SlideShare une entreprise Scribd logo
1  sur  54
An Interesting Case Of CKD Prof.Dr.G.Sundaramurthy’s unit. Dr.B.Gowri shankar.PG M6
[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]
Contd… Low hair line Short neck (ratio):-14.3 Ht-172 cm   Neck-12 cm
SCOLIOSIS
ROM-FLEXION
ROM-EXTENSION
SIDE TO SIDE MOVEMENTS-restricted
SIDE TO SIDE MOVEMENTS-restricted
LATERAL FLEXION - LIMITED
[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations : CBC 17-07-11 19-07-11 Hb 8 7.5 TC 8200 7100 DC P48 L50E2 P54L38E8 ESR 8/15 7/14 Platelets 2.5 L 2.3 L RBC 3.5 3.3 MCV 82 81 MCHC 32 32 MCH 26 27 PCV 26 24
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
RENAL FUNCTION TESTS: 17-07-11 19-07-11 20-07-11 22-07-11 UREA 158 172 132 110 CREATININE 7.4 11.2 6.2 5.6 ELECTROLYTES Na 142.7 136 144 140 K 5.13 5.0 4.7 4.8 Cl 94 - 96 - Sr.Calcium-8.4 mg/dl
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
VIRAL MARKERS: HIV:  NEGATIVE   HBsAg:  NEGATIVE   Anti-HCV: NEGATIVE  ANA- NEGATIVE   RA- NEGATIVE C3 LEVELS- NORMAL IVU- COULD NOT BE DONE DTPA SCAN- NOT AFFORDABLE
[object Object]
[object Object],[object Object],[object Object],[object Object]
Cervical-AP view
 
 
Thorax X-ray
Lumbar X-ray
Lumbar X-ray
 
`
 
 
 
 
CT ABDOMEN- ,[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]
CASE REPORTS: ,[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]
CASE DISCUSSION: ,[object Object],[object Object],Classic clinical triad  - low posterior hairline - short neck  - limitation of neck motion.
[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]
Presentations: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cervical Stenosis… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ASSOCIATIONS: ,[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]
CONTD… ,[object Object],[object Object],[object Object],[object Object]
TRIVIA… ,[object Object],[object Object]
 

Contenu connexe

Tendances

Approach to limping child
Approach to limping childApproach to limping child
Approach to limping child
Hardik Pawar
 
Myositis ossificans
Myositis ossificans Myositis ossificans
Myositis ossificans
orthoprince
 

Tendances (20)

Neuropathic (Charcots) joints
Neuropathic (Charcots) joints Neuropathic (Charcots) joints
Neuropathic (Charcots) joints
 
management of claw hand
management of claw handmanagement of claw hand
management of claw hand
 
Clonus
ClonusClonus
Clonus
 
Cubitus varus and valgus
Cubitus varus and valgusCubitus varus and valgus
Cubitus varus and valgus
 
Approach to limping child
Approach to limping childApproach to limping child
Approach to limping child
 
Wilson radiology
Wilson radiologyWilson radiology
Wilson radiology
 
Cvj anomalies
Cvj anomaliesCvj anomalies
Cvj anomalies
 
Myositis ossificans
Myositis ossificans Myositis ossificans
Myositis ossificans
 
Myositis ossificans
Myositis ossificansMyositis ossificans
Myositis ossificans
 
Perthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHORPerthes disease by DR.NAVEEN RATHOR
Perthes disease by DR.NAVEEN RATHOR
 
Tuberculosis of spine
Tuberculosis of spineTuberculosis of spine
Tuberculosis of spine
 
Myositis ossificans
Myositis ossificansMyositis ossificans
Myositis ossificans
 
Approach to Leukodystrophy
Approach to Leukodystrophy Approach to Leukodystrophy
Approach to Leukodystrophy
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasia
 
Non compressive myelopathy
Non compressive myelopathyNon compressive myelopathy
Non compressive myelopathy
 
Plantar, babinski
Plantar, babinskiPlantar, babinski
Plantar, babinski
 
Cervical Rib
Cervical RibCervical Rib
Cervical Rib
 
Claw hand
Claw hand Claw hand
Claw hand
 
Spine presentation
Spine presentationSpine presentation
Spine presentation
 
Madelung deformity
Madelung deformityMadelung deformity
Madelung deformity
 

En vedette

Cv Junction Anomaly
Cv Junction AnomalyCv Junction Anomaly
Cv Junction Anomaly
rajasekar
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complex
Anas Nader
 
Morning report 3-3-14
Morning report 3-3-14Morning report 3-3-14
Morning report 3-3-14
jasonbartsch
 
Sinus Rhythms - BMH/Tele
Sinus Rhythms - BMH/TeleSinus Rhythms - BMH/Tele
Sinus Rhythms - BMH/Tele
TeleClinEd
 

En vedette (20)

About Klippel-Trenaunay Syndrome
About Klippel-Trenaunay SyndromeAbout Klippel-Trenaunay Syndrome
About Klippel-Trenaunay Syndrome
 
A Case Of Short Neck
A Case Of Short NeckA Case Of Short Neck
A Case Of Short Neck
 
Sprengel's shoulder
Sprengel's shoulderSprengel's shoulder
Sprengel's shoulder
 
Recurrence of Klippel-Trenaunay syndrome symptoms after surgery: a single cas...
Recurrence of Klippel-Trenaunay syndrome symptoms after surgery: a single cas...Recurrence of Klippel-Trenaunay syndrome symptoms after surgery: a single cas...
Recurrence of Klippel-Trenaunay syndrome symptoms after surgery: a single cas...
 
Klippel Trenaunay Syndrome
Klippel Trenaunay SyndromeKlippel Trenaunay Syndrome
Klippel Trenaunay Syndrome
 
Cv Junction Anomaly
Cv Junction AnomalyCv Junction Anomaly
Cv Junction Anomaly
 
Madelung and multiple exostoses
Madelung and multiple exostosesMadelung and multiple exostoses
Madelung and multiple exostoses
 
Plantar Reflex
Plantar ReflexPlantar Reflex
Plantar Reflex
 
Morning report
Morning reportMorning report
Morning report
 
Pellagra Biochemistry Case Study
Pellagra Biochemistry Case StudyPellagra Biochemistry Case Study
Pellagra Biochemistry Case Study
 
ID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complexID 352 –Sinus rhythm With premature atrial complex
ID 352 –Sinus rhythm With premature atrial complex
 
A Case of Bilateral Renal Artery Stenosis
A Case of Bilateral Renal Artery StenosisA Case of Bilateral Renal Artery Stenosis
A Case of Bilateral Renal Artery Stenosis
 
Morning report (Minimalist)
Morning report (Minimalist)Morning report (Minimalist)
Morning report (Minimalist)
 
Morning report 3-3-14
Morning report 3-3-14Morning report 3-3-14
Morning report 3-3-14
 
Periodic Lateralizing Epileptiform Discharges
Periodic Lateralizing Epileptiform DischargesPeriodic Lateralizing Epileptiform Discharges
Periodic Lateralizing Epileptiform Discharges
 
Mr1 9-14
Mr1 9-14Mr1 9-14
Mr1 9-14
 
A case of Recurrent Pancreatitis
A case of Recurrent PancreatitisA case of Recurrent Pancreatitis
A case of Recurrent Pancreatitis
 
Sinus Rhythms - BMH/Tele
Sinus Rhythms - BMH/TeleSinus Rhythms - BMH/Tele
Sinus Rhythms - BMH/Tele
 
Morning report 10 juni 2014
Morning report 10 juni 2014Morning report 10 juni 2014
Morning report 10 juni 2014
 
CKD Case Study
CKD Case StudyCKD Case Study
CKD Case Study
 

Similaire à A Case of Klippel Feil anomaly with Sprengel Shoulder

Seckle Syndrome
Seckle SyndromeSeckle Syndrome
Seckle Syndrome
Ajay Agade
 
Single umbilical artery
Single umbilical arterySingle umbilical artery
Single umbilical artery
Ritesh Mahajan
 
Presentation1, radiological imaging of caudal regression syndrome.
Presentation1, radiological imaging of caudal regression syndrome.Presentation1, radiological imaging of caudal regression syndrome.
Presentation1, radiological imaging of caudal regression syndrome.
Abdellah Nazeer
 

Similaire à A Case of Klippel Feil anomaly with Sprengel Shoulder (20)

A Case of Schmidt Syndrome
A Case of Schmidt Syndrome A Case of Schmidt Syndrome
A Case of Schmidt Syndrome
 
with PIC PAN and KKLINEFELTER
with PIC PAN and KKLINEFELTERwith PIC PAN and KKLINEFELTER
with PIC PAN and KKLINEFELTER
 
Signs in radiology
Signs in radiologySigns in radiology
Signs in radiology
 
My Case studies and few Signs in radiology
My Case studies and few Signs in radiologyMy Case studies and few Signs in radiology
My Case studies and few Signs in radiology
 
A Case of Splenic Tuberculosis
A Case of Splenic TuberculosisA Case of Splenic Tuberculosis
A Case of Splenic Tuberculosis
 
Ecgs at bedside
Ecgs at bedsideEcgs at bedside
Ecgs at bedside
 
Seckle Syndrome
Seckle SyndromeSeckle Syndrome
Seckle Syndrome
 
Congenital Development of Urinary System.ppt
Congenital Development of Urinary System.pptCongenital Development of Urinary System.ppt
Congenital Development of Urinary System.ppt
 
An Interesting Case of Seizure
An Interesting Case of SeizureAn Interesting Case of Seizure
An Interesting Case of Seizure
 
Single umbilical artery
Single umbilical arterySingle umbilical artery
Single umbilical artery
 
Junior Medillectuals- Prelims
Junior Medillectuals- PrelimsJunior Medillectuals- Prelims
Junior Medillectuals- Prelims
 
A Case of Osler-Rendu-Weber syndrome
A Case of Osler-Rendu-Weber syndromeA Case of Osler-Rendu-Weber syndrome
A Case of Osler-Rendu-Weber syndrome
 
Wilson’s disease
Wilson’s disease Wilson’s disease
Wilson’s disease
 
İbrahi̇m bi̇ldi̇ri̇ci̇
İbrahi̇m bi̇ldi̇ri̇ci̇İbrahi̇m bi̇ldi̇ri̇ci̇
İbrahi̇m bi̇ldi̇ri̇ci̇
 
Leptomeningeal metastases, differential diagnosis. CPC
Leptomeningeal metastases, differential diagnosis. CPCLeptomeningeal metastases, differential diagnosis. CPC
Leptomeningeal metastases, differential diagnosis. CPC
 
Spotter 1
Spotter 1Spotter 1
Spotter 1
 
Antenatal diagnosis of Congenital Anomalies of Kidneys and Urinary Tract (CAKUT)
Antenatal diagnosis of Congenital Anomalies of Kidneys and Urinary Tract (CAKUT)Antenatal diagnosis of Congenital Anomalies of Kidneys and Urinary Tract (CAKUT)
Antenatal diagnosis of Congenital Anomalies of Kidneys and Urinary Tract (CAKUT)
 
A Case of Syringomyelia with Arnold-Chiari Malformation
A Case of Syringomyelia with Arnold-Chiari Malformation A Case of Syringomyelia with Arnold-Chiari Malformation
A Case of Syringomyelia with Arnold-Chiari Malformation
 
Presentation1, radiological imaging of caudal regression syndrome.
Presentation1, radiological imaging of caudal regression syndrome.Presentation1, radiological imaging of caudal regression syndrome.
Presentation1, radiological imaging of caudal regression syndrome.
 
CES.pptx
CES.pptxCES.pptx
CES.pptx
 

Plus de Stanley Medical College, Department of Medicine

Plus de Stanley Medical College, Department of Medicine (20)

Interpretation of Liver Function Tests
Interpretation of Liver Function TestsInterpretation of Liver Function Tests
Interpretation of Liver Function Tests
 
A Case of Sheehan's Syndrome
A Case of Sheehan's SyndromeA Case of Sheehan's Syndrome
A Case of Sheehan's Syndrome
 
Imaging: Cortical Vein Thrombosis
Imaging: Cortical Vein ThrombosisImaging: Cortical Vein Thrombosis
Imaging: Cortical Vein Thrombosis
 
ECG: Findings in CNS disorders
ECG: Findings in CNS disordersECG: Findings in CNS disorders
ECG: Findings in CNS disorders
 
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVDA Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
 
A Case of NASH with HYPOTHYROIDISM
A Case of NASH with HYPOTHYROIDISMA Case of NASH with HYPOTHYROIDISM
A Case of NASH with HYPOTHYROIDISM
 
IMAGING: NEUROCYSTICERCOSIS
IMAGING: NEUROCYSTICERCOSISIMAGING: NEUROCYSTICERCOSIS
IMAGING: NEUROCYSTICERCOSIS
 
ECG: Digitalis Effect / MAT / AF
ECG: Digitalis Effect / MAT / AFECG: Digitalis Effect / MAT / AF
ECG: Digitalis Effect / MAT / AF
 
Imaging: BOOP
Imaging: BOOPImaging: BOOP
Imaging: BOOP
 
ECG: Hypokalemia
ECG: HypokalemiaECG: Hypokalemia
ECG: Hypokalemia
 
A Case of Idiopathic Pulmonary Hypertension
A Case of Idiopathic Pulmonary HypertensionA Case of Idiopathic Pulmonary Hypertension
A Case of Idiopathic Pulmonary Hypertension
 
A Case of Rodenticide Poisoning
A Case of Rodenticide PoisoningA Case of Rodenticide Poisoning
A Case of Rodenticide Poisoning
 
A Case of Emphysematous Pylonephritis
A Case of Emphysematous Pylonephritis A Case of Emphysematous Pylonephritis
A Case of Emphysematous Pylonephritis
 
Imaging: Multiple Pulmonary Cavitary Lesions
Imaging: Multiple Pulmonary Cavitary LesionsImaging: Multiple Pulmonary Cavitary Lesions
Imaging: Multiple Pulmonary Cavitary Lesions
 
ECG: Atrial Dissociation
ECG: Atrial DissociationECG: Atrial Dissociation
ECG: Atrial Dissociation
 
A Case of Hepato-Pulmonary Syndrome
A Case of Hepato-Pulmonary SyndromeA Case of Hepato-Pulmonary Syndrome
A Case of Hepato-Pulmonary Syndrome
 
A Case of Thalassemia
A Case of ThalassemiaA Case of Thalassemia
A Case of Thalassemia
 
A Case of Renal Amyloidosis
A Case of Renal AmyloidosisA Case of Renal Amyloidosis
A Case of Renal Amyloidosis
 
CXR: Silico-Tuberculosis
CXR: Silico-TuberculosisCXR: Silico-Tuberculosis
CXR: Silico-Tuberculosis
 
ECG: A Case of Flutter-Fibrillation
ECG: A Case of Flutter-FibrillationECG: A Case of Flutter-Fibrillation
ECG: A Case of Flutter-Fibrillation
 

Dernier

Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
adilkhan87451
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Dernier (20)

Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
Call Girls Vasai Virar Just Call 9630942363 Top Class Call Girl Service Avail...
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
Manyata Tech Park ( Call Girls ) Bangalore ✔ 6297143586 ✔ Hot Model With Sexy...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 

A Case of Klippel Feil anomaly with Sprengel Shoulder