SlideShare une entreprise Scribd logo
1  sur  36
Prof.S.Sundar  Unit
Present histroy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Past histroy ,[object Object],[object Object],[object Object],[object Object],[object Object]
General examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Systemic examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[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]
DIAGNOSIS ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
CAUSED BY ,[object Object],[object Object],[object Object],[object Object],[object Object]
SPECTRUM OF PULMONARY ASPERGILLOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ASPERGILLOMA ,[object Object],[object Object]
SECONDARY ASPERGILLOMA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
PRIMARY ASPERGILLOMA ,[object Object],[object Object],[object Object],[object Object],[object Object]
CHEST X-RAY ,[object Object],[object Object],[object Object],[object Object]
CT- SCAN THORAX ,[object Object],[object Object],[object Object]
SPUTUM CULTURES ,[object Object],[object Object],[object Object],[object Object]
MANAGEMENT OPTIONS ,[object Object],[object Object],[object Object],[object Object]
INTRACAVITARY  ANTIFUNGAL  AGENTS ,[object Object],[object Object],[object Object]
ORAL ANTIFUNGAL-ITRACONAZOLE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SURGICAL RESECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BRONCHEAL ARTERIAL EMBOLIZATION ,[object Object],[object Object],[object Object],[object Object]
DIFFERENTIAL DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
PREDICTORS OF POOR PROGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Take home messsage ,[object Object],[object Object],[object Object],[object Object]
[object Object]

Contenu connexe

Tendances

Radiological signs in chest medicine part 2
Radiological signs in chest medicine part 2Radiological signs in chest medicine part 2
Radiological signs in chest medicine part 2Gamal Agmy
 
Dr.Vikas - Pulmonary manifestations of Aspergillosis
Dr.Vikas  -  Pulmonary manifestations of AspergillosisDr.Vikas  -  Pulmonary manifestations of Aspergillosis
Dr.Vikas - Pulmonary manifestations of AspergillosisDr.MALCHETTY VIKAS
 
Clinical Applications of Chest Sonography
Clinical Applications of Chest SonographyClinical Applications of Chest Sonography
Clinical Applications of Chest SonographyGamal Agmy
 
Collapse- RADIOLOGY
Collapse- RADIOLOGYCollapse- RADIOLOGY
Collapse- RADIOLOGYNavdeep Shah
 
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku Joseph
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku JosephAllergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku Joseph
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku JosephDr.Tinku Joseph
 
Cystic lung diseases
Cystic lung diseasesCystic lung diseases
Cystic lung diseasesGamal Agmy
 
Diffuse parenchymal lung diseases (Postgraduate course)
Diffuse parenchymal lung diseases (Postgraduate course)Diffuse parenchymal lung diseases (Postgraduate course)
Diffuse parenchymal lung diseases (Postgraduate course)Gamal Agmy
 
Radiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisRadiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisDev Lakhera
 
right middle lobe syndrome
right middle lobe syndromeright middle lobe syndrome
right middle lobe syndromeDr Ahmed Sayeed
 
Chest XRAY made easy-for UG/PG
Chest XRAY made easy-for UG/PGChest XRAY made easy-for UG/PG
Chest XRAY made easy-for UG/PGChandni Wadhwani
 
Congenital cystic diseases of the lung
Congenital cystic diseases of the lungCongenital cystic diseases of the lung
Congenital cystic diseases of the lungHussein Ali Ramadhan
 
Approach To Interstitial Lung Diseases
Approach To Interstitial Lung DiseasesApproach To Interstitial Lung Diseases
Approach To Interstitial Lung DiseasesAshraf ElAdawy
 
51 cystic lung disease on computed tomography
51 cystic lung disease on computed tomography51 cystic lung disease on computed tomography
51 cystic lung disease on computed tomographyDr. Muhammad Bin Zulfiqar
 
Presentation1, radiological imaging of karrtegner,s syndrome.
Presentation1, radiological imaging of karrtegner,s syndrome.Presentation1, radiological imaging of karrtegner,s syndrome.
Presentation1, radiological imaging of karrtegner,s syndrome.Abdellah Nazeer
 
Presentation1, radiological imaging of scimitar syndrome
Presentation1, radiological imaging of scimitar syndromePresentation1, radiological imaging of scimitar syndrome
Presentation1, radiological imaging of scimitar syndromeAbdellah Nazeer
 

Tendances (20)

Allergic Bronchopulmonary Aspergillosis
Allergic Bronchopulmonary AspergillosisAllergic Bronchopulmonary Aspergillosis
Allergic Bronchopulmonary Aspergillosis
 
Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary Fibrosis (IPF)Idiopathic Pulmonary Fibrosis (IPF)
Idiopathic Pulmonary Fibrosis (IPF)
 
Radiological signs in chest medicine part 2
Radiological signs in chest medicine part 2Radiological signs in chest medicine part 2
Radiological signs in chest medicine part 2
 
Dr.Vikas - Pulmonary manifestations of Aspergillosis
Dr.Vikas  -  Pulmonary manifestations of AspergillosisDr.Vikas  -  Pulmonary manifestations of Aspergillosis
Dr.Vikas - Pulmonary manifestations of Aspergillosis
 
Asthma biomarkers: FENO
Asthma biomarkers: FENOAsthma biomarkers: FENO
Asthma biomarkers: FENO
 
Clinical Applications of Chest Sonography
Clinical Applications of Chest SonographyClinical Applications of Chest Sonography
Clinical Applications of Chest Sonography
 
Collapse- RADIOLOGY
Collapse- RADIOLOGYCollapse- RADIOLOGY
Collapse- RADIOLOGY
 
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku Joseph
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku JosephAllergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku Joseph
Allergic Broncho Pulmonary Aspergillosis (ABPA) by Dr.Tinku Joseph
 
Cystic lung diseases
Cystic lung diseasesCystic lung diseases
Cystic lung diseases
 
Diffuse parenchymal lung diseases (Postgraduate course)
Diffuse parenchymal lung diseases (Postgraduate course)Diffuse parenchymal lung diseases (Postgraduate course)
Diffuse parenchymal lung diseases (Postgraduate course)
 
Radiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisRadiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosis
 
right middle lobe syndrome
right middle lobe syndromeright middle lobe syndrome
right middle lobe syndrome
 
Chest XRAY made easy-for UG/PG
Chest XRAY made easy-for UG/PGChest XRAY made easy-for UG/PG
Chest XRAY made easy-for UG/PG
 
Congenital cystic diseases of the lung
Congenital cystic diseases of the lungCongenital cystic diseases of the lung
Congenital cystic diseases of the lung
 
Approach To Interstitial Lung Diseases
Approach To Interstitial Lung DiseasesApproach To Interstitial Lung Diseases
Approach To Interstitial Lung Diseases
 
HRCT Nodular pattern
HRCT Nodular pattern HRCT Nodular pattern
HRCT Nodular pattern
 
51 cystic lung disease on computed tomography
51 cystic lung disease on computed tomography51 cystic lung disease on computed tomography
51 cystic lung disease on computed tomography
 
Presentation1, radiological imaging of karrtegner,s syndrome.
Presentation1, radiological imaging of karrtegner,s syndrome.Presentation1, radiological imaging of karrtegner,s syndrome.
Presentation1, radiological imaging of karrtegner,s syndrome.
 
CTD ILDs.
CTD ILDs.CTD ILDs.
CTD ILDs.
 
Presentation1, radiological imaging of scimitar syndrome
Presentation1, radiological imaging of scimitar syndromePresentation1, radiological imaging of scimitar syndrome
Presentation1, radiological imaging of scimitar syndrome
 

En vedette

Aspergillus and systemic mycoses
Aspergillus and systemic mycosesAspergillus and systemic mycoses
Aspergillus and systemic mycosesR Lin
 
Aspergillosis and the lungs By Adetunji T.A.
Aspergillosis and the lungs By Adetunji T.A.Aspergillosis and the lungs By Adetunji T.A.
Aspergillosis and the lungs By Adetunji T.A.Adetunji Adesegun
 
aspergillus lecture
aspergillus lectureaspergillus lecture
aspergillus lectureR Lin
 
Eosinophillic lung diseases
Eosinophillic lung diseasesEosinophillic lung diseases
Eosinophillic lung diseasesAnkit Mittal
 
Clinical Mycology U F Medical Students 12 05 07 Final2
Clinical Mycology  U F Medical Students 12 05 07 Final2Clinical Mycology  U F Medical Students 12 05 07 Final2
Clinical Mycology U F Medical Students 12 05 07 Final2raj kumar
 
Clinical mycology and actinomycetes
Clinical mycology and actinomycetesClinical mycology and actinomycetes
Clinical mycology and actinomycetestahanialjumah
 
Pulmonary manifestations in immuno compromised host
Pulmonary manifestations in immuno compromised hostPulmonary manifestations in immuno compromised host
Pulmonary manifestations in immuno compromised hostMitusha Verma
 
Aspergillus and Aspergillosis
Aspergillus and AspergillosisAspergillus and Aspergillosis
Aspergillus and Aspergillosischazza1234
 
Antifungal drugs 2010
Antifungal drugs 2010Antifungal drugs 2010
Antifungal drugs 2010PathKind Labs
 
Powerpoint on aspergillosis
Powerpoint on aspergillosisPowerpoint on aspergillosis
Powerpoint on aspergillosisfungalinfection
 
Mycology Update 2017
Mycology Update 2017Mycology Update 2017
Mycology Update 2017Margie Morgan
 

En vedette (15)

Aspergillus and systemic mycoses
Aspergillus and systemic mycosesAspergillus and systemic mycoses
Aspergillus and systemic mycoses
 
Aspergillosis and the lungs By Adetunji T.A.
Aspergillosis and the lungs By Adetunji T.A.Aspergillosis and the lungs By Adetunji T.A.
Aspergillosis and the lungs By Adetunji T.A.
 
Ct halo sign (part 1)
Ct halo sign (part 1)Ct halo sign (part 1)
Ct halo sign (part 1)
 
aspergillus lecture
aspergillus lectureaspergillus lecture
aspergillus lecture
 
Abpa
AbpaAbpa
Abpa
 
Eosinophillic lung diseases
Eosinophillic lung diseasesEosinophillic lung diseases
Eosinophillic lung diseases
 
Aspergillosis
Aspergillosis Aspergillosis
Aspergillosis
 
Clinical Mycology U F Medical Students 12 05 07 Final2
Clinical Mycology  U F Medical Students 12 05 07 Final2Clinical Mycology  U F Medical Students 12 05 07 Final2
Clinical Mycology U F Medical Students 12 05 07 Final2
 
Clinical mycology and actinomycetes
Clinical mycology and actinomycetesClinical mycology and actinomycetes
Clinical mycology and actinomycetes
 
Pulmonary manifestations in immuno compromised host
Pulmonary manifestations in immuno compromised hostPulmonary manifestations in immuno compromised host
Pulmonary manifestations in immuno compromised host
 
Aspergillus and Aspergillosis
Aspergillus and AspergillosisAspergillus and Aspergillosis
Aspergillus and Aspergillosis
 
Antifungal drugs 2010
Antifungal drugs 2010Antifungal drugs 2010
Antifungal drugs 2010
 
Aspergillosis
AspergillosisAspergillosis
Aspergillosis
 
Powerpoint on aspergillosis
Powerpoint on aspergillosisPowerpoint on aspergillosis
Powerpoint on aspergillosis
 
Mycology Update 2017
Mycology Update 2017Mycology Update 2017
Mycology Update 2017
 

Similaire à Case 1: Old PT with Aspergilloma

Pediatric respiratory emergency : upper
Pediatric respiratory emergency : upperPediatric respiratory emergency : upper
Pediatric respiratory emergency : upperDuangruethai Tunprom
 
final image of week dharu1.pptx
final image of week dharu1.pptxfinal image of week dharu1.pptx
final image of week dharu1.pptxDharanIzzy
 
Pneumonia by Ussama
Pneumonia by UssamaPneumonia by Ussama
Pneumonia by Ussamaussamamunir
 
Interstitial lung disease.pptx
Interstitial lung disease.pptxInterstitial lung disease.pptx
Interstitial lung disease.pptxHariHaran726642
 
Asthma and status asthmaticus
Asthma and status asthmaticusAsthma and status asthmaticus
Asthma and status asthmaticushossiw
 
Presentation1.pptx, radiological imaging of restrictive lung diseases.
Presentation1.pptx, radiological imaging of restrictive lung diseases.Presentation1.pptx, radiological imaging of restrictive lung diseases.
Presentation1.pptx, radiological imaging of restrictive lung diseases.Abdellah Nazeer
 
pneumonia
pneumoniapneumonia
pneumoniassn zhd
 
Cecil Chaper 92. ILD(interstitial lung disease)
Cecil Chaper 92. ILD(interstitial lung disease)Cecil Chaper 92. ILD(interstitial lung disease)
Cecil Chaper 92. ILD(interstitial lung disease)KangCheonJi
 
Interstitial and occupational lung disease
Interstitial and occupational lung diseaseInterstitial and occupational lung disease
Interstitial and occupational lung diseasePuneet Shukla
 
Copy of pneumonia
Copy of pneumoniaCopy of pneumonia
Copy of pneumoniakcmct20
 
Copy of pneumonia
Copy of pneumoniaCopy of pneumonia
Copy of pneumoniakcmct20
 
Thoracic pathologies in immunocompromised
Thoracic pathologies in immunocompromisedThoracic pathologies in immunocompromised
Thoracic pathologies in immunocompromisedNihal Ahmed
 
Pneumonias.pptx
Pneumonias.pptxPneumonias.pptx
Pneumonias.pptxLivoJoe1
 

Similaire à Case 1: Old PT with Aspergilloma (20)

Pediatric respiratory emergency : upper
Pediatric respiratory emergency : upperPediatric respiratory emergency : upper
Pediatric respiratory emergency : upper
 
G ferretti imaging of thoracic aspergillosis jfim hanoi 2015
G ferretti imaging of thoracic aspergillosis jfim hanoi 2015G ferretti imaging of thoracic aspergillosis jfim hanoi 2015
G ferretti imaging of thoracic aspergillosis jfim hanoi 2015
 
final image of week dharu1.pptx
final image of week dharu1.pptxfinal image of week dharu1.pptx
final image of week dharu1.pptx
 
Pneumonia by Ussama
Pneumonia by UssamaPneumonia by Ussama
Pneumonia by Ussama
 
Interstitial lung disease.pptx
Interstitial lung disease.pptxInterstitial lung disease.pptx
Interstitial lung disease.pptx
 
Bronchiectasis.
Bronchiectasis.Bronchiectasis.
Bronchiectasis.
 
Asthma and status asthmaticus
Asthma and status asthmaticusAsthma and status asthmaticus
Asthma and status asthmaticus
 
Presentation1.pptx, radiological imaging of restrictive lung diseases.
Presentation1.pptx, radiological imaging of restrictive lung diseases.Presentation1.pptx, radiological imaging of restrictive lung diseases.
Presentation1.pptx, radiological imaging of restrictive lung diseases.
 
pneumonia
pneumoniapneumonia
pneumonia
 
ABPA
ABPA ABPA
ABPA
 
Lung abscess
Lung abscess Lung abscess
Lung abscess
 
Cecil Chaper 92. ILD(interstitial lung disease)
Cecil Chaper 92. ILD(interstitial lung disease)Cecil Chaper 92. ILD(interstitial lung disease)
Cecil Chaper 92. ILD(interstitial lung disease)
 
lung abscess
lung abscesslung abscess
lung abscess
 
BRONCHIECTASIS PPT .pdf
BRONCHIECTASIS PPT .pdfBRONCHIECTASIS PPT .pdf
BRONCHIECTASIS PPT .pdf
 
Interstitial and occupational lung disease
Interstitial and occupational lung diseaseInterstitial and occupational lung disease
Interstitial and occupational lung disease
 
Ild & old
Ild & oldIld & old
Ild & old
 
Copy of pneumonia
Copy of pneumoniaCopy of pneumonia
Copy of pneumonia
 
Copy of pneumonia
Copy of pneumoniaCopy of pneumonia
Copy of pneumonia
 
Thoracic pathologies in immunocompromised
Thoracic pathologies in immunocompromisedThoracic pathologies in immunocompromised
Thoracic pathologies in immunocompromised
 
Pneumonias.pptx
Pneumonias.pptxPneumonias.pptx
Pneumonias.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 Schmidt Syndrome
A Case of Schmidt Syndrome A Case of Schmidt Syndrome
A Case of Schmidt Syndrome
 
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
 

Dernier

Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowNehru place Escorts
 
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
 
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
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
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
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 

Dernier (20)

Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowKolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Kolkata Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
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
 
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
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
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
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 

Case 1: Old PT with Aspergilloma