SlideShare une entreprise Scribd logo
1  sur  90
The Lung and Diabetes Mellitus Amr Badreldin Hamdy  MD FCCP
[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]
Pulmonary complications of DM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Conclusion ,[object Object]
Tuberculosis
[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]
Probable Reasons for the High Association of TB and DM
[object Object],[object Object],[object Object]
[object Object],[object Object]
Atypical Chest X-ray Findings
[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
Pulmonary Infections
[object Object],[object Object],[object Object]
[object Object]
[object Object]
Characteristics of Pulmonary Infections ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object]
Why are respiratory infections more common in DM?
[object Object]
[object Object],[object Object],[object Object]
Staphylococcus Aureus
[object Object],[object Object]
[object Object],[object Object]
Gram negative aerobic organisms
[object Object]
Anaerobic Organisms
[object Object],[object Object],[object Object],[object Object]
[object Object]
Legionella pneumonia ,[object Object],[object Object]
[object Object],[object Object]
Nosocomial Pneumonia
[object Object],[object Object]
Viral Infections
[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]
[object Object]
Effect of Infection on DM ,[object Object]
Therapy of Pneumonia in DM
[object Object],[object Object],[object Object]
[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Pulmonary Function
[object Object]
[object Object]
[object Object]
The most consistent abnormalities shown in diabetes mellitus ,[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object]
[object Object]
[object Object]
Role of Simple Lung Function Tests
[object Object]
[object Object],[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
Conclusion
[object Object]
[object Object],[object Object]
References
[object Object],[object Object],[object Object]
[object Object],[object Object]

Contenu connexe

Tendances

Steroid resistent asthma
Steroid resistent asthmaSteroid resistent asthma
Steroid resistent asthmanaser21021
 
COPD systemic effects and comorbidities
COPD systemic effects and comorbiditiesCOPD systemic effects and comorbidities
COPD systemic effects and comorbiditiesAshique Ali
 
Acute respiratory distress syndrome carre
Acute respiratory distress syndrome   carreAcute respiratory distress syndrome   carre
Acute respiratory distress syndrome carreDang Thanh Tuan
 
Acute Respiratory Failure
Acute Respiratory FailureAcute Respiratory Failure
Acute Respiratory FailureDang Thanh Tuan
 
Hypoxemia for residents, 2 19-15
Hypoxemia for residents, 2 19-15Hypoxemia for residents, 2 19-15
Hypoxemia for residents, 2 19-15katejohnpunag
 
Lung Volume Reduction Surgery
Lung Volume Reduction Surgery Lung Volume Reduction Surgery
Lung Volume Reduction Surgery Essam Elbadry
 
Systemic Manifestations of COPD
Systemic Manifestations of COPDSystemic Manifestations of COPD
Systemic Manifestations of COPDAshraf ElAdawy
 
Diabetic nephropathy
Diabetic nephropathyDiabetic nephropathy
Diabetic nephropathyPrateek Singh
 
Non invasive ventilation (niv)
Non invasive ventilation (niv)Non invasive ventilation (niv)
Non invasive ventilation (niv)Khairunnisa Azman
 
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)An update on the management of Idiopathic Pulmonary Fibrosis (IPF)
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)Sarfraz Saleemi
 
GINA-2022-Whats-New-Slides (1).pptx
GINA-2022-Whats-New-Slides (1).pptxGINA-2022-Whats-New-Slides (1).pptx
GINA-2022-Whats-New-Slides (1).pptxTOMANDJERRY23
 
Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Pk Doctors
 
Lung in pancreatitis
Lung in pancreatitisLung in pancreatitis
Lung in pancreatitisRikin Hasnani
 

Tendances (20)

Steroid resistent asthma
Steroid resistent asthmaSteroid resistent asthma
Steroid resistent asthma
 
COPD systemic effects and comorbidities
COPD systemic effects and comorbiditiesCOPD systemic effects and comorbidities
COPD systemic effects and comorbidities
 
Acute respiratory distress syndrome carre
Acute respiratory distress syndrome   carreAcute respiratory distress syndrome   carre
Acute respiratory distress syndrome carre
 
antifibrotic drugs
antifibrotic drugsantifibrotic drugs
antifibrotic drugs
 
Acute Respiratory Failure
Acute Respiratory FailureAcute Respiratory Failure
Acute Respiratory Failure
 
Hypoxemia for residents, 2 19-15
Hypoxemia for residents, 2 19-15Hypoxemia for residents, 2 19-15
Hypoxemia for residents, 2 19-15
 
Lung Volume Reduction Surgery
Lung Volume Reduction Surgery Lung Volume Reduction Surgery
Lung Volume Reduction Surgery
 
Systemic Manifestations of COPD
Systemic Manifestations of COPDSystemic Manifestations of COPD
Systemic Manifestations of COPD
 
Diabetic nephropathy
Diabetic nephropathyDiabetic nephropathy
Diabetic nephropathy
 
Non invasive ventilation (niv)
Non invasive ventilation (niv)Non invasive ventilation (niv)
Non invasive ventilation (niv)
 
Pleural Effusion
Pleural EffusionPleural Effusion
Pleural Effusion
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)An update on the management of Idiopathic Pulmonary Fibrosis (IPF)
An update on the management of Idiopathic Pulmonary Fibrosis (IPF)
 
Respiratory failure
Respiratory failureRespiratory failure
Respiratory failure
 
Transbronchial lung Cryobiopsy
Transbronchial lung CryobiopsyTransbronchial lung Cryobiopsy
Transbronchial lung Cryobiopsy
 
Copd
Copd Copd
Copd
 
GINA-2022-Whats-New-Slides (1).pptx
GINA-2022-Whats-New-Slides (1).pptxGINA-2022-Whats-New-Slides (1).pptx
GINA-2022-Whats-New-Slides (1).pptx
 
Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1
 
Lung in pancreatitis
Lung in pancreatitisLung in pancreatitis
Lung in pancreatitis
 
Dlco/tlco
Dlco/tlcoDlco/tlco
Dlco/tlco
 

En vedette

Minor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric ProceduresMinor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric Procedurescairo1957
 
Scoring systems in traumatized children
Scoring systems in traumatized childrenScoring systems in traumatized children
Scoring systems in traumatized childrencairo1957
 
Antibiotic Induced Sepsis
Antibiotic Induced SepsisAntibiotic Induced Sepsis
Antibiotic Induced Sepsiscairo1957
 
Anesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromeAnesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromecairo1957
 
Update in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in PediatricsUpdate in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in Pediatricscairo1957
 
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal AtresiaAnesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresiacairo1957
 
Paravertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic BlockParavertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic Blockcairo1957
 
Anaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in PediatricsAnaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in Pediatricscairo1957
 
Quitting Smoking
Quitting SmokingQuitting Smoking
Quitting Smokingcairo1957
 
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric AnesthesiaCuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesiacairo1957
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesiacairo1957
 
Problem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric AnesthesiaProblem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric Anesthesiacairo1957
 
Bronchial Asthma
Bronchial AsthmaBronchial Asthma
Bronchial Asthmacairo1957
 
Smoking Cessation
Smoking CessationSmoking Cessation
Smoking Cessationcairo1957
 
Anesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway SurgeryAnesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway Surgerycairo1957
 
Bioavailability of drug through iv,im
Bioavailability of drug through iv,imBioavailability of drug through iv,im
Bioavailability of drug through iv,imNimra Iqbal
 

En vedette (20)

Diabetes
DiabetesDiabetes
Diabetes
 
The great translators
The great translatorsThe great translators
The great translators
 
Minor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric ProceduresMinor Illnesses & Common Pediatric Procedures
Minor Illnesses & Common Pediatric Procedures
 
Scoring systems in traumatized children
Scoring systems in traumatized childrenScoring systems in traumatized children
Scoring systems in traumatized children
 
Antibiotic Induced Sepsis
Antibiotic Induced SepsisAntibiotic Induced Sepsis
Antibiotic Induced Sepsis
 
Anesthesia for children with long QT syndrome
Anesthesia for children with long QT syndromeAnesthesia for children with long QT syndrome
Anesthesia for children with long QT syndrome
 
Update in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in PediatricsUpdate in Central Neuraxial Blockade in Pediatrics
Update in Central Neuraxial Blockade in Pediatrics
 
published paper
published paperpublished paper
published paper
 
C0342010014
C0342010014C0342010014
C0342010014
 
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal AtresiaAnesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
Anesthetic management of Tracheo Esophageal fistula and Eosphageal Atresia
 
Paravertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic BlockParavertebral Cevical Sympathetic Block
Paravertebral Cevical Sympathetic Block
 
Anaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in PediatricsAnaesthetic Management of Diabetes Mellitus in Pediatrics
Anaesthetic Management of Diabetes Mellitus in Pediatrics
 
Quitting Smoking
Quitting SmokingQuitting Smoking
Quitting Smoking
 
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric AnesthesiaCuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
Cuffed vs Uncuffed Endotrachael Tubes in Pediatric Anesthesia
 
Problem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric AnesthesiaProblem Based Learning in Pediatric Anesthesia
Problem Based Learning in Pediatric Anesthesia
 
Problem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric AnesthesiaProblem Based Discussion in Pediatric Anesthesia
Problem Based Discussion in Pediatric Anesthesia
 
Bronchial Asthma
Bronchial AsthmaBronchial Asthma
Bronchial Asthma
 
Smoking Cessation
Smoking CessationSmoking Cessation
Smoking Cessation
 
Anesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway SurgeryAnesthesia for Pediatric Airway Surgery
Anesthesia for Pediatric Airway Surgery
 
Bioavailability of drug through iv,im
Bioavailability of drug through iv,imBioavailability of drug through iv,im
Bioavailability of drug through iv,im
 

Similaire à The Lung & Diabetes Mellitus

PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptx
PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptxPERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptx
PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptxPriyanka Pai
 
Interstitial lung disease with rheumatological diseases
Interstitial lung disease with rheumatological diseasesInterstitial lung disease with rheumatological diseases
Interstitial lung disease with rheumatological diseasesMohamed Alfaki
 
Lower respiratory tract infection
Lower respiratory tract infectionLower respiratory tract infection
Lower respiratory tract infectionSuzana Arbutina
 
Periodontal Medicine: Impact of periodontal disease on systemic health
Periodontal Medicine: Impact of periodontal disease on systemic healthPeriodontal Medicine: Impact of periodontal disease on systemic health
Periodontal Medicine: Impact of periodontal disease on systemic healthBinaya Subedi
 
COPD definition, phenotypes, epidemiology
COPD definition, phenotypes, epidemiologyCOPD definition, phenotypes, epidemiology
COPD definition, phenotypes, epidemiologySURABHI SUSHMA REDDY
 
Periodontal medicine
Periodontal medicinePeriodontal medicine
Periodontal medicineMoola Reddy
 
Lower Respiratory Tract Infections.pptx
Lower Respiratory Tract Infections.pptxLower Respiratory Tract Infections.pptx
Lower Respiratory Tract Infections.pptxMohamed Youssef
 
8 Major Risk Factors for Covid-19 Infection
8 Major Risk Factors for Covid-19 Infection8 Major Risk Factors for Covid-19 Infection
8 Major Risk Factors for Covid-19 InfectionDr Satish Pandav
 
Sarcoidosis and IgG4
Sarcoidosis and IgG4Sarcoidosis and IgG4
Sarcoidosis and IgG4ikramdr01
 
Childhood Asthma updates in 2024 in Ethi
Childhood Asthma updates in 2024 in EthiChildhood Asthma updates in 2024 in Ethi
Childhood Asthma updates in 2024 in EthiREDEEMN
 
Copd seminar
Copd seminarCopd seminar
Copd seminarhemin sab
 
COPD Teaching Slides for UGs
COPD Teaching Slides for UGsCOPD Teaching Slides for UGs
COPD Teaching Slides for UGsSaswat Subhankar
 
endocrinediseasesas COVID - Dr. Freddy Flores Malpartida
endocrinediseasesas COVID - Dr. Freddy Flores Malpartidaendocrinediseasesas COVID - Dr. Freddy Flores Malpartida
endocrinediseasesas COVID - Dr. Freddy Flores MalpartidaFreddy Flores Malpartida
 
Children with recurrent chest infection
Children with recurrent chest infectionChildren with recurrent chest infection
Children with recurrent chest infectionThorsang Chayovan
 
Respiratory emergencies Emergency medicine
Respiratory emergencies Emergency medicineRespiratory emergencies Emergency medicine
Respiratory emergencies Emergency medicinepratham b
 

Similaire à The Lung & Diabetes Mellitus (20)

LUNG AND DIABETES.pptx
LUNG AND DIABETES.pptxLUNG AND DIABETES.pptx
LUNG AND DIABETES.pptx
 
Diabetes and TB The deadly Combo.pptx
Diabetes and TB The deadly Combo.pptxDiabetes and TB The deadly Combo.pptx
Diabetes and TB The deadly Combo.pptx
 
PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptx
PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptxPERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptx
PERIO MEDICINE - LINK BETWEEN PERIODONTITIS AND SYSTEMIC INFECTIONS PRI.pptx
 
Interstitial lung disease with rheumatological diseases
Interstitial lung disease with rheumatological diseasesInterstitial lung disease with rheumatological diseases
Interstitial lung disease with rheumatological diseases
 
Lower respiratory tract infection
Lower respiratory tract infectionLower respiratory tract infection
Lower respiratory tract infection
 
Periodontal Medicine: Impact of periodontal disease on systemic health
Periodontal Medicine: Impact of periodontal disease on systemic healthPeriodontal Medicine: Impact of periodontal disease on systemic health
Periodontal Medicine: Impact of periodontal disease on systemic health
 
COPD.ppt
COPD.pptCOPD.ppt
COPD.ppt
 
38.pdf
38.pdf38.pdf
38.pdf
 
COPD definition, phenotypes, epidemiology
COPD definition, phenotypes, epidemiologyCOPD definition, phenotypes, epidemiology
COPD definition, phenotypes, epidemiology
 
Periodontal medicine
Periodontal medicinePeriodontal medicine
Periodontal medicine
 
Lower Respiratory Tract Infections.pptx
Lower Respiratory Tract Infections.pptxLower Respiratory Tract Infections.pptx
Lower Respiratory Tract Infections.pptx
 
8 Major Risk Factors for Covid-19 Infection
8 Major Risk Factors for Covid-19 Infection8 Major Risk Factors for Covid-19 Infection
8 Major Risk Factors for Covid-19 Infection
 
Sarcoidosis and IgG4
Sarcoidosis and IgG4Sarcoidosis and IgG4
Sarcoidosis and IgG4
 
Childhood Asthma updates in 2024 in Ethi
Childhood Asthma updates in 2024 in EthiChildhood Asthma updates in 2024 in Ethi
Childhood Asthma updates in 2024 in Ethi
 
Copd seminar
Copd seminarCopd seminar
Copd seminar
 
Ards
ArdsArds
Ards
 
COPD Teaching Slides for UGs
COPD Teaching Slides for UGsCOPD Teaching Slides for UGs
COPD Teaching Slides for UGs
 
endocrinediseasesas COVID - Dr. Freddy Flores Malpartida
endocrinediseasesas COVID - Dr. Freddy Flores Malpartidaendocrinediseasesas COVID - Dr. Freddy Flores Malpartida
endocrinediseasesas COVID - Dr. Freddy Flores Malpartida
 
Children with recurrent chest infection
Children with recurrent chest infectionChildren with recurrent chest infection
Children with recurrent chest infection
 
Respiratory emergencies Emergency medicine
Respiratory emergencies Emergency medicineRespiratory emergencies Emergency medicine
Respiratory emergencies Emergency medicine
 

Plus de cairo1957

Anesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart DiseaseAnesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart Diseasecairo1957
 
Child with OSA Anesthetic considerations
Child with OSA Anesthetic considerationsChild with OSA Anesthetic considerations
Child with OSA Anesthetic considerationscairo1957
 
Role of ultrasound in ICU
Role of ultrasound in ICURole of ultrasound in ICU
Role of ultrasound in ICUcairo1957
 
Anesthesia during the first year of Life
Anesthesia during the first year of LifeAnesthesia during the first year of Life
Anesthesia during the first year of Lifecairo1957
 
Acute Lung Injury & ARDS
Acute Lung Injury & ARDSAcute Lung Injury & ARDS
Acute Lung Injury & ARDScairo1957
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolismcairo1957
 
Sequelae & Complications of Pneumonectomy
Sequelae & Complications of PneumonectomySequelae & Complications of Pneumonectomy
Sequelae & Complications of Pneumonectomycairo1957
 
Mechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDMechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDcairo1957
 
Thoracoscopy
ThoracoscopyThoracoscopy
Thoracoscopycairo1957
 

Plus de cairo1957 (11)

Anesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart DiseaseAnesthesia for children with Congenital Heart Disease
Anesthesia for children with Congenital Heart Disease
 
Child with OSA Anesthetic considerations
Child with OSA Anesthetic considerationsChild with OSA Anesthetic considerations
Child with OSA Anesthetic considerations
 
Role of ultrasound in ICU
Role of ultrasound in ICURole of ultrasound in ICU
Role of ultrasound in ICU
 
Anesthesia during the first year of Life
Anesthesia during the first year of LifeAnesthesia during the first year of Life
Anesthesia during the first year of Life
 
Acute Lung Injury & ARDS
Acute Lung Injury & ARDSAcute Lung Injury & ARDS
Acute Lung Injury & ARDS
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolism
 
Sequelae & Complications of Pneumonectomy
Sequelae & Complications of PneumonectomySequelae & Complications of Pneumonectomy
Sequelae & Complications of Pneumonectomy
 
Mechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPDMechanical Ventilation in ARDS vs COPD
Mechanical Ventilation in ARDS vs COPD
 
Thoracoscopy
ThoracoscopyThoracoscopy
Thoracoscopy
 
Dyspnea
DyspneaDyspnea
Dyspnea
 
Smoking
SmokingSmoking
Smoking
 

Dernier

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
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...call girls in ahmedabad high profile
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoynarwatsonia7
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...Miss joya
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
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
 

Dernier (20)

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.
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870  Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️  8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...
Call Girls Near Hotel Marine Plaza ✔ 9820252231 ✔For 18+ VIP Call Girl At The...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night EnjoyCall Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
Call Girls Yelahanka Bangalore 📲 9907093804 💞 Full Night Enjoy
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Vashi Mumbai📲 9833363713 💞 Full Night Enjoy
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
 
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
VIP Call Girls Pune Vrinda 9907093804 Short 1500 Night 6000 Best call girls S...
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
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
 

The Lung & Diabetes Mellitus