7001305949 Independent Escort Service Lucknow
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
 
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
Call Girls Service in Virugambakkam - 7001305949 | 24x7 Service Available Nea...
 

Obgyn Gyn Problems Ii