SlideShare une entreprise Scribd logo
1  sur  12
What are adenoids?   ,[object Object]
What is cause of  adenoids hypertrophy? cause by    chronic inflammation
Sign&Symptoms Nasal obstruction - mouth breathing (mostly at night) - dry mouth, cracked lips - persistent runny nose or nasal congestion - snoring - Obstructive sleep apnea ( snore and stop breathing ) Ear and sinus problem ,[object Object],[object Object],Voice -  flat and toneless. Cardiopulmonary complications - Pulmonary hypertension - Cor pulmonale ( Right side heart failure ) - Right ventricular hypertrophy Weight loss or lack of weight gain - BMI   < 19
Differential Diagnosis Other   : - Obesity (BMI>25) Cause Organ Infection Airway obstruction Neoplasm Nose ,[object Object],[object Object],-  FB in nose - Deviated septum -  Nasal polyps Sinus ,[object Object],-   Chronic sinusitis - Mass or CA Tonsils & adenoids ,[object Object],[object Object],-Tonsil hypertrophy - Adenoids hypertrophy ,[object Object],Trachea - Tracheitis ,[object Object],- Mass or CA
Indication for admit ,[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]
Investigate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What is the treatment of  adenoids hypertrophy? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Length of stay ,[object Object],[object Object]
Further slides for hyperlink
Antibiotics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Adenoidectomy   ,[object Object],[object Object],[object Object]
Tonsiloadenoidectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Contenu connexe

Tendances (20)

QUINSY (Peritonsillar Abscess)
QUINSY (Peritonsillar Abscess)QUINSY (Peritonsillar Abscess)
QUINSY (Peritonsillar Abscess)
 
Acute tonsillitis
Acute tonsillitisAcute tonsillitis
Acute tonsillitis
 
Abscesses in relation to pharynx
Abscesses in relation to pharynxAbscesses in relation to pharynx
Abscesses in relation to pharynx
 
Dns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.comDns (Deviated Nasal Septum) | SurgicoMed.com
Dns (Deviated Nasal Septum) | SurgicoMed.com
 
Instruments used in Otolaryngology
Instruments used in OtolaryngologyInstruments used in Otolaryngology
Instruments used in Otolaryngology
 
NASAL POLYPS
NASAL POLYPSNASAL POLYPS
NASAL POLYPS
 
Stridor
StridorStridor
Stridor
 
Atrophic Rhinitis
Atrophic RhinitisAtrophic Rhinitis
Atrophic Rhinitis
 
Tonsillectomy
 Tonsillectomy Tonsillectomy
Tonsillectomy
 
Asom
AsomAsom
Asom
 
Cholesteatoma
CholesteatomaCholesteatoma
Cholesteatoma
 
Septplasty
SeptplastySeptplasty
Septplasty
 
Acute otitis media
Acute  otitis mediaAcute  otitis media
Acute otitis media
 
Diseases of external ear
Diseases of external earDiseases of external ear
Diseases of external ear
 
Vocal nodules
Vocal nodulesVocal nodules
Vocal nodules
 
Epistaxis
EpistaxisEpistaxis
Epistaxis
 
Malignant Otitis Externa
Malignant Otitis Externa Malignant Otitis Externa
Malignant Otitis Externa
 
Instruments in ent..aak
Instruments in ent..aakInstruments in ent..aak
Instruments in ent..aak
 
Stridor and management of obstructed airway
Stridor and management of obstructed airwayStridor and management of obstructed airway
Stridor and management of obstructed airway
 
Complications of csom
Complications of csomComplications of csom
Complications of csom
 

Similaire à Adenoids Hypertrophy

Inflammatory diseases of pharynx
Inflammatory diseases of pharynxInflammatory diseases of pharynx
Inflammatory diseases of pharynxManpreet Nanda
 
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsSanjay Verma
 
Ent gp emergencies (edited)
Ent gp emergencies (edited)Ent gp emergencies (edited)
Ent gp emergencies (edited)simonlloyd
 
Ent Referrals- To & from Other Branches
Ent Referrals- To & from Other BranchesEnt Referrals- To & from Other Branches
Ent Referrals- To & from Other BranchesDr Harjitpal Singh
 
Signs of respiratory distress
Signs of respiratory distressSigns of respiratory distress
Signs of respiratory distressOsama Arafa
 
EAR, NOSE AND THROAT.pptx
EAR, NOSE AND THROAT.pptxEAR, NOSE AND THROAT.pptx
EAR, NOSE AND THROAT.pptxflamestart
 
Dental Management of Respiratory & Adrenal Disorders
Dental Management of Respiratory & Adrenal DisordersDental Management of Respiratory & Adrenal Disorders
Dental Management of Respiratory & Adrenal DisordersDr. Ishaan Adhaulia
 
seminar on respiratory distress syndrome
seminar on respiratory distress syndromeseminar on respiratory distress syndrome
seminar on respiratory distress syndromeDr. Habibur Rahim
 
sinisitis.pptx
sinisitis.pptxsinisitis.pptx
sinisitis.pptxShafiq38
 
Adenoid enlargement.ppt
Adenoid enlargement.pptAdenoid enlargement.ppt
Adenoid enlargement.pptDrBPSah
 
acute suppurative otitis media
acute suppurative otitis mediaacute suppurative otitis media
acute suppurative otitis medianehil nigam
 
Upper respiratory disorders and nursing mangement
Upper respiratory disorders and nursing mangementUpper respiratory disorders and nursing mangement
Upper respiratory disorders and nursing mangementANILKUMAR BR
 
ENT Emergency 2020.pptx
ENT Emergency 2020.pptxENT Emergency 2020.pptx
ENT Emergency 2020.pptxbdsiau1
 
Bronchial Asthma
Bronchial Asthma Bronchial Asthma
Bronchial Asthma Khaled Amin
 

Similaire à Adenoids Hypertrophy (20)

R
RR
R
 
Inflammatory diseases of pharynx
Inflammatory diseases of pharynxInflammatory diseases of pharynx
Inflammatory diseases of pharynx
 
Upper Respiratory Tract Infection
Upper Respiratory Tract InfectionUpper Respiratory Tract Infection
Upper Respiratory Tract Infection
 
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) DoctorsENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
ENT Airway Problems and Emergencies; teaching to Foundation Year (FY) Doctors
 
Ent gp emergencies (edited)
Ent gp emergencies (edited)Ent gp emergencies (edited)
Ent gp emergencies (edited)
 
Emergencies in ENT
Emergencies in ENTEmergencies in ENT
Emergencies in ENT
 
Ent Referrals- To & from Other Branches
Ent Referrals- To & from Other BranchesEnt Referrals- To & from Other Branches
Ent Referrals- To & from Other Branches
 
Signs of respiratory distress
Signs of respiratory distressSigns of respiratory distress
Signs of respiratory distress
 
EAR, NOSE AND THROAT.pptx
EAR, NOSE AND THROAT.pptxEAR, NOSE AND THROAT.pptx
EAR, NOSE AND THROAT.pptx
 
Dental Management of Respiratory & Adrenal Disorders
Dental Management of Respiratory & Adrenal DisordersDental Management of Respiratory & Adrenal Disorders
Dental Management of Respiratory & Adrenal Disorders
 
seminar on respiratory distress syndrome
seminar on respiratory distress syndromeseminar on respiratory distress syndrome
seminar on respiratory distress syndrome
 
sinisitis.pptx
sinisitis.pptxsinisitis.pptx
sinisitis.pptx
 
Adenoid enlargement.ppt
Adenoid enlargement.pptAdenoid enlargement.ppt
Adenoid enlargement.ppt
 
acute suppurative otitis media
acute suppurative otitis mediaacute suppurative otitis media
acute suppurative otitis media
 
Upper respiratory disorders and nursing mangement
Upper respiratory disorders and nursing mangementUpper respiratory disorders and nursing mangement
Upper respiratory disorders and nursing mangement
 
ENT Emergency 2020.pptx
ENT Emergency 2020.pptxENT Emergency 2020.pptx
ENT Emergency 2020.pptx
 
Ent conditions for physiotherapists
Ent conditions for physiotherapistsEnt conditions for physiotherapists
Ent conditions for physiotherapists
 
Acute otitis media
Acute otitis mediaAcute otitis media
Acute otitis media
 
Bronchial Asthma
Bronchial Asthma Bronchial Asthma
Bronchial Asthma
 
ENT emergency
ENT emergencyENT emergency
ENT emergency
 

Plus de Asst.Prof.Dr.Terdsak Rojsurakitti (20)

CA Cervix
CA CervixCA Cervix
CA Cervix
 
GERD
GERDGERD
GERD
 
DUB
DUBDUB
DUB
 
Laboratory Testing
Laboratory TestingLaboratory Testing
Laboratory Testing
 
Shock
ShockShock
Shock
 
Nephrotic Syndrome
Nephrotic SyndromeNephrotic Syndrome
Nephrotic Syndrome
 
Kidney & Urinary System
Kidney & Urinary SystemKidney & Urinary System
Kidney & Urinary System
 
Stroke
StrokeStroke
Stroke
 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosis
 
Chronic Back Pain
Chronic Back PainChronic Back Pain
Chronic Back Pain
 
Low Back Pain
Low Back PainLow Back Pain
Low Back Pain
 
Brachial Plexus Injury
Brachial Plexus InjuryBrachial Plexus Injury
Brachial Plexus Injury
 
Bile Duct Tumor
Bile Duct TumorBile Duct Tumor
Bile Duct Tumor
 
Appendicitis
AppendicitisAppendicitis
Appendicitis
 
Organ Transplant
Organ TransplantOrgan Transplant
Organ Transplant
 
Thyroid Noudle
Thyroid NoudleThyroid Noudle
Thyroid Noudle
 
Deep Vein Thrombosis
Deep Vein ThrombosisDeep Vein Thrombosis
Deep Vein Thrombosis
 
Gastrointestional Stromal Tumors
Gastrointestional Stromal TumorsGastrointestional Stromal Tumors
Gastrointestional Stromal Tumors
 
Head Injury
Head InjuryHead Injury
Head Injury
 
Circumcision
CircumcisionCircumcision
Circumcision
 

Dernier

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
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 Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...indiancallgirl4rent
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
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
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
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
 
(👑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
 

Dernier (20)

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
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 Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Kochi Just Call 9907093804 Top Class Call Girl Service Available
 
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
(Rocky) Jaipur Call Girl - 09521753030 Escorts Service 50% Off with Cash ON D...
 
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...
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
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...
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
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...
 
(👑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...
 

Adenoids Hypertrophy