SlideShare a Scribd company logo
1 of 44
Pharmacist Development Group
Scientific Department Easy Pharmacology programme Present
Thyroid Hormone Disorders By Dr.MohamedAbdelrahman
The Lecture In Points
Thyroid gland & Thyroid hormones Visit video department on pharmacist development website
Thyroid gland & Thyroid hormones ,[object Object]
The thyroid gland facilitates normal growth and maturation by maintaining the level of metabolism in the tissues that is optimal for their normal function. The two major thyroid hormones are T3 (triiodothyronine, the most active form), and T4(thyroxine). ,[object Object]
Regulation of secretion ,[object Object]
T4 is converted to T3 in the tissues.                T3 combines with a receptor to           stimulate subsequent protein               synthesis necessary for normal metabolism.,[object Object]
Hypothyroidism ,[object Object]
in early life it causes cretinism, which is characterized by stuntedgrowth and mentaldeficiency.,[object Object]
One form is Hashimoto’s                          thyroiditis, an autoimmune                                    condition where                                       antibodies are produced                                    against thyroglobulin.PretibialMyxedema Waxy infiltrative plaques and edema,
Treatment of hypothyroidism  ,[object Object]
Hypothyroidism with goitrecan result (rarely) from deficiency of iodine in the diet; in which case treatment is with iodine supplementation.,[object Object]
Toxicity is directly related to thyroxine levels and manifests itself as nervousness, tachycardia, intolerance to heat and unexplained weight loss. ,[object Object]
Cholestyramine : May decrease thyroid hormone efficacy .
digitalis glycosides: May reduce effects of glycosides .
Fasting :Increases absorption of levothyroxin from GI tract.
Iron salts: May decrease efficacy of levothyroxine, resulting in hypothyroidism. ,[object Object]
Lactation :Minimal amounts excreted in breast milk.
Children :When drug is administered for congenital hypothyroidism, routine determinations of serum T4or TSH are strongly advised in neonates. In infants, excessive doses of thyroid hormone preparations may produce craniosynostosis. Children may experience transient partial hair loss in first few months of thyroid therapy .,[object Object]
Endocrine disorders: Therapy in patients with concomitant diabetes mellitus, diabetes insipidusor adrenal insufficiency (Addison's disease) exacerbates intensity of their symptoms. ,[object Object],[object Object]
Obesity :Drug should not be used for weight reduction; may produce serious or life-threatening toxicity in large doses, particularly when given with anorexiants .,[object Object]
Hyperthyroidism ,[object Object],Graves’s disease Goiter
Symptoms & treatment of Hyperthyroidism ,[object Object]
The goal of therapy is to decrease synthesis and/or release of additional hormone. This can be accomplished by removing part or all of the thyroid gland, by inhibiting synthesis of the hormones, or by blocking release of the hormones from the follicle. ,[object Object],[object Object],[object Object]
The effects of these drugs are slow in onset and thus they are not effective in the treatment of thyroid storm.,[object Object],[object Object],[object Object]
Carbimazole and PTU are taken with meals (to minimize GI irritation) and with same amount of food to facilitate uniform absorption.
Encourage fluid intake of 3 to 4 L/day, unless contraindicated .
Carbimazole and PTU have relatively rare adverse effects include agranulocytosis, rash, and edema. this is rare and reversible on stopping drug therapy.,[object Object]
Beta blockers: Increased effects of beta blockers.
Digitalis glycosides: Increased digitalis levels, resulting in toxicity.
Theophylline: Altered theophylline clearance in hyperthyroid or hypothyroid patients.  ,[object Object]
Lactation:Avoid nursing. However, if antithyroid drug is essential, PTU is preferred antithyroid agent while nursing.
Children:Hepatotoxicity has occurred in pediatric patients. Discontinue drug immediately if signs and symptoms of hepatic dysfunction develop
Agranulocytosis: Potentially most serious side effect. Discontinue drug if agranulocytosis, aplastic anemia, hepatitis, fever, or exfoliative dermatitis occur. Hemorrhagic effects:May cause hypoprothrombinemia and bleeding.,[object Object]
General notes ,[object Object]
Caution patient not to take OTC or other prescribed medications without consulting physician .
Instruct patient to check pulse daily
Do not switch from one brand to another without comparison studies of bioavailability.Lipid lowering agents : rapid review
General notes ,[object Object]
Advise patient to monitor weight at least 2 to 3 times/wk or per physician instruction, obtaining weight at same time, using same scale. Encourage patient to keep recorded chart.
Instruct patient to notify dentist or physician of drug regimen before surgical or dental procedures. secretion of thyroxin hormone : video
Practical notes on levothyroxin ,[object Object]

More Related Content

What's hot (20)

Treatment of hypothyroidism
Treatment of hypothyroidismTreatment of hypothyroidism
Treatment of hypothyroidism
 
Diabetes
DiabetesDiabetes
Diabetes
 
Addison disease
Addison diseaseAddison disease
Addison disease
 
Hyperlipidemia and drug therapy for hyperlipidemia
Hyperlipidemia and drug therapy for hyperlipidemiaHyperlipidemia and drug therapy for hyperlipidemia
Hyperlipidemia and drug therapy for hyperlipidemia
 
Sex hormone disorder.pptx
Sex hormone disorder.pptxSex hormone disorder.pptx
Sex hormone disorder.pptx
 
Thyroid & antithyroid drugs
Thyroid & antithyroid drugsThyroid & antithyroid drugs
Thyroid & antithyroid drugs
 
Hyperlipidemia pharmacotherapy
Hyperlipidemia pharmacotherapyHyperlipidemia pharmacotherapy
Hyperlipidemia pharmacotherapy
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
thyroid & antithyroid drugs..
thyroid & antithyroid drugs..thyroid & antithyroid drugs..
thyroid & antithyroid drugs..
 
Sex hormones (Male)
Sex hormones (Male)Sex hormones (Male)
Sex hormones (Male)
 
PHARMACOTHERAPY OF BRONCHIAL ASTHMA
PHARMACOTHERAPY OF BRONCHIAL ASTHMAPHARMACOTHERAPY OF BRONCHIAL ASTHMA
PHARMACOTHERAPY OF BRONCHIAL ASTHMA
 
Anti-Thyroid
Anti-Thyroid Anti-Thyroid
Anti-Thyroid
 
Disorders of sex hormones
Disorders of sex hormonesDisorders of sex hormones
Disorders of sex hormones
 
HYPERLIPIDEMIA
HYPERLIPIDEMIAHYPERLIPIDEMIA
HYPERLIPIDEMIA
 
Hypothyroidism Diagnosis, Etiopathogenesis and Treatment
Hypothyroidism Diagnosis, Etiopathogenesis and TreatmentHypothyroidism Diagnosis, Etiopathogenesis and Treatment
Hypothyroidism Diagnosis, Etiopathogenesis and Treatment
 
Glucocorticoids - Endocrine System
Glucocorticoids - Endocrine SystemGlucocorticoids - Endocrine System
Glucocorticoids - Endocrine System
 
Thyroid final
Thyroid finalThyroid final
Thyroid final
 
ENDOCRINE SYSTEM
ENDOCRINE SYSTEM ENDOCRINE SYSTEM
ENDOCRINE SYSTEM
 
Goiter
GoiterGoiter
Goiter
 
Thyroid & antithyroid drug
Thyroid & antithyroid drugThyroid & antithyroid drug
Thyroid & antithyroid drug
 

Similar to ‫Thyroid gland disorders

Thyroid gland - disordesa , symptomes and treatment
Thyroid gland - disordesa , symptomes and treatment Thyroid gland - disordesa , symptomes and treatment
Thyroid gland - disordesa , symptomes and treatment Areej Abu Hanieh
 
Thyroid Diseases & Its Information
Thyroid Diseases & Its InformationThyroid Diseases & Its Information
Thyroid Diseases & Its Informationrohitkumarrathi
 
4-pituitary and thyroid ;lk;kdisorders.ppt
4-pituitary and thyroid ;lk;kdisorders.ppt4-pituitary and thyroid ;lk;kdisorders.ppt
4-pituitary and thyroid ;lk;kdisorders.pptAbdallahAlasal1
 
Thyroid Drugs2[1]
Thyroid Drugs2[1]Thyroid Drugs2[1]
Thyroid Drugs2[1]girlie
 
Diagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptxDiagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptxvivianOkoli1
 
4th unit thyroid and antithyroid drugs
4th unit thyroid and antithyroid drugs4th unit thyroid and antithyroid drugs
4th unit thyroid and antithyroid drugsNikithaGopalpet
 
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.D
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.DThyroid Drugs.pdf for B.Pharmacy as well as Pharm.D
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.DGopi Krishna Rakam
 
Thyroid & Antithyroid drugs Nursing (1).ppt
Thyroid & Antithyroid drugs Nursing (1).pptThyroid & Antithyroid drugs Nursing (1).ppt
Thyroid & Antithyroid drugs Nursing (1).pptwajidullah9551
 
drugs used in hyperthyroidism
drugs used in hyperthyroidismdrugs used in hyperthyroidism
drugs used in hyperthyroidismMsccMohamed
 
Thyroid Overview
Thyroid OverviewThyroid Overview
Thyroid OverviewMiami Dade
 
Anti thyroid drugs by tasnim
Anti thyroid drugs by tasnimAnti thyroid drugs by tasnim
Anti thyroid drugs by tasnimTasnim Taher
 
Drugs for thyroid and parathyroid disorders
Drugs for thyroid and parathyroid disordersDrugs for thyroid and parathyroid disorders
Drugs for thyroid and parathyroid disordersDr. Marya Ahsan
 
Thyroid and antithyroid drugs
Thyroid and antithyroid drugsThyroid and antithyroid drugs
Thyroid and antithyroid drugsPravin Prasad
 
GOITER (DISEASE OF THYRIOD GLAND)
GOITER (DISEASE OF THYRIOD GLAND)GOITER (DISEASE OF THYRIOD GLAND)
GOITER (DISEASE OF THYRIOD GLAND)Nasir Yahaya
 

Similar to ‫Thyroid gland disorders (20)

Thyroid gland - disordesa , symptomes and treatment
Thyroid gland - disordesa , symptomes and treatment Thyroid gland - disordesa , symptomes and treatment
Thyroid gland - disordesa , symptomes and treatment
 
Thyroid Diseases & Its Information
Thyroid Diseases & Its InformationThyroid Diseases & Its Information
Thyroid Diseases & Its Information
 
anaesthetic consideration for thyroid surgery
anaesthetic consideration for thyroid surgeryanaesthetic consideration for thyroid surgery
anaesthetic consideration for thyroid surgery
 
thyroid hormone.pdf
thyroid hormone.pdfthyroid hormone.pdf
thyroid hormone.pdf
 
Thyroid
ThyroidThyroid
Thyroid
 
4-pituitary and thyroid ;lk;kdisorders.ppt
4-pituitary and thyroid ;lk;kdisorders.ppt4-pituitary and thyroid ;lk;kdisorders.ppt
4-pituitary and thyroid ;lk;kdisorders.ppt
 
Thyroid Drugs2[1]
Thyroid Drugs2[1]Thyroid Drugs2[1]
Thyroid Drugs2[1]
 
Diagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptxDiagnosis and treatment of hypothyroidism.pptx
Diagnosis and treatment of hypothyroidism.pptx
 
4th unit thyroid and antithyroid drugs
4th unit thyroid and antithyroid drugs4th unit thyroid and antithyroid drugs
4th unit thyroid and antithyroid drugs
 
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.D
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.DThyroid Drugs.pdf for B.Pharmacy as well as Pharm.D
Thyroid Drugs.pdf for B.Pharmacy as well as Pharm.D
 
Thyroid & Antithyroid drugs Nursing (1).ppt
Thyroid & Antithyroid drugs Nursing (1).pptThyroid & Antithyroid drugs Nursing (1).ppt
Thyroid & Antithyroid drugs Nursing (1).ppt
 
drugs used in hyperthyroidism
drugs used in hyperthyroidismdrugs used in hyperthyroidism
drugs used in hyperthyroidism
 
Thyroid Overview
Thyroid OverviewThyroid Overview
Thyroid Overview
 
Anti thyroid drugs
Anti thyroid drugsAnti thyroid drugs
Anti thyroid drugs
 
Anti thyroid drugs by tasnim
Anti thyroid drugs by tasnimAnti thyroid drugs by tasnim
Anti thyroid drugs by tasnim
 
Drugs for thyroid and parathyroid disorders
Drugs for thyroid and parathyroid disordersDrugs for thyroid and parathyroid disorders
Drugs for thyroid and parathyroid disorders
 
Hypothyroidism
HypothyroidismHypothyroidism
Hypothyroidism
 
Thyroid and antithyroid drugs
Thyroid and antithyroid drugsThyroid and antithyroid drugs
Thyroid and antithyroid drugs
 
GOITER (DISEASE OF THYRIOD GLAND)
GOITER (DISEASE OF THYRIOD GLAND)GOITER (DISEASE OF THYRIOD GLAND)
GOITER (DISEASE OF THYRIOD GLAND)
 
Hypothyrodism
HypothyrodismHypothyrodism
Hypothyrodism
 

More from Pharmacist Development Group

Association of Applying and Developing Pharmacy (AADP)
Association of Applying and Developing Pharmacy (AADP)Association of Applying and Developing Pharmacy (AADP)
Association of Applying and Developing Pharmacy (AADP)Pharmacist Development Group
 
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتا
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتاقائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتا
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتاPharmacist Development Group
 
Drugs used for oseoporosis and paget's disease treatment
Drugs used for oseoporosis and paget's disease treatmentDrugs used for oseoporosis and paget's disease treatment
Drugs used for oseoporosis and paget's disease treatmentPharmacist Development Group
 

More from Pharmacist Development Group (6)

Association of Applying and Developing Pharmacy (AADP)
Association of Applying and Developing Pharmacy (AADP)Association of Applying and Developing Pharmacy (AADP)
Association of Applying and Developing Pharmacy (AADP)
 
production of pharmaceutical raw materials
production of pharmaceutical raw materialsproduction of pharmaceutical raw materials
production of pharmaceutical raw materials
 
اعرف دواك أمراض الصدر
اعرف دواك أمراض الصدراعرف دواك أمراض الصدر
اعرف دواك أمراض الصدر
 
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتا
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتاقائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتا
قائمة اتحاد الصيادلة المستقلين عن منطقة غرب الدلتا
 
Drugs used for oseoporosis and paget's disease treatment
Drugs used for oseoporosis and paget's disease treatmentDrugs used for oseoporosis and paget's disease treatment
Drugs used for oseoporosis and paget's disease treatment
 
Antibiotics course. 1-Quinolones
Antibiotics course. 1-QuinolonesAntibiotics course. 1-Quinolones
Antibiotics course. 1-Quinolones
 

Recently uploaded

call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...sonalikaur4
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
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 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
 
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
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
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
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxNiranjan Chavan
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
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
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...narwatsonia7
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Mohamed Rizk Khodair
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxDr.Nusrat Tariq
 
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
 
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
 

Recently uploaded (20)

call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...
Call Girls Near Airport Ahmedabad 9907093804 All Area Service COD available A...
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
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 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...
 
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
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
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...
 
Case Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptxCase Report Peripartum Cardiomyopathy.pptx
Case Report Peripartum Cardiomyopathy.pptx
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
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
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
Housewife Call Girls Bangalore - Call 7001305949 Rs-3500 with A/C Room Cash o...
 
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)Primary headache and facial pain. (2024)
Primary headache and facial pain. (2024)
 
Glomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptxGlomerular Filtration rate and its determinants.pptx
Glomerular Filtration rate and its determinants.pptx
 
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...
 
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
 

‫Thyroid gland disorders