SlideShare une entreprise Scribd logo
1  sur  52
Management of ENT Emergencies Simon Lloyd Consultant ENT Surgeon Central Manchester NHS Foundation Trust
Facial palsy
Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object]
Assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Eyes open Eyes closed
Facial Palsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Bell’s Palsy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who to refer ,[object Object],[object Object],[object Object],[object Object]
Sudden Hearing Loss ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sudden Hearing Loss Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Allergic response to BIPP
Acute Otalgia with normal TM
Complications of Otitis Media ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute Mastoiditis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications acute otitis media mastoiditis
Intracerebral Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Ring enhancement with contract enhanced CT
Lateral Sinus Thrombosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Filling defect on MRA
Epistaxis
Anatomy
Aetiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epistaxis First Aid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Silver nitrate cautery
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Rapid Rhino
BIPP Packing
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Surgical Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object]
Management Algorithm
Nasal Vestibulitis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fractured nose
Fractured nose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fractured   nose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fractured nose   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Sinusitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Periorbital Cellulitis and Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Periorbital Cellulitis Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Foreign Bodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of Tonsillitis Peritonsillar abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of tonsillitis Peritonsillar abscess (quinsy)
Peritonsillar abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stridor ,[object Object],[object Object],[object Object],[object Object],[object Object]
Stridor - Assessment ,[object Object],[object Object],[object Object],[object Object]
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Stridor -management ,[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]
Airway Foreign Bodies ,[object Object],[object Object],[object Object],[object Object]
 
 
Rigid bronchoscope
Bronchoscope and camera being used to assess the airway in a child with a tracheostomy

Contenu connexe

Tendances

Ear discharge and otalgia
Ear discharge and otalgiaEar discharge and otalgia
Ear discharge and otalgiaDennis Lee
 
Otitis media with effusion ome
Otitis media with effusion omeOtitis media with effusion ome
Otitis media with effusion omeSupreet Sn
 
Acute and chronic inflammations of larynx
Acute and chronic inflammations of larynxAcute and chronic inflammations of larynx
Acute and chronic inflammations of larynxVinay Bhat
 
Eustachian Tube
Eustachian Tube Eustachian Tube
Eustachian Tube AlkaKapil
 
Ear disease presentation (manchester g ps)
Ear disease presentation (manchester g ps)Ear disease presentation (manchester g ps)
Ear disease presentation (manchester g ps)simonlloyd
 
Epistaxis management
Epistaxis managementEpistaxis management
Epistaxis managementSmrithi Jp
 
8737 Coclia 84 Glottic Ans Subglottic Stenosis
8737 Coclia 84 Glottic Ans Subglottic Stenosis8737 Coclia 84 Glottic Ans Subglottic Stenosis
8737 Coclia 84 Glottic Ans Subglottic StenosisMedicineAndHealthResearch
 
Diseases of the nasal septum
Diseases of the nasal septumDiseases of the nasal septum
Diseases of the nasal septumAnwaaar
 
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.Edoardo Cervoni
 
GEMC: ENT Emergencies: Resident Training
GEMC: ENT Emergencies: Resident Training GEMC: ENT Emergencies: Resident Training
GEMC: ENT Emergencies: Resident Training Open.Michigan
 
Nasal polyposis
Nasal polyposisNasal polyposis
Nasal polyposisAnkit Sahu
 

Tendances (20)

Ear discharge and otalgia
Ear discharge and otalgiaEar discharge and otalgia
Ear discharge and otalgia
 
Otitis media with effusion ome
Otitis media with effusion omeOtitis media with effusion ome
Otitis media with effusion ome
 
Laryngeal trauma
Laryngeal traumaLaryngeal trauma
Laryngeal trauma
 
Acute and chronic inflammations of larynx
Acute and chronic inflammations of larynxAcute and chronic inflammations of larynx
Acute and chronic inflammations of larynx
 
Fungal sinusitis
Fungal sinusitis Fungal sinusitis
Fungal sinusitis
 
Eustachian Tube
Eustachian Tube Eustachian Tube
Eustachian Tube
 
Ear disease presentation (manchester g ps)
Ear disease presentation (manchester g ps)Ear disease presentation (manchester g ps)
Ear disease presentation (manchester g ps)
 
Nasal polyps
Nasal polypsNasal polyps
Nasal polyps
 
Epistaxis management
Epistaxis managementEpistaxis management
Epistaxis management
 
8737 Coclia 84 Glottic Ans Subglottic Stenosis
8737 Coclia 84 Glottic Ans Subglottic Stenosis8737 Coclia 84 Glottic Ans Subglottic Stenosis
8737 Coclia 84 Glottic Ans Subglottic Stenosis
 
Diseases of the nasal septum
Diseases of the nasal septumDiseases of the nasal septum
Diseases of the nasal septum
 
Sinusitis (1)
Sinusitis (1)Sinusitis (1)
Sinusitis (1)
 
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.
Acute and Chronic Rhinosinusitis: diagnosis and management: current opinions.
 
Complications of csom
Complications of csomComplications of csom
Complications of csom
 
Middle ear reconstruction
Middle ear reconstructionMiddle ear reconstruction
Middle ear reconstruction
 
Otitis externa
Otitis externaOtitis externa
Otitis externa
 
Ear trauma
Ear traumaEar trauma
Ear trauma
 
GEMC: ENT Emergencies: Resident Training
GEMC: ENT Emergencies: Resident Training GEMC: ENT Emergencies: Resident Training
GEMC: ENT Emergencies: Resident Training
 
Nasal polyposis
Nasal polyposisNasal polyposis
Nasal polyposis
 
Rigid endoscopies
Rigid endoscopiesRigid endoscopies
Rigid endoscopies
 

En vedette

Extrication Techniques Operations
Extrication Techniques   OperationsExtrication Techniques   Operations
Extrication Techniques Operationsguestda94ebb
 
Ent in General Practice
Ent in General PracticeEnt in General Practice
Ent in General PracticeKabir Bakshi
 
Eh ear presentation
Eh ear presentationEh ear presentation
Eh ear presentationsimonlloyd
 
GEMC- A Pain in the Neck- Resident Training
GEMC- A Pain in the Neck- Resident TrainingGEMC- A Pain in the Neck- Resident Training
GEMC- A Pain in the Neck- Resident TrainingOpen.Michigan
 
Diseases of nasal vestibule
Diseases of nasal vestibuleDiseases of nasal vestibule
Diseases of nasal vestibuleRITURAJANMBBS
 
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)jaddy xavier
 
Semiologia - otorrinolaringologia
Semiologia - otorrinolaringologiaSemiologia - otorrinolaringologia
Semiologia - otorrinolaringologiaThaís Braga
 
Head and neck space infections 22 8-2016,dr.bini mohan
Head and neck space infections 22 8-2016,dr.bini mohanHead and neck space infections 22 8-2016,dr.bini mohan
Head and neck space infections 22 8-2016,dr.bini mohanophthalmgmcri
 
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysia
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysiaDiseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysia
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysiaKavitha Ashokb
 
Abscesses in relation to pharynx
Abscesses in relation to pharynxAbscesses in relation to pharynx
Abscesses in relation to pharynxVinay Bhat
 
Diseases of external nose and vestibule
Diseases of external nose and vestibuleDiseases of external nose and vestibule
Diseases of external nose and vestibuleVinay Bhat
 
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHDISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHrehmath
 

En vedette (20)

Extrication Techniques Operations
Extrication Techniques   OperationsExtrication Techniques   Operations
Extrication Techniques Operations
 
Ent in General Practice
Ent in General PracticeEnt in General Practice
Ent in General Practice
 
Eh ear presentation
Eh ear presentationEh ear presentation
Eh ear presentation
 
GEMC- A Pain in the Neck- Resident Training
GEMC- A Pain in the Neck- Resident TrainingGEMC- A Pain in the Neck- Resident Training
GEMC- A Pain in the Neck- Resident Training
 
Diseases of nasal vestibule
Diseases of nasal vestibuleDiseases of nasal vestibule
Diseases of nasal vestibule
 
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)
Otorrinolaringologia ( perfuração de ouvido , corpo estranho e epistaxe)
 
Semiologia - otorrinolaringologia
Semiologia - otorrinolaringologiaSemiologia - otorrinolaringologia
Semiologia - otorrinolaringologia
 
Acute Pharyngitis
Acute PharyngitisAcute Pharyngitis
Acute Pharyngitis
 
Trauma acustico agudo
Trauma acustico agudoTrauma acustico agudo
Trauma acustico agudo
 
Tonsils And Adenoids
Tonsils And  AdenoidsTonsils And  Adenoids
Tonsils And Adenoids
 
Cpr Bls
Cpr BlsCpr Bls
Cpr Bls
 
Bls & als rs mehta
Bls  & als rs mehtaBls  & als rs mehta
Bls & als rs mehta
 
Head and neck space infections 22 8-2016,dr.bini mohan
Head and neck space infections 22 8-2016,dr.bini mohanHead and neck space infections 22 8-2016,dr.bini mohan
Head and neck space infections 22 8-2016,dr.bini mohan
 
Tonsillectomy
Tonsillectomy Tonsillectomy
Tonsillectomy
 
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysia
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysiaDiseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysia
Diseases of nose by Dr. Kavitha Ashok Kumar MSU MAlaysia
 
Abscesses in relation to pharynx
Abscesses in relation to pharynxAbscesses in relation to pharynx
Abscesses in relation to pharynx
 
Diseases of external nose and vestibule
Diseases of external nose and vestibuleDiseases of external nose and vestibule
Diseases of external nose and vestibule
 
Tonsillectomy
 Tonsillectomy Tonsillectomy
Tonsillectomy
 
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHDISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
 
Acute respiratory infection (ARI)
Acute respiratory infection (ARI)Acute respiratory infection (ARI)
Acute respiratory infection (ARI)
 

Similaire à Management of ENT Emergencies: Bell's Palsy, Epistaxis, Stridor

Complications of csom dr.sithanandha kumar 29.02.2016
Complications of csom   dr.sithanandha kumar 29.02.2016Complications of csom   dr.sithanandha kumar 29.02.2016
Complications of csom dr.sithanandha kumar 29.02.2016ophthalmgmcri
 
Complications of sinusitis 23.05.16- dr.sithanadhakumar
Complications of sinusitis 23.05.16- dr.sithanadhakumarComplications of sinusitis 23.05.16- dr.sithanadhakumar
Complications of sinusitis 23.05.16- dr.sithanadhakumarophthalmgmcri
 
Traditional medicine 2007 by ap u kyaw naing
Traditional medicine 2007 by ap u kyaw naingTraditional medicine 2007 by ap u kyaw naing
Traditional medicine 2007 by ap u kyaw naingyinnshang
 
“Doctor, I’m bunged up!” A GP’s guide to managing blocked noses and sinusitis.
“Doctor, I’m bunged up!”  A GP’s guide to managing blocked noses and sinusitis.“Doctor, I’m bunged up!”  A GP’s guide to managing blocked noses and sinusitis.
“Doctor, I’m bunged up!” A GP’s guide to managing blocked noses and sinusitis.Sanjay Verma
 
acute suppurative otitis media
acute suppurative otitis mediaacute suppurative otitis media
acute suppurative otitis medianehil nigam
 
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdf
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdfacuteotitismediaaom-secretaryotitismediaome-201002182509.pdf
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdfGashbinLatif2
 
Acute otitis media (AOM) secretory otitis media (OME)
Acute otitis media (AOM)  secretory otitis media (OME)Acute otitis media (AOM)  secretory otitis media (OME)
Acute otitis media (AOM) secretory otitis media (OME)Ausaf Khan
 
The Nose and Paranasal Sinuses
The Nose and Paranasal SinusesThe Nose and Paranasal Sinuses
The Nose and Paranasal SinusesAmeenaAjam1
 
MRCS Preparation emrcs questions Headneck
MRCS Preparation emrcs questions HeadneckMRCS Preparation emrcs questions Headneck
MRCS Preparation emrcs questions HeadneckFaisol Kabir
 
Special situations in tonsil and Adenoid disorder Special situations in ton...
Special situations in tonsil and Adenoid disorder 	 Special situations in ton...Special situations in tonsil and Adenoid disorder 	 Special situations in ton...
Special situations in tonsil and Adenoid disorder Special situations in ton...MedicineAndHealthResearch
 
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
 
03 anaesthetic considerations in maxillofacial trauma surgery
03 anaesthetic considerations in maxillofacial trauma surgery03 anaesthetic considerations in maxillofacial trauma surgery
03 anaesthetic considerations in maxillofacial trauma surgeryJamil Kifayatullah
 

Similaire à Management of ENT Emergencies: Bell's Palsy, Epistaxis, Stridor (20)

Complications of csom dr.sithanandha kumar 29.02.2016
Complications of csom   dr.sithanandha kumar 29.02.2016Complications of csom   dr.sithanandha kumar 29.02.2016
Complications of csom dr.sithanandha kumar 29.02.2016
 
Melss yr4 ent complication of cs om
Melss yr4 ent complication of cs omMelss yr4 ent complication of cs om
Melss yr4 ent complication of cs om
 
Complications of sinusitis 23.05.16- dr.sithanadhakumar
Complications of sinusitis 23.05.16- dr.sithanadhakumarComplications of sinusitis 23.05.16- dr.sithanadhakumar
Complications of sinusitis 23.05.16- dr.sithanadhakumar
 
ENT
ENT ENT
ENT
 
E.N.T 5th year, 4th & 5th lectures (Dr. Muaid)
E.N.T 5th year, 4th & 5th lectures (Dr. Muaid)E.N.T 5th year, 4th & 5th lectures (Dr. Muaid)
E.N.T 5th year, 4th & 5th lectures (Dr. Muaid)
 
Traditional medicine 2007 by ap u kyaw naing
Traditional medicine 2007 by ap u kyaw naingTraditional medicine 2007 by ap u kyaw naing
Traditional medicine 2007 by ap u kyaw naing
 
Ent conditions for physiotherapists
Ent conditions for physiotherapistsEnt conditions for physiotherapists
Ent conditions for physiotherapists
 
“Doctor, I’m bunged up!” A GP’s guide to managing blocked noses and sinusitis.
“Doctor, I’m bunged up!”  A GP’s guide to managing blocked noses and sinusitis.“Doctor, I’m bunged up!”  A GP’s guide to managing blocked noses and sinusitis.
“Doctor, I’m bunged up!” A GP’s guide to managing blocked noses and sinusitis.
 
acute suppurative otitis media
acute suppurative otitis mediaacute suppurative otitis media
acute suppurative otitis media
 
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdf
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdfacuteotitismediaaom-secretaryotitismediaome-201002182509.pdf
acuteotitismediaaom-secretaryotitismediaome-201002182509.pdf
 
Acute otitis media (AOM) secretory otitis media (OME)
Acute otitis media (AOM)  secretory otitis media (OME)Acute otitis media (AOM)  secretory otitis media (OME)
Acute otitis media (AOM) secretory otitis media (OME)
 
The Nose and Paranasal Sinuses
The Nose and Paranasal SinusesThe Nose and Paranasal Sinuses
The Nose and Paranasal Sinuses
 
MRCS Preparation emrcs questions Headneck
MRCS Preparation emrcs questions HeadneckMRCS Preparation emrcs questions Headneck
MRCS Preparation emrcs questions Headneck
 
Attachment asom
Attachment asomAttachment asom
Attachment asom
 
Special situations in tonsil and Adenoid disorder Special situations in ton...
Special situations in tonsil and Adenoid disorder 	 Special situations in ton...Special situations in tonsil and Adenoid disorder 	 Special situations in ton...
Special situations in tonsil and Adenoid disorder Special situations in ton...
 
Otitis Media
Otitis MediaOtitis Media
Otitis Media
 
Ent Referrals- To & from Other Branches
Ent Referrals- To & from Other BranchesEnt Referrals- To & from Other Branches
Ent Referrals- To & from Other Branches
 
Tracheostomy
TracheostomyTracheostomy
Tracheostomy
 
03 anaesthetic considerations in maxillofacial trauma surgery
03 anaesthetic considerations in maxillofacial trauma surgery03 anaesthetic considerations in maxillofacial trauma surgery
03 anaesthetic considerations in maxillofacial trauma surgery
 
Epistaxis
EpistaxisEpistaxis
Epistaxis
 

Dernier

Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
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
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
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
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
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 Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
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
 
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
 
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
 
(👑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
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
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...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
 
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...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
 
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
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Dipal Arora
 
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
 

Dernier (20)

Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
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
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
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
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
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 Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
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 ...
 
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
 
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
 
(👑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...
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
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...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...
 
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...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...
 
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...
 
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
Call Girls Visakhapatnam Just Call 9907093804 Top Class Call Girl Service Ava...
 
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...
 

Management of ENT Emergencies: Bell's Palsy, Epistaxis, Stridor