Soumettre la recherche
Mettre en ligne
Irritable Bowel Syndrome Haitham Ahmed
•
Télécharger en tant que PPT, PDF
•
6 j'aime
•
3,984 vues
M
MedicineAndHealthUSA
Suivre
Santé & Médecine
Signaler
Partager
Signaler
Partager
1 sur 16
Télécharger maintenant
Recommandé
GERD is most common gastric problem in community affecting large number of people. Diagnosis and management is very simple with understanding. http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat https://gastrosurgerysurat.blogspot.com/ https://drdhavalmangukiya.com/
Gastro Esophageal Reflux Disease
Gastro Esophageal Reflux Disease
Dhaval Mangukiya
an over view of IBS in the general population, talks about aetiology pathology clinical features and diagnosis with special reference to the ROME criteria and the differences between ROME II and III.
Irritable bowel syndrome
Irritable bowel syndrome
Junaid Saleem
Good for clinical skills - content for history and examination for a patient with hernia
Hernia history and examination
Hernia history and examination
ClinicalSkills1
Gerd
Gerd
Gerd
Gloria Monsalve
Acute pancreatitis
Acute pancreatitis
Note Noteenote
This presentation is about peptic ulcer disease , including:Pathomorphology,etiology,symptoms,complications,diagnosis and pharmacotherapy,asurgical intervention and prevention...
Peptic Ulcer
Peptic Ulcer
Rezhwan Omer Jwamer
Dyspepsia is one of the most common symptoms in the adult population, and affects 20-40% of adults annually. We present an evidence based approach to this common topic, incorporating the latest guidelines.
Dyspepsia - An Evidence Based Approach
Dyspepsia - An Evidence Based Approach
Jarrod Lee
this presentation describes the pathophysiology and presentaion of gastroesophageal reflux disease. It also discusses the medical and surgical management of gastroesophageal reflux disease. What makes this presentaion unique is that it also explains the short and long term effects of antireflux surgery and patient's satisfaction with surgery with references.
Gastroesophageal Reflux Disease and Antireflux Surgery
Gastroesophageal Reflux Disease and Antireflux Surgery
Hassan s1
Recommandé
GERD is most common gastric problem in community affecting large number of people. Diagnosis and management is very simple with understanding. http://www.youtube.com/c/DrDhavalMangukiyaGastrosurgeonSurat https://gastrosurgerysurat.blogspot.com/ https://drdhavalmangukiya.com/
Gastro Esophageal Reflux Disease
Gastro Esophageal Reflux Disease
Dhaval Mangukiya
an over view of IBS in the general population, talks about aetiology pathology clinical features and diagnosis with special reference to the ROME criteria and the differences between ROME II and III.
Irritable bowel syndrome
Irritable bowel syndrome
Junaid Saleem
Good for clinical skills - content for history and examination for a patient with hernia
Hernia history and examination
Hernia history and examination
ClinicalSkills1
Gerd
Gerd
Gerd
Gloria Monsalve
Acute pancreatitis
Acute pancreatitis
Note Noteenote
This presentation is about peptic ulcer disease , including:Pathomorphology,etiology,symptoms,complications,diagnosis and pharmacotherapy,asurgical intervention and prevention...
Peptic Ulcer
Peptic Ulcer
Rezhwan Omer Jwamer
Dyspepsia is one of the most common symptoms in the adult population, and affects 20-40% of adults annually. We present an evidence based approach to this common topic, incorporating the latest guidelines.
Dyspepsia - An Evidence Based Approach
Dyspepsia - An Evidence Based Approach
Jarrod Lee
this presentation describes the pathophysiology and presentaion of gastroesophageal reflux disease. It also discusses the medical and surgical management of gastroesophageal reflux disease. What makes this presentaion unique is that it also explains the short and long term effects of antireflux surgery and patient's satisfaction with surgery with references.
Gastroesophageal Reflux Disease and Antireflux Surgery
Gastroesophageal Reflux Disease and Antireflux Surgery
Hassan s1
luts
Lower Urinary Tract Symptoms(LUTS).pptx
Lower Urinary Tract Symptoms(LUTS).pptx
DrMohaiminurRahmanMS
Irritable bowel syndrome (IBS) is a group of symptoms, including pain discomfort in your abdomen combined with changes in your bowel movement patterns. For More detail visit this link: http://goo.gl/RaZhvc
What is Irritable Bowel Syndrome?
What is Irritable Bowel Syndrome?
alizain416
This presentation is to help readers to be equipped with knowledge on predisposing factor to peptic ulcer disease and how it can be managed in the clinical/hospital setup.
Peptic ulcer disease (pud)
Peptic ulcer disease (pud)
Jordan Mwelwa
Peptic ulcers are open sores include : Gastric ulcers Esophageal ulcers Duodenal ulcers Perforation Bleeding Penetration Maliginization Obstruction
Peptic Ulcer Complications
Peptic Ulcer Complications
D.A.B.M
its important info about gallbladder stone.
Cholelithiasis GB stone
Cholelithiasis GB stone
AbdullahIhsaas
A brief but concise visual presentation on one of the most common gastrointestinal disorders - appendicitis.
Appendicitis
Appendicitis
Maria Guia Nelson
All you need to know about IBS
Irritable Bowel Syndrome (IBS)
Irritable Bowel Syndrome (IBS)
zeinabnm
Acute Cholangitis Management Principles
Cholangitis
Cholangitis
Lala Gladson Ananda Robin
Mithilesh Kumar Medical College kolkata
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Chirantan MD
irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhoea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
SIVASWAROOP YARASI
hernia
Inguinal hernia
Inguinal hernia
fathimma sahir
"Love is like pancreatitis; it starts off slow, then builds in intensity until you become consumed and develop violent cramps." Dana Gould
Acute pancreatitis
Acute pancreatitis
Mohsin Khan
MANAGEMENT OF ACUTE PANCREATITIS, Cholelithiasis (50%) Alcoholism (25%) Post-operative pancreatitis Metabolic disorder Hyperlipidemia Diabetes Nutritional factors Chemotoxic and iatrogenic causes Idiopathic pancreatitis Miscellaneous- scorpion bite, worm infestations
Management of acute pancreatitis
Management of acute pancreatitis
Bashir BnYunus
Achalasia cardia
Achalasia cardia
Achalasia cardia
Gitanjali Kumari
Approach to functional dyspepsia
Functional dyspepsia-Approach
Functional dyspepsia-Approach
Vadivel Kumaran Sivasankaran
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
ensteve
clinical approach to a patient with abdominal pain
Clinical approach to a patient with abdominal pain
Clinical approach to a patient with abdominal pain
Abino David
case presentation on intestional obstruction
Intestinal obstruction
Intestinal obstruction
BISHAL SAPKOTA
Academic base Harrisons 19th Edition
Irritable bowel syndrome
Irritable bowel syndrome
Kiran Bikkad
Appendicitis
Appendicitis
Nandinii Ramasenderan
IBS for final year MBBS
IBS.pptx
IBS.pptx
Mian Muzaffarmehdi
Case Write Up - Esophageal Varices Secondary to Liver Disease
Esophageal varices
Esophageal varices
maha latchmy
Contenu connexe
Tendances
luts
Lower Urinary Tract Symptoms(LUTS).pptx
Lower Urinary Tract Symptoms(LUTS).pptx
DrMohaiminurRahmanMS
Irritable bowel syndrome (IBS) is a group of symptoms, including pain discomfort in your abdomen combined with changes in your bowel movement patterns. For More detail visit this link: http://goo.gl/RaZhvc
What is Irritable Bowel Syndrome?
What is Irritable Bowel Syndrome?
alizain416
This presentation is to help readers to be equipped with knowledge on predisposing factor to peptic ulcer disease and how it can be managed in the clinical/hospital setup.
Peptic ulcer disease (pud)
Peptic ulcer disease (pud)
Jordan Mwelwa
Peptic ulcers are open sores include : Gastric ulcers Esophageal ulcers Duodenal ulcers Perforation Bleeding Penetration Maliginization Obstruction
Peptic Ulcer Complications
Peptic Ulcer Complications
D.A.B.M
its important info about gallbladder stone.
Cholelithiasis GB stone
Cholelithiasis GB stone
AbdullahIhsaas
A brief but concise visual presentation on one of the most common gastrointestinal disorders - appendicitis.
Appendicitis
Appendicitis
Maria Guia Nelson
All you need to know about IBS
Irritable Bowel Syndrome (IBS)
Irritable Bowel Syndrome (IBS)
zeinabnm
Acute Cholangitis Management Principles
Cholangitis
Cholangitis
Lala Gladson Ananda Robin
Mithilesh Kumar Medical College kolkata
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Chirantan MD
irritable bowel syndrome (IBS) is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhoea or constipation, or both. IBS is a chronic condition that you'll need to manage long term.
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
SIVASWAROOP YARASI
hernia
Inguinal hernia
Inguinal hernia
fathimma sahir
"Love is like pancreatitis; it starts off slow, then builds in intensity until you become consumed and develop violent cramps." Dana Gould
Acute pancreatitis
Acute pancreatitis
Mohsin Khan
MANAGEMENT OF ACUTE PANCREATITIS, Cholelithiasis (50%) Alcoholism (25%) Post-operative pancreatitis Metabolic disorder Hyperlipidemia Diabetes Nutritional factors Chemotoxic and iatrogenic causes Idiopathic pancreatitis Miscellaneous- scorpion bite, worm infestations
Management of acute pancreatitis
Management of acute pancreatitis
Bashir BnYunus
Achalasia cardia
Achalasia cardia
Achalasia cardia
Gitanjali Kumari
Approach to functional dyspepsia
Functional dyspepsia-Approach
Functional dyspepsia-Approach
Vadivel Kumaran Sivasankaran
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
ensteve
clinical approach to a patient with abdominal pain
Clinical approach to a patient with abdominal pain
Clinical approach to a patient with abdominal pain
Abino David
case presentation on intestional obstruction
Intestinal obstruction
Intestinal obstruction
BISHAL SAPKOTA
Academic base Harrisons 19th Edition
Irritable bowel syndrome
Irritable bowel syndrome
Kiran Bikkad
Appendicitis
Appendicitis
Nandinii Ramasenderan
Tendances
(20)
Lower Urinary Tract Symptoms(LUTS).pptx
Lower Urinary Tract Symptoms(LUTS).pptx
What is Irritable Bowel Syndrome?
What is Irritable Bowel Syndrome?
Peptic ulcer disease (pud)
Peptic ulcer disease (pud)
Peptic Ulcer Complications
Peptic Ulcer Complications
Cholelithiasis GB stone
Cholelithiasis GB stone
Appendicitis
Appendicitis
Irritable Bowel Syndrome (IBS)
Irritable Bowel Syndrome (IBS)
Cholangitis
Cholangitis
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Imaging modalities of intestinal obstruction Mithilesh Kumar Medical College ...
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
Irritable bowel syndrome - diagnosis, pathophysiology and pharmacology
Inguinal hernia
Inguinal hernia
Acute pancreatitis
Acute pancreatitis
Management of acute pancreatitis
Management of acute pancreatitis
Achalasia cardia
Achalasia cardia
Functional dyspepsia-Approach
Functional dyspepsia-Approach
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
Faecal IncontinenceCauses, Diagnosis, & Contemporary Treatment
Clinical approach to a patient with abdominal pain
Clinical approach to a patient with abdominal pain
Intestinal obstruction
Intestinal obstruction
Irritable bowel syndrome
Irritable bowel syndrome
Appendicitis
Appendicitis
Similaire à Irritable Bowel Syndrome Haitham Ahmed
IBS for final year MBBS
IBS.pptx
IBS.pptx
Mian Muzaffarmehdi
Case Write Up - Esophageal Varices Secondary to Liver Disease
Esophageal varices
Esophageal varices
maha latchmy
Flow groups SwiftKey
adult 2 ola saryrah.pptx
adult 2 ola saryrah.pptx
HaythamSabaile
For the following Case Study, as follow is Discussion Question: As an NP student, needs to determine the medications for constipation. According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format. Support with 1 journal no older than 5 years. Week 7: DISCUSSION QUESTION IN DISCUSSION BOARD Gastroenterology-Motility Case Study ACC/AHA Guidelines PLEASE USE THIS MEDICATION FOR THE CASE STUDY: LUBIPRISTONE 24 MCG TWO TIMES A DAY. Case study sample: Chief complaint: “ I have chronic constipation, incomplete defecation and abdominal bloating” for past 2 years. HPI: M.C. a 46-year-old hispanic female presents to the GI-Motility clinic for complaint of chronic constipation, incomplete defecation and abdominal bloating. She has pmhx of DM-type 2, IBS-Constipation, Tubular Adenoma. She also indicates that she has noticed that her symptoms are worsening for past 3 months. She has associated her symptoms with abdominal bloating, straining and incomplete defecation. She has tried Miralax one packet po daily for at least 8 weeks and it has not relieved her symptoms. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: Diabetes Mellitus, type 2 Constipation, chronic-IBS Surgeries: None Allergies : Penicillin Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: + 1 pitting leg edema. + Varicose veins. Skin: + rash crusted white in feet and inter-digit in feet. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored HEENT : Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. NECK : Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS : Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART : Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema. ABDOMEN : No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY : No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL : Slow gait but steady. No Kyphosis. SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. PSYCH : Normal affect. ...
For the following Case Study, as follow is Discussion Question
For the following Case Study, as follow is Discussion Question
shantayjewison
irritable
irritable bowl syndrome and peptic ulcer final (1).pptx
irritable bowl syndrome and peptic ulcer final (1).pptx
fahmyahmed789
Non Cardiac Chest Pain is a common problem in both primary care and hospital settings. This presentation provides a simplified approach to non cardiac chest pain. It uses a case study to cover the evaluation, differential diagnosis, investigations and management for this common medical problem.
Non Cardiac Chest Pain
Non Cardiac Chest Pain
Jarrod Lee
Gastric motor sensory disorders
Git j club gastric motor sensory disorders21
Git j club gastric motor sensory disorders21
Case records of Sulaymaniah General Teaching Hospital.
done by Al Yaqdhan Al Atbi Sultan Qaboos university- Oman
Vomiting in pregnancy
Vomiting in pregnancy
alyaqdhan
Irritable Bowel Disease
Irritable Bowel Disease
Rakesh Kumar
Jasleen morning report 1
Jasleen morning report 1
jasleenk06
quoted from NICE, Dyspepsia
an Approach to Dyspepsia
an Approach to Dyspepsia
Ahmed Almumtin
A ppt for both under and post grad for MBBS, especially, in gen surgery. with clinical scenarios and tips for exams.
Non Surg Ac abdomen -Finish.pptx
Non Surg Ac abdomen -Finish.pptx
NartMood
PATIENT INFORMATION Name: Mr. W.S. Age: 65-year-old Sex: Male Source: Patient Allergies: None Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime PMH: Hypercholesterolemia Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago. Surgical History: Appendectomy 47 years ago. Family History: Father- died 81 does not report information Mother-alive, 88 years old, Diabetes Mellitus, HTN Daughter-alive, 34 years old, healthy Social Hx: No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone. SUBJECTIVE: Chief complain: “headaches” that started two weeks ago Symptom analysis/HPI: The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness. He states that he has been under stress in his workplace for the last month. Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting. ROS: CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures. HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing. Respiratory: Patient denies shortness of breath, cough or hemoptysis. Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or diarrhea. Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence. MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound. Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus. Objective Data CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200 lb, BMI 25. Report pain 0/10. General appearance: The patient is alert and oriented x 3. No acute distress noted. NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5. HEENT: Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membrane.
PATIENT INFORMATIONName Mr. W.S.Age 65-year-oldSex Male.docx
PATIENT INFORMATIONName Mr. W.S.Age 65-year-oldSex Male.docx
JUST36
vsdcxf
Gerd
Gerd
MedicinaIngles
Week 7 Discussion Question Worth 5 points For the following Case Study, as follow is Discussion Question: As an NP student, needs to determine the medications for constipation. According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format. Support with 1 journal no older than 5 years. Week 7: DISCUSSION QUESTION IN DISCUSSION BOARD Gastroenterology-Motility Case Study ACC/AHA Guidelines Chief complaint: “ I have chronic constipation, incomplete defecation and abdominal bloating” for past 2 years. HPI: M.C. a 46-year-old hispanic female presents to the GI-Motility clinic for complaint of chronic constipation, incomplete defecation and abdominal bloating. She has pmhx of DM-type 2, IBS-Constipation, Tubular Adenoma. She also indicates that she has noticed that her symptoms are worsening for past 3 months. She has associated her symptoms with abdominal bloating, straining and incomplete defecation. She has tried Miralax one packet po daily for at least 8 weeks and it has not relieved her symptoms. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: Diabetes Mellitus, type 2 Constipation, chronic-IBS Surgeries: None Allergies: Penicillin Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: + 1 pitting leg edema. + Varicose veins. Skin: + rash crusted white in feet and inter-digit in feet. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: Slow gait but steady. No Kyphosis. SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. PSYCH: Normal affect. Cooperative. Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0 ...
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
loganta
surgical procedure was done on mesenteric ischemia patient
Mesenteric ischemia presentation by Dr.NOSHI Capital Hospital Islamabad Paki...
Mesenteric ischemia presentation by Dr.NOSHI Capital Hospital Islamabad Paki...
drfarhanali2008
dca
Gerd
Gerd
MedicinaIngles
Discussion Question: Support with 1 journals no older than 5 years. Week 8 GI Case Study: H. Pylori infection Questions: As an NP student, needs to determine the medications for recurrent H. Pylori infection. According to the ACC/AHA Guidelines, what medication should this patient be prescribed? Write her complete prescriptions using the prescription writing format. ACC/AHA Guidelines Chief complaint: “ I have recurrent H. Pylori infection”. HPI: M.C. a 46-year-old hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has pmhx of dyspepsia, GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. PMH: H. Pylori infection gastritis Diabetes Mellitus, type 2 Surgeries: None Allergies: NKDA Vaccination History: She receives an annual flu shot. Last flu shot was this year Social history: High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago. Family history: Both parents are alive. Father has history of DM type 2, Tinea Pedis. mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. ROS: Constitutional: Negative for fever. Negative for chills. Respiratory: No Shortness of breath. No Orthopnea Cardiovascular: No edema. No palpitations. Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain. Skin: No lesions. No rash. No itching. Psychiatric: No anxiety. No depression. Physical examination: Vital Signs Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: Slow gait but steady. No Kyphosis. SKIN: Dry. Intact. PSYCH: Normal affect. Cooperative. Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal A: Primary Diagnosis: Recurrent H. Pylori infection gastritis Secondary Diagnoses: Dyspepsia Differential Diagnosis: Peptic Ulcer Disease Previous medication plan:two months ago and failed. Clar.
Discussion QuestionSupport with 1 journals no older than 5 year.docx
Discussion QuestionSupport with 1 journals no older than 5 year.docx
elinoraudley582231
Nill
Pancreatic_Cancer_-_Rhim.power point presentation
Pancreatic_Cancer_-_Rhim.power point presentation
KelfalaHassanDawoh
Kalafsky Major
Kalafsky Major
clkalafsky
Similaire à Irritable Bowel Syndrome Haitham Ahmed
(20)
IBS.pptx
IBS.pptx
Esophageal varices
Esophageal varices
adult 2 ola saryrah.pptx
adult 2 ola saryrah.pptx
For the following Case Study, as follow is Discussion Question
For the following Case Study, as follow is Discussion Question
irritable bowl syndrome and peptic ulcer final (1).pptx
irritable bowl syndrome and peptic ulcer final (1).pptx
Non Cardiac Chest Pain
Non Cardiac Chest Pain
Git j club gastric motor sensory disorders21
Git j club gastric motor sensory disorders21
Vomiting in pregnancy
Vomiting in pregnancy
Irritable Bowel Disease
Irritable Bowel Disease
Jasleen morning report 1
Jasleen morning report 1
an Approach to Dyspepsia
an Approach to Dyspepsia
Non Surg Ac abdomen -Finish.pptx
Non Surg Ac abdomen -Finish.pptx
PATIENT INFORMATIONName Mr. W.S.Age 65-year-oldSex Male.docx
PATIENT INFORMATIONName Mr. W.S.Age 65-year-oldSex Male.docx
Gerd
Gerd
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
Week 7 Discussion Question Worth 5 pointsFor the following C.docx
Mesenteric ischemia presentation by Dr.NOSHI Capital Hospital Islamabad Paki...
Mesenteric ischemia presentation by Dr.NOSHI Capital Hospital Islamabad Paki...
Gerd
Gerd
Discussion QuestionSupport with 1 journals no older than 5 year.docx
Discussion QuestionSupport with 1 journals no older than 5 year.docx
Pancreatic_Cancer_-_Rhim.power point presentation
Pancreatic_Cancer_-_Rhim.power point presentation
Kalafsky Major
Kalafsky Major
Plus de MedicineAndHealthUSA
Prospects for preventing bacterial meningitis Prospects for preventing bact...
Prospects for preventing bacterial meningitis Prospects for preventing bact...
MedicineAndHealthUSA
After Fellowship
After Fellowship
MedicineAndHealthUSA
Salzer
Salzer
MedicineAndHealthUSA
Hiv Infection And The Nervous System
Hiv Infection And The Nervous System
MedicineAndHealthUSA
HIV Vaccine Research and HIV drugs in the pipeline HIV Vaccine Research and...
HIV Vaccine Research and HIV drugs in the pipeline HIV Vaccine Research and...
MedicineAndHealthUSA
Low Back Pain
Low Back Pain
MedicineAndHealthUSA
Thyroid Benign Slides
Thyroid Benign Slides
MedicineAndHealthUSA
The Challenge Of Acute Back Pain
The Challenge Of Acute Back Pain
MedicineAndHealthUSA
Monoclonal Gammopathy of Undetermined Significance and Smoldering Multiple My...
Monoclonal Gammopathy of Undetermined Significance and Smoldering Multiple My...
MedicineAndHealthUSA
Hiv Vaccines Overview
Hiv Vaccines Overview
MedicineAndHealthUSA
Breast Cancer - Is there a link to endocrine disrupting chemicals? Breast C...
Breast Cancer - Is there a link to endocrine disrupting chemicals? Breast C...
MedicineAndHealthUSA
Low Back Pain
Low Back Pain
MedicineAndHealthUSA
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
MedicineAndHealthUSA
How Should One Decide Whom to Treat for Hypertension? How Should One Decide...
How Should One Decide Whom to Treat for Hypertension? How Should One Decide...
MedicineAndHealthUSA
low Back pain
low Back pain
MedicineAndHealthUSA
Calcium disorder
Calcium disorder
MedicineAndHealthUSA
Hypertension and Diabetic Kidney Disease Progression Hypertension and Diabe...
Hypertension and Diabetic Kidney Disease Progression Hypertension and Diabe...
MedicineAndHealthUSA
Diabetes Care Alphabet Strategy
Diabetes Care Alphabet Strategy
MedicineAndHealthUSA
Diabetes
Diabetes
MedicineAndHealthUSA
Balasubramanian K5 Oct 21 230pm
Balasubramanian K5 Oct 21 230pm
MedicineAndHealthUSA
Plus de MedicineAndHealthUSA
(20)
Prospects for preventing bacterial meningitis Prospects for preventing bact...
Prospects for preventing bacterial meningitis Prospects for preventing bact...
After Fellowship
After Fellowship
Salzer
Salzer
Hiv Infection And The Nervous System
Hiv Infection And The Nervous System
HIV Vaccine Research and HIV drugs in the pipeline HIV Vaccine Research and...
HIV Vaccine Research and HIV drugs in the pipeline HIV Vaccine Research and...
Low Back Pain
Low Back Pain
Thyroid Benign Slides
Thyroid Benign Slides
The Challenge Of Acute Back Pain
The Challenge Of Acute Back Pain
Monoclonal Gammopathy of Undetermined Significance and Smoldering Multiple My...
Monoclonal Gammopathy of Undetermined Significance and Smoldering Multiple My...
Hiv Vaccines Overview
Hiv Vaccines Overview
Breast Cancer - Is there a link to endocrine disrupting chemicals? Breast C...
Breast Cancer - Is there a link to endocrine disrupting chemicals? Breast C...
Low Back Pain
Low Back Pain
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
Management of HIV - Post-Exposure Prophylaxis Management of HIV - Post-Expo...
How Should One Decide Whom to Treat for Hypertension? How Should One Decide...
How Should One Decide Whom to Treat for Hypertension? How Should One Decide...
low Back pain
low Back pain
Calcium disorder
Calcium disorder
Hypertension and Diabetic Kidney Disease Progression Hypertension and Diabe...
Hypertension and Diabetic Kidney Disease Progression Hypertension and Diabe...
Diabetes Care Alphabet Strategy
Diabetes Care Alphabet Strategy
Diabetes
Diabetes
Balasubramanian K5 Oct 21 230pm
Balasubramanian K5 Oct 21 230pm
Dernier
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 9833325238 Nargish Khan Booking Contact Details WhatsApp Chat: +91-9833325238 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 06-May 24 (Smt)
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...
Ishani Gupta
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋 Call Mr Chirag Ji +91-7877925207 NORTH/SOUTH INDIANS HIGH CLASS MODELS/COLLEGE GIRLS/ HOUSEWIVES/BODY TO BODY MASSAGE, SANDWICH MASSAGE, SHOWER BATHING, BLOW JOB, LICKING, FRONT AND BACK SHOT, RUBBING, KISSING SMOOCHING ETC ETC... UNLIMITED FUN Call 24/7. Your assistance for your service... ☛ ✔✔ secure✔✔ 100% safe ✔✔ Vip Callgirl Service offers you the most beautiful High Profile sexy independent female Escorts in genuine ✔✔✔ To enjoy with hot and sexy girls ✔✔✔ A03524SW ★providing:- • Models • vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-models • Foreigner And Many More.. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5 star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
TANUJA PANDEY
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Rajasthan Booking Details Are here 06-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Sheetaleventcompany
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion
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...
parulsinha
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
GENUINE ESCORT AGENCY
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
narwatsonia7
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Tirupati Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Tirupati Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Tirupati Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Dipal Arora
Model Call Girl Services in Delhi reach out to us at 🔝 9953056974 🔝✔️✔️ Our agency presents a selection of young, charming call girls available for bookings at Oyo Hotels. Experience high-class escort services at pocket-friendly rates, with our female escorts exuding both beauty and a delightful personality, ready to meet your desires. Whether it's Housewives, College girls, Russian girls, Muslim girls, or any other preference, we offer a diverse range of options to cater to your tastes. We provide both in-call and out-call services for your convenience. Our in-call location in Delhi ensures cleanliness, hygiene, and 100% safety, while our out-call services offer doorstep delivery for added ease. We value your time and money, hence we kindly request pic collectors, time-passers, and bargain hunters to refrain from contacting us. Our services feature various packages at competitive rates: One shot: ₹2000/in-call, ₹5000/out-call Two shots with one girl: ₹3500/in-call, ₹6000/out-call Body to body massage with sex: ₹3000/in-call Full night for one person: ₹7000/in-call, ₹10000/out-call Full night for more than 1 person: Contact us at 🔝 9953056974 🔝. for details Operating 24/7, we serve various locations in Delhi, including Green Park, Lajpat Nagar, Saket, and Hauz Khas near metro stations. For premium call girl services in Delhi 🔝 9953056974 🔝. Thank you for considering us!
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
9953056974 Low Rate Call Girls In Saket, Delhi NCR
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In Hyderabad Escorts Service Escorts Service Available Whatsapp Chaya ☎️ : [+91-9352852248 ] Escorts Service Hyderabad are always ready to make their clients happy. Their exotic looks and sexy personalities are sure to turn heads. You can enjoy with them, including massages and erotic encounters.#P12Our area Escorts are young and sexy, so you can expect to have an exotic time with them. They are trained to satiate your naughty nerves and they can handle anything that you want. They are also intelligent, so they know how to make you feel comfortable and relaxed SERVICE ✅ ❣️ ⭐➡️HOT & SEXY MODELS // COLLEGE GIRLS HOUSE WIFE RUSSIAN , AIR HOSTES ,VIP MODELS . AVAILABLE FOR COMPLETE ENJOYMENT WITH HIGH PROFILE INDIAN MODEL AVAILABLE HOTEL & HOME ★ SAFE AND SECURE HIGH CLASS SERVICE AFFORDABLE RATE ★ SATISFACTION,UNLIMITED ENJOYMENT. ★ All Meetings are confidential and no information is provided to any one at any cost. ★ EXCLUSIVE PROFILes Are Safe and Consensual with Most Limits Respected ★ Service Available In: - HOME & HOTEL Star Hotel Service .In Call & Out call SeRvIcEs : ★ A-Level (star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob)Receive advanced sexual techniques in different mode make their life more pleasurable. ★ Spending time in hotel rooms ★ BJ (Blowjob Without a Condom) ★ Completion (Oral to completion) ★ Covered (Covered blowjob Without condom ★ANAL SERVICES.
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Call Girls In Delhi Whatsup 9873940964 Enjoy Unlimited Pleasure
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Massage and Pleasant Why you Choose Us- +91-6378878445 Bangalore Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of $L16
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
tanya dube
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426 Call Girls in Call\\Us))),(Delhi) We are Provide best Genuine Normal, High class call girls. escort service at affordable price. We Are One Of The Oldest Escorts and Call girls Agencies in Delhi You Will Find That Our Female Escorts Are Full Of Fun, Sexy And They Would Love Enjoy Your Company. We Have A Fantastic Selection Of Callo Girls Ladies Available For In-Calls As Well As Out-Calls. Our Escorts Are Not Only Beautiful But All Have Great Personalities Making Them The Perfect Companion For Any Occasion. In-Call: — You Can Come at Our Location in Delhi Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — You have To come and Pick Girl From My Place We are Also Provide Door Step Services in Delhi , Gurgaon, Noida. Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hour In Delhi NCR, We Are Providing : — all Types of girls Indian, North East , Foreigner , Airhostess, many More. Service type — In-call Shot 1500, 2,000– In — Call Night /Out-call Night 6,000, to 7,000 — Hi-Fi Rates Shot — 2,000 to 4,000 Full Night 8,000 to 10,000 More Details, Call//WhatsApp, 97111 🔝 ⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
jennyeacort
☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Their Home & Hotels Why you Choose Us- +91-7877925207 Hyderabad Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable I Have Extremely Beautiful Broad Minded Cute Sexy & Hot Call Girls and Escorts, We Are Located in 3* 4* 5* Hotels. Safe & Secure High Class Services Affordable Rate 100% Satisfaction, Unlimited Enjoyment. Any Time for Model/Teens Escort in Delhi High class luxury and premium escorts agency. ★ CALL US High Class Luxury and Premium Escort Service We Provide Well Educated,Royal Class Female,High-Class Escort Service Offering a Top High Class Escort Service In The & Several Nearby All Places of . A300424ST ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • 3* 5* 7*Hotels Service • Hygienic Full AC Neat and Clean Rooms Avail. • Daily New Escorts Staff Available • Minimum to Maximum Range Available. HOT⇄ 7877925207 Mr Chirag ji Our escort service •BJ (Blowjob) •FK (French kissing) •Kissing with tongue •O-Level (Oral sex) •Long Silky Brown Hair •69 (69 sex) •A-Level (5 start Escort) •Dating
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
jageshsingh5554
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine Sex Service At Affordable Rate Booking Contact Details Whatsapp Chat :+91- 9332606886 These professional and Call girls in Bangalore can satisfy your every desire - be it sensual massage or an erotic shower, they are always more than willing to meet them. Furthermore, they pay close attention to body language cues to ensure you enjoy every minute spent in their company - both in-call and outcall services are offered. Is an excellent choice for anyone seeking an exciting and thrilling night of fun and excitement The Oberoi, Bengaluru Taj West End The Leela Palace Bengaluru JW Marriott Hotel Bengaluru The Ritz-Carlton, Bangalore Sheraton Grand Bangalore Hotel at Brigade Gateway Conrad Bengaluru ITC Gardenia, Bengaluru Renaissance Bengaluru Race Course Hotel The Lalit Ashok Bangalore 30 apr 24 (LK)
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
narwatsonia7
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Profile Most Luxurious Call Girl With Real Photos Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-8445551418 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
parulsinha
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP Call Girl At Their Home & Hotels Booking Contact Details WhatsApp Chat: +91-9820252231 Mumbai Escort Service includes providing maximum physical satisfaction to their clients as well as engaging conversation that keeps your time enjoyable and entertaining. Plus they look fabulously elegant; making an impressionable. Independent Escorts Mumbai understands the value of confidentiality and discretion - they will go the extra mile to meet your needs. Simply contact them via text messaging or through their online profiles; they'd be more than delighted to accommodate any request or arrange a romantic date or fun-filled night together. We provide - Flexibility Choices and options Lists of many beauty fantasies Turn your dream into reality Perfect companionship Cheap and convenient In-call and Out-call services And many more. 01-05-24 (Smt)
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
Arohi Goyal
☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
GENUINE ESCORT AGENCY
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine Escort Service & Hotel Service Available Call Mr Chirag Ji +91-7427069034 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls, Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Chennai Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Chennai C010524HD Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 7427069034 !! Thank you for Visiting.
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
hotbabesbook
☑️░ 9630942363 ░ CALL GIRLS ░ VIP ░ ESCORT ░ SERVICES ░ AGENCY ░ 9630942363 THE GENUINE ESCORT AGENCY VIP LUXURY CALL GIRLS HIGH CLASS MODELS CALL GIRLS GENUINE ESCORT BOOK BOOK APPOINTMENT - 9630942363 THE GENUINE ESCORT AGENCY BEST VIP CALL GIRLS & ESCORTS SERVICE 9630942363 VIP CALL GIRLS ALL TYPE WOMEN AVAILABLE INCALL & OUTCALL BOTH AVAILABLE BOOK NOW 9630942363 VIP GENUINE INDEPENDENT ESCORT AGENCY VIP PRIVATE AUNTIES BEAUTIFUL LOOKING HOT AND SEXT GIRLS AND PARTY TYPE GIRLS YOU WANT SERVICE THEN CALL THIS NUMBER 9630942363 ROOM ALSO PROVIDE HOME & HOTELS SERVICE FULL SAFE AND SECURE WORK WITHOUT CONDOMS, ORAL, SUCKING, LIP TO LIP, ANAL, BACK SHOTS, SEX 69, WITHOUT BLOWJOB AND MUCH MORE FOR BOOKING 9630942363
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...
GENUINE ESCORT AGENCY
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High profile Girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S10 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Payal:-- 9352988975
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)
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...
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
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...
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Tirupati Just Call 8250077686 Top Class Call Girl Service Available
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Raipur Just Call 9630942363 Top Class Call Girl Service Available
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Majestic ⟟ 9332606886 ⟟ Call Me For Genuine S...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
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 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...
Irritable Bowel Syndrome Haitham Ahmed
1.
IRRITABLE BOWEL SYNDROME:
A Real Pain in the Guts Haitham Ahmed Dartmouth Medical School
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
Télécharger maintenant