SlideShare une entreprise Scribd logo
1  sur  34
Clinical cases from infection diseases hospital Dr. Andrey Dyachkov E-mail: cd4@inbox.ru
Botkin's hospital was found in 1882
 
 
Clinical cases - Whatch it!
Case 1: 23 y.o. women with jaundice  ,[object Object],[object Object],[object Object],[object Object]
Case 1: 23 y.o. women with jaundice  ,[object Object],[object Object],[object Object]
Case 1: 23 y.o. women with jaundice  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 1: 23 y.o. women with jaundice  ,[object Object],[object Object],[object Object],[object Object]
Case 1: 23 y.o. women with jaundice  ,[object Object]
Case 1: 23 y.o. women with jaundice  ,[object Object],[object Object]
Case 1: Wilson's disease
Case 1: Wilson's disease
Case 1: Wilson's disease  ,[object Object],[object Object],[object Object]
Case 2: 28 y.o. men with hemocolitis  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Case 2: 28 y.o. men with hemocolitis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 2: 28 y.o. men with hemocolitis  ,[object Object]
Case 2: 28 y.o. men with hemocolitis  ,[object Object],[object Object],[object Object]
Case 2: Amoebiasis
Case 2: Amoebiasis
Case 2: Amoebiasis
Case 2: Amoebiasis  ,[object Object]
Case 3: 80 y.o. women with headache  ,[object Object],[object Object],[object Object],[object Object]
Case 3: 80 y.o. women with headache  ,[object Object],[object Object],[object Object]
Case 3: 80 y.o. women with headache  ,[object Object],[object Object]
Case 3: 80 y.o. women with headache  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 3: 80 y.o. women with headache  ,[object Object],[object Object]
Case 3: 80 y.o. women with headache  ,[object Object]
[object Object],Case 3: 80 y.o. women with headache
Case 3: Horton's disease  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case 3: Horton's disease  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],About half of people who have GCA also have Polymyalgia rheumatica (PMR).
Case 3: Horton's disease  ,[object Object],The diagnostic criteria of the American College of Rheumatology Three of the following criteria to allow the diagnosis : * Age greater than or equal to 50 years * Headache of recent onset localized, * Indurated temporal artery or reduction/abolition of the temporal pulse, * Sedimentation rate (VS) exceeding 50 mm in first hour * Positive arterial biopsy showing infiltration by mononuclear or granulomatous inflammation with or without giant cells. Their sensitivity is 93.5% and specificity 91.2%.
Case 4: ?????????????? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],About half of people who have GCA also have Polymyalgia rheumatica (PMR).
 

Contenu connexe

Tendances

AIIMS Medicine Quiz prelims
AIIMS Medicine Quiz prelimsAIIMS Medicine Quiz prelims
AIIMS Medicine Quiz prelimsUmang Arora
 
UCMS: Prelim Medical Quiz2018
UCMS: Prelim Medical Quiz2018 UCMS: Prelim Medical Quiz2018
UCMS: Prelim Medical Quiz2018 Illuminous
 
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...Dr. Jagannath Boramani
 
Premier Medillectuals Prelims
Premier Medillectuals PrelimsPremier Medillectuals Prelims
Premier Medillectuals PrelimsDhananjay Bansal
 
Approach to Aquatic Skin Infections
Approach to Aquatic Skin InfectionsApproach to Aquatic Skin Infections
Approach to Aquatic Skin InfectionsAbdullatif Al-Rashed
 
UCMS:Final Integrated medical quiz 2018
UCMS:Final Integrated medical quiz 2018 UCMS:Final Integrated medical quiz 2018
UCMS:Final Integrated medical quiz 2018 Illuminous
 
Ig G4-related ophthalmic disease
Ig G4-related ophthalmic diseaseIg G4-related ophthalmic disease
Ig G4-related ophthalmic diseaseelias khalili pour
 
Orbital IgG4-related disease
Orbital IgG4-related diseaseOrbital IgG4-related disease
Orbital IgG4-related diseaseneurophq8
 
104777007 guillain-barre-syndrome-case-study-group
104777007 guillain-barre-syndrome-case-study-group104777007 guillain-barre-syndrome-case-study-group
104777007 guillain-barre-syndrome-case-study-grouphomeworkping7
 
A case of acute encephalitis
A case of acute encephalitisA case of acute encephalitis
A case of acute encephalitisGnandas Barman
 
Adult Onset Still's Disease
 Adult Onset Still's Disease Adult Onset Still's Disease
Adult Onset Still's DiseaseApollo Hospitals
 
Medical student surgery osce
Medical student surgery osceMedical student surgery osce
Medical student surgery osceBashir BnYunus
 

Tendances (20)

AIIMS Medicine Quiz prelims
AIIMS Medicine Quiz prelimsAIIMS Medicine Quiz prelims
AIIMS Medicine Quiz prelims
 
Senior Medillectuals- Mains
Senior Medillectuals- MainsSenior Medillectuals- Mains
Senior Medillectuals- Mains
 
Senior Medillectuals- Prelims
Senior Medillectuals- PrelimsSenior Medillectuals- Prelims
Senior Medillectuals- Prelims
 
Angioedema
AngioedemaAngioedema
Angioedema
 
Junior Medillectuals- Prelims
Junior Medillectuals- PrelimsJunior Medillectuals- Prelims
Junior Medillectuals- Prelims
 
UCMS: Prelim Medical Quiz2018
UCMS: Prelim Medical Quiz2018 UCMS: Prelim Medical Quiz2018
UCMS: Prelim Medical Quiz2018
 
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...
Aggressive Form Of Necrotising Scleritis: First Presentation Of Wegener`S Gra...
 
Premier Medillectuals Prelims
Premier Medillectuals PrelimsPremier Medillectuals Prelims
Premier Medillectuals Prelims
 
Approach to Aquatic Skin Infections
Approach to Aquatic Skin InfectionsApproach to Aquatic Skin Infections
Approach to Aquatic Skin Infections
 
UCMS:Final Integrated medical quiz 2018
UCMS:Final Integrated medical quiz 2018 UCMS:Final Integrated medical quiz 2018
UCMS:Final Integrated medical quiz 2018
 
Ig G4-related ophthalmic disease
Ig G4-related ophthalmic diseaseIg G4-related ophthalmic disease
Ig G4-related ophthalmic disease
 
Senior Medillectuals Mains
Senior Medillectuals MainsSenior Medillectuals Mains
Senior Medillectuals Mains
 
Orbital IgG4-related disease
Orbital IgG4-related diseaseOrbital IgG4-related disease
Orbital IgG4-related disease
 
Premier Medillectuals :- Mains
Premier Medillectuals :- MainsPremier Medillectuals :- Mains
Premier Medillectuals :- Mains
 
104777007 guillain-barre-syndrome-case-study-group
104777007 guillain-barre-syndrome-case-study-group104777007 guillain-barre-syndrome-case-study-group
104777007 guillain-barre-syndrome-case-study-group
 
A case of acute encephalitis
A case of acute encephalitisA case of acute encephalitis
A case of acute encephalitis
 
Osce
Osce Osce
Osce
 
Adult Onset Still's Disease
 Adult Onset Still's Disease Adult Onset Still's Disease
Adult Onset Still's Disease
 
Pediatrics mock OSCE Oct 2013
Pediatrics mock OSCE Oct 2013Pediatrics mock OSCE Oct 2013
Pediatrics mock OSCE Oct 2013
 
Medical student surgery osce
Medical student surgery osceMedical student surgery osce
Medical student surgery osce
 

En vedette

Vesiculobullous II
Vesiculobullous IIVesiculobullous II
Vesiculobullous IIIAU Dent
 
Case study of thrompocytosis
Case study of thrompocytosisCase study of thrompocytosis
Case study of thrompocytosismohammed sediq
 
7. Renal Dialysis Surgery
7. Renal Dialysis  Surgery7. Renal Dialysis  Surgery
7. Renal Dialysis Surgeryensteve
 
Pancreatic Cancer
Pancreatic CancerPancreatic Cancer
Pancreatic CancerMedsco
 
Git Case Budd Chiari3.
Git Case Budd Chiari3.Git Case Budd Chiari3.
Git Case Budd Chiari3.Shaikhani.
 
Case presentation polycystic kideny
Case presentation polycystic kidenyCase presentation polycystic kideny
Case presentation polycystic kidenyYassin Alsaleh
 
Ultra sound imaging general presentation
Ultra sound imaging general presentationUltra sound imaging general presentation
Ultra sound imaging general presentationREKHAKHARE
 
Abdomen and liver case presentation by PG
Abdomen and liver case presentation by PGAbdomen and liver case presentation by PG
Abdomen and liver case presentation by PGKurian Joseph
 
Dengue fever in Children
Dengue fever in ChildrenDengue fever in Children
Dengue fever in ChildrenJasmial Nand
 
Cystic lesions of the pancreas
Cystic lesions of the pancreasCystic lesions of the pancreas
Cystic lesions of the pancreasAtit Ghoda
 
Acute Pancreatitis Management Conference
Acute Pancreatitis Management ConferenceAcute Pancreatitis Management Conference
Acute Pancreatitis Management Conferencejcm MD
 
Classification Of Virus[Summary]
Classification Of Virus[Summary]Classification Of Virus[Summary]
Classification Of Virus[Summary]raj kumar
 

En vedette (20)

Ulcerative lesions /dental courses
Ulcerative  lesions /dental coursesUlcerative  lesions /dental courses
Ulcerative lesions /dental courses
 
Vesiculobullous II
Vesiculobullous IIVesiculobullous II
Vesiculobullous II
 
Case study of thrompocytosis
Case study of thrompocytosisCase study of thrompocytosis
Case study of thrompocytosis
 
Aki heba abou zid
Aki heba abou zidAki heba abou zid
Aki heba abou zid
 
7. Renal Dialysis Surgery
7. Renal Dialysis  Surgery7. Renal Dialysis  Surgery
7. Renal Dialysis Surgery
 
Alcoholic Liver Disease
Alcoholic Liver DiseaseAlcoholic Liver Disease
Alcoholic Liver Disease
 
Pancreatic Cancer
Pancreatic CancerPancreatic Cancer
Pancreatic Cancer
 
Git Case Budd Chiari3.
Git Case Budd Chiari3.Git Case Budd Chiari3.
Git Case Budd Chiari3.
 
Case presentation polycystic kideny
Case presentation polycystic kidenyCase presentation polycystic kideny
Case presentation polycystic kideny
 
Abdomen exam
Abdomen examAbdomen exam
Abdomen exam
 
Vesiculo bullous diseases
Vesiculo bullous diseasesVesiculo bullous diseases
Vesiculo bullous diseases
 
Ultra sound imaging general presentation
Ultra sound imaging general presentationUltra sound imaging general presentation
Ultra sound imaging general presentation
 
Abdomen and liver case presentation by PG
Abdomen and liver case presentation by PGAbdomen and liver case presentation by PG
Abdomen and liver case presentation by PG
 
Approach To a Patient with Ascitis
Approach To a Patient with AscitisApproach To a Patient with Ascitis
Approach To a Patient with Ascitis
 
Infection of oral mucosa
Infection of oral mucosa Infection of oral mucosa
Infection of oral mucosa
 
Dengue fever in Children
Dengue fever in ChildrenDengue fever in Children
Dengue fever in Children
 
Cystic lesions of the pancreas
Cystic lesions of the pancreasCystic lesions of the pancreas
Cystic lesions of the pancreas
 
Acute Pancreatitis Management Conference
Acute Pancreatitis Management ConferenceAcute Pancreatitis Management Conference
Acute Pancreatitis Management Conference
 
Classification Of Virus[Summary]
Classification Of Virus[Summary]Classification Of Virus[Summary]
Classification Of Virus[Summary]
 
Acute pancreatitis
Acute pancreatitisAcute pancreatitis
Acute pancreatitis
 

Similaire à Clinical cases from infection diseases hospital

Clinical cases from infection diseases hospital part 4
Clinical cases from infection diseases hospital part 4Clinical cases from infection diseases hospital part 4
Clinical cases from infection diseases hospital part 4drandreyst-p
 
Case based discussion on Listeria monocytogenes
Case based discussion on Listeria monocytogenesCase based discussion on Listeria monocytogenes
Case based discussion on Listeria monocytogenesdrmunnasraj
 
Krok 2 - 2011 Question Paper (General Medicine)
Krok 2 - 2011 Question Paper (General Medicine)Krok 2 - 2011 Question Paper (General Medicine)
Krok 2 - 2011 Question Paper (General Medicine)Eneutron
 
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docxClinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docxbartholomeocoombs
 
Mcqs & case discussion meningitis
Mcqs & case discussion meningitisMcqs & case discussion meningitis
Mcqs & case discussion meningitisDR. ANKUR KUMAR
 
Clinical materials for medicine V
Clinical materials for medicine VClinical materials for medicine V
Clinical materials for medicine VDr Ajith Karawita
 
Celiac common presentation of a uncommon disease saved with date
Celiac common presentation of a uncommon disease  saved with dateCeliac common presentation of a uncommon disease  saved with date
Celiac common presentation of a uncommon disease saved with dateMuhammad Arshad
 
T07 parovichnikova st p 2004 t12
T07 parovichnikova st p 2004 t12T07 parovichnikova st p 2004 t12
T07 parovichnikova st p 2004 t12macniek
 
Right sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelRight sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelWest Medicine Ward
 
AIIMS Medicine Quiz
AIIMS Medicine QuizAIIMS Medicine Quiz
AIIMS Medicine QuizUmang Arora
 
NMS slide.pptx
NMS slide.pptxNMS slide.pptx
NMS slide.pptxAmirAfif6
 
Endocarditis - Interesting Case Presentation
Endocarditis - Interesting Case PresentationEndocarditis - Interesting Case Presentation
Endocarditis - Interesting Case PresentationDr. Nagu Penakacherla
 
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...UC San Diego AntiViral Research Center
 
Melioidosis - a disease deserving strong clinical suspicion
Melioidosis - a disease deserving strong clinical suspicionMelioidosis - a disease deserving strong clinical suspicion
Melioidosis - a disease deserving strong clinical suspicionDr Venkatesh Karthikeyan
 
Difficult Diagnosis V2
Difficult Diagnosis V2Difficult Diagnosis V2
Difficult Diagnosis V2Imad Hassan
 

Similaire à Clinical cases from infection diseases hospital (20)

Clinical cases from infection diseases hospital part 4
Clinical cases from infection diseases hospital part 4Clinical cases from infection diseases hospital part 4
Clinical cases from infection diseases hospital part 4
 
Case based discussion on Listeria monocytogenes
Case based discussion on Listeria monocytogenesCase based discussion on Listeria monocytogenes
Case based discussion on Listeria monocytogenes
 
Krok 2 - 2011 Question Paper (General Medicine)
Krok 2 - 2011 Question Paper (General Medicine)Krok 2 - 2011 Question Paper (General Medicine)
Krok 2 - 2011 Question Paper (General Medicine)
 
CPC
CPCCPC
CPC
 
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docxClinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
Clinical ScenarioREASON FOR CONSULTATION Desaturation to 64.docx
 
Ibrahim
IbrahimIbrahim
Ibrahim
 
Mcqs & case discussion meningitis
Mcqs & case discussion meningitisMcqs & case discussion meningitis
Mcqs & case discussion meningitis
 
Clinical materials for medicine V
Clinical materials for medicine VClinical materials for medicine V
Clinical materials for medicine V
 
Celiac common presentation of a uncommon disease saved with date
Celiac common presentation of a uncommon disease  saved with dateCeliac common presentation of a uncommon disease  saved with date
Celiac common presentation of a uncommon disease saved with date
 
Interesting Case of Rowells syndrome
Interesting Case of Rowells syndromeInteresting Case of Rowells syndrome
Interesting Case of Rowells syndrome
 
T07 parovichnikova st p 2004 t12
T07 parovichnikova st p 2004 t12T07 parovichnikova st p 2004 t12
T07 parovichnikova st p 2004 t12
 
Right sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelRight sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeel
 
Clinical Case Study
Clinical Case StudyClinical Case Study
Clinical Case Study
 
AIIMS Medicine Quiz
AIIMS Medicine QuizAIIMS Medicine Quiz
AIIMS Medicine Quiz
 
NMS slide.pptx
NMS slide.pptxNMS slide.pptx
NMS slide.pptx
 
Endocarditis - Interesting Case Presentation
Endocarditis - Interesting Case PresentationEndocarditis - Interesting Case Presentation
Endocarditis - Interesting Case Presentation
 
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...
Cryptococcal Meningitis with Cranial Nerve Neuropathies: Predictors of Outcom...
 
Asha mortality
Asha   mortalityAsha   mortality
Asha mortality
 
Melioidosis - a disease deserving strong clinical suspicion
Melioidosis - a disease deserving strong clinical suspicionMelioidosis - a disease deserving strong clinical suspicion
Melioidosis - a disease deserving strong clinical suspicion
 
Difficult Diagnosis V2
Difficult Diagnosis V2Difficult Diagnosis V2
Difficult Diagnosis V2
 

Plus de drandreyst-p

Helminthiasis part 2 (GI tract, liver) on russian and english
Helminthiasis part 2 (GI tract, liver) on russian and english Helminthiasis part 2 (GI tract, liver) on russian and english
Helminthiasis part 2 (GI tract, liver) on russian and english drandreyst-p
 
Helminthiasis on english & russian part 1 (scin, eyes, lungs)
Helminthiasis on english & russian part 1 (scin, eyes, lungs)Helminthiasis on english & russian part 1 (scin, eyes, lungs)
Helminthiasis on english & russian part 1 (scin, eyes, lungs)drandreyst-p
 
Infectious diseases in literature on russian
Infectious diseases in literature on russianInfectious diseases in literature on russian
Infectious diseases in literature on russiandrandreyst-p
 
Quiz infectious diseases in literature part 3 in eng
Quiz infectious diseases in literature part 3 in engQuiz infectious diseases in literature part 3 in eng
Quiz infectious diseases in literature part 3 in engdrandreyst-p
 
Infection in literature part 2 eng
Infection in literature part 2 engInfection in literature part 2 eng
Infection in literature part 2 engdrandreyst-p
 
Infection in literature part 1 eng
Infection in literature part 1 engInfection in literature part 1 eng
Infection in literature part 1 engdrandreyst-p
 
Clinical cases from infection diseases hospital part 2
Clinical cases from infection diseases hospital part 2Clinical cases from infection diseases hospital part 2
Clinical cases from infection diseases hospital part 2drandreyst-p
 
Quiz Infection in literature (on russian) part 2
Quiz Infection in literature (on russian) part 2Quiz Infection in literature (on russian) part 2
Quiz Infection in literature (on russian) part 2drandreyst-p
 
Quiz infection in literature (on russian)
Quiz infection in literature (on russian)Quiz infection in literature (on russian)
Quiz infection in literature (on russian)drandreyst-p
 

Plus de drandreyst-p (9)

Helminthiasis part 2 (GI tract, liver) on russian and english
Helminthiasis part 2 (GI tract, liver) on russian and english Helminthiasis part 2 (GI tract, liver) on russian and english
Helminthiasis part 2 (GI tract, liver) on russian and english
 
Helminthiasis on english & russian part 1 (scin, eyes, lungs)
Helminthiasis on english & russian part 1 (scin, eyes, lungs)Helminthiasis on english & russian part 1 (scin, eyes, lungs)
Helminthiasis on english & russian part 1 (scin, eyes, lungs)
 
Infectious diseases in literature on russian
Infectious diseases in literature on russianInfectious diseases in literature on russian
Infectious diseases in literature on russian
 
Quiz infectious diseases in literature part 3 in eng
Quiz infectious diseases in literature part 3 in engQuiz infectious diseases in literature part 3 in eng
Quiz infectious diseases in literature part 3 in eng
 
Infection in literature part 2 eng
Infection in literature part 2 engInfection in literature part 2 eng
Infection in literature part 2 eng
 
Infection in literature part 1 eng
Infection in literature part 1 engInfection in literature part 1 eng
Infection in literature part 1 eng
 
Clinical cases from infection diseases hospital part 2
Clinical cases from infection diseases hospital part 2Clinical cases from infection diseases hospital part 2
Clinical cases from infection diseases hospital part 2
 
Quiz Infection in literature (on russian) part 2
Quiz Infection in literature (on russian) part 2Quiz Infection in literature (on russian) part 2
Quiz Infection in literature (on russian) part 2
 
Quiz infection in literature (on russian)
Quiz infection in literature (on russian)Quiz infection in literature (on russian)
Quiz infection in literature (on russian)
 

Dernier

Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 
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
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan
 
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 Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi NcrDelhi Call Girls
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...narwatsonia7
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
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
 
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
 
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
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 

Dernier (20)

Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 
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
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptx
 
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 Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
9873777170 Full Enjoy @24/7 Call Girls In North Avenue Delhi Ncr
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
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...
 
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...
 
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
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 

Clinical cases from infection diseases hospital