SlideShare a Scribd company logo
1 of 29
PRESENTED BY
MR.ROMAN BAJRANG
RELIANCE INSTITUTE OF NURSING
NEPHROTIC SYNDROME
INTRODUCTION
• DEFINITION:-”NEPHROTIC SYNDROME IT IS
THE CONDITION IN WHEN THE GLOMERULAR
PART OF THE NEPHROTIC DOES NOT WORK
PROPERLY ASSOCIATED WITH THE KIDNEY
PROTIEN ESCAPES FROM BLOOD INTO THE
URINE & FLUID ACCUMULATE IN THE BODY
TISSUE”.
 ACCORDING TO MEDICAL DICTIONARY.
ANATOMY AND PHYSIOLOGY
 A TYPICAL ADULT KIDNEY IS 10-12CM.(4.5INCH).WIDE
AND 3CM.(1INCH).
 THE WEIGHT OF KIDNEY IS 135-150GM.
 THE KIDNEY ARE WALL PROTECTED BY THE RIBS
MUSCLES.
 THE KIDNEY CONSISTS OF TWO DISTINCT REGIONS
THE RENAL PARENCHYMA AND RENAL PELVIS.
 THE RENAL PARENCHYMA IS DIVIDED INTO THE
CORTEX AND THE MEDULLA.
FUNCTION OF KIDNEY
AUTOIMMU
NE
RALATION
BETWEEN
ANTIGEN
ANTIB-
ODY
REACTI
-ON
STREPTO
COCCAL
INFECTIO
N
NEPHRI
-TIS
DIABET
ES-
MELLIT
-US
SICKLE
CELL
DISEASE
PATHOPHYSIOLOGY
DAMAGED GLOMERULAR CAPILLARY
LOSS OF PLASMA PROTIEN(ALBUMIN)
STIMULATES SYNTHESIS HYPOALBUMINEMIA
OF LIPOPROTEINS
HYPERLIPIDEMIA DECREASED ONCOTICS PRESSURE
GENERALIZED EDEMA ( FLUID MOVES FROM
VASCULAR SPACE TO EXTRACELLULER FLUID
ACTIVATION OF RENIN ANGIOTENSIN
SODIUM RETENTION
EDEMA
KNOWN AS
NEPHROTICS SYNDROME
DIAGNOSTICEVALUATITON
MEDICAL MANAGEMENT:-
PHARMACOLOGY MANAGEMENT:-
NURSING MANAGEMENT:-
PREVENTION:-
HEALTH EDUCATION
• DIET
• DIALYSIS
–HEMODIALYSIS
–PERITONEAL
DIALYSIS
• REST & SLEEP
• FOLLOW UP
Nephrotic syndrome

More Related Content

Similar to Nephrotic syndrome

Necrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsNecrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsDr Praman Kushwah
 
Anatomy & Physiology of Renal System.pptx
Anatomy & Physiology of Renal System.pptxAnatomy & Physiology of Renal System.pptx
Anatomy & Physiology of Renal System.pptxsodha ranbir
 
PLACENTA AT TERM PPT for third year GNM student
PLACENTA AT TERM PPT for third year GNM studentPLACENTA AT TERM PPT for third year GNM student
PLACENTA AT TERM PPT for third year GNM studentGouri Das
 
cerebrospinalfluidrhinorrheajinu-200317192438.pptx
cerebrospinalfluidrhinorrheajinu-200317192438.pptxcerebrospinalfluidrhinorrheajinu-200317192438.pptx
cerebrospinalfluidrhinorrheajinu-200317192438.pptxSruthiNaren
 
Modern wound care course
Modern wound care courseModern wound care course
Modern wound care courseZamari
 
Aqueous humor dynamics, epidemiology and pathological basis
Aqueous humor dynamics, epidemiology and pathological basisAqueous humor dynamics, epidemiology and pathological basis
Aqueous humor dynamics, epidemiology and pathological basisBipin Bista
 
Cerebrospinal fluid rhinorrhea (CSF)
Cerebrospinal fluid rhinorrhea (CSF)Cerebrospinal fluid rhinorrhea (CSF)
Cerebrospinal fluid rhinorrhea (CSF)Jinu Iype
 
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptx
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptxANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptx
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptxAnik921227
 
Corneal transparency
Corneal transparencyCorneal transparency
Corneal transparencyTina Chandar
 
Anatomy of anterior chamber angle (1)
Anatomy of  anterior                chamber   angle (1)Anatomy of  anterior                chamber   angle (1)
Anatomy of anterior chamber angle (1)Ashi ..
 
Cerebral Spinal Fluid.pptx
Cerebral Spinal Fluid.pptxCerebral Spinal Fluid.pptx
Cerebral Spinal Fluid.pptxNamanMishra87
 
CSF-Pathway all aspect covered (anatomical and physiological)
CSF-Pathway all aspect covered (anatomical and physiological)CSF-Pathway all aspect covered (anatomical and physiological)
CSF-Pathway all aspect covered (anatomical and physiological)AmmarShah31
 
Human Urinary system: Anatomy and Physiology
Human Urinary system: Anatomy and PhysiologyHuman Urinary system: Anatomy and Physiology
Human Urinary system: Anatomy and PhysiologyA M O L D E O R E
 
Intra cranial pressure
Intra cranial pressureIntra cranial pressure
Intra cranial pressurepochamkeshav
 
Intra cranial pressure
Intra cranial pressureIntra cranial pressure
Intra cranial pressurepochamkeshav
 
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONS
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONSSHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONS
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONSDR.SUSHIL KUMAR NAYAK
 

Similar to Nephrotic syndrome (20)

Necrotizing enterocolitis in newborns
Necrotizing enterocolitis in newbornsNecrotizing enterocolitis in newborns
Necrotizing enterocolitis in newborns
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasia
 
Fetal MRI
Fetal MRIFetal MRI
Fetal MRI
 
Anatomy & Physiology of Renal System.pptx
Anatomy & Physiology of Renal System.pptxAnatomy & Physiology of Renal System.pptx
Anatomy & Physiology of Renal System.pptx
 
PLACENTA AT TERM PPT for third year GNM student
PLACENTA AT TERM PPT for third year GNM studentPLACENTA AT TERM PPT for third year GNM student
PLACENTA AT TERM PPT for third year GNM student
 
cerebrospinalfluidrhinorrheajinu-200317192438.pptx
cerebrospinalfluidrhinorrheajinu-200317192438.pptxcerebrospinalfluidrhinorrheajinu-200317192438.pptx
cerebrospinalfluidrhinorrheajinu-200317192438.pptx
 
Modern wound care course
Modern wound care courseModern wound care course
Modern wound care course
 
Aqueous humor dynamics, epidemiology and pathological basis
Aqueous humor dynamics, epidemiology and pathological basisAqueous humor dynamics, epidemiology and pathological basis
Aqueous humor dynamics, epidemiology and pathological basis
 
Craniofacial microsomia
Craniofacial microsomiaCraniofacial microsomia
Craniofacial microsomia
 
The endocrine system
The endocrine systemThe endocrine system
The endocrine system
 
Cerebrospinal fluid rhinorrhea (CSF)
Cerebrospinal fluid rhinorrhea (CSF)Cerebrospinal fluid rhinorrhea (CSF)
Cerebrospinal fluid rhinorrhea (CSF)
 
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptx
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptxANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptx
ANTERIOR CHAMBER & AQUEOUS HUMOR DYNAMICS.pptx
 
Corneal transparency
Corneal transparencyCorneal transparency
Corneal transparency
 
Anatomy of anterior chamber angle (1)
Anatomy of  anterior                chamber   angle (1)Anatomy of  anterior                chamber   angle (1)
Anatomy of anterior chamber angle (1)
 
Cerebral Spinal Fluid.pptx
Cerebral Spinal Fluid.pptxCerebral Spinal Fluid.pptx
Cerebral Spinal Fluid.pptx
 
CSF-Pathway all aspect covered (anatomical and physiological)
CSF-Pathway all aspect covered (anatomical and physiological)CSF-Pathway all aspect covered (anatomical and physiological)
CSF-Pathway all aspect covered (anatomical and physiological)
 
Human Urinary system: Anatomy and Physiology
Human Urinary system: Anatomy and PhysiologyHuman Urinary system: Anatomy and Physiology
Human Urinary system: Anatomy and Physiology
 
Intra cranial pressure
Intra cranial pressureIntra cranial pressure
Intra cranial pressure
 
Intra cranial pressure
Intra cranial pressureIntra cranial pressure
Intra cranial pressure
 
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONS
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONSSHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONS
SHOULDER PATHOLOGIES IN YOUNG ACTIVE PERSONS
 

More from ROMAN BAJRANG

More from ROMAN BAJRANG (20)

Laparoscopy
LaparoscopyLaparoscopy
Laparoscopy
 
Anemia. PPT
Anemia. PPTAnemia. PPT
Anemia. PPT
 
Hernia ppt
Hernia ppt Hernia ppt
Hernia ppt
 
Hypospadias & epispadias
Hypospadias &  epispadiasHypospadias &  epispadias
Hypospadias & epispadias
 
Dermatitis ppt
Dermatitis pptDermatitis ppt
Dermatitis ppt
 
Dialysis ppt
Dialysis pptDialysis ppt
Dialysis ppt
 
Hemorrhoids ppt
Hemorrhoids pptHemorrhoids ppt
Hemorrhoids ppt
 
Diabetes mellitus ppt
Diabetes  mellitus pptDiabetes  mellitus ppt
Diabetes mellitus ppt
 
Chronic renal failure
Chronic renal  failureChronic renal  failure
Chronic renal failure
 
Cirrhosis ppt
Cirrhosis ppt Cirrhosis ppt
Cirrhosis ppt
 
Peptic ulcer ppt
Peptic ulcer pptPeptic ulcer ppt
Peptic ulcer ppt
 
Diabetes mellitus
Diabetes  mellitusDiabetes  mellitus
Diabetes mellitus
 
Ot setup
Ot setupOt setup
Ot setup
 
Obsessive compulsive disorder
Obsessive compulsive disorderObsessive compulsive disorder
Obsessive compulsive disorder
 
Mental retardation
Mental retardationMental retardation
Mental retardation
 
Renal stone
Renal stoneRenal stone
Renal stone
 
Heart block
Heart block Heart block
Heart block
 
Disorders of pituitary_gland-
Disorders of pituitary_gland-Disorders of pituitary_gland-
Disorders of pituitary_gland-
 
Myocardial infarction (CASE PRESENTATION )
Myocardial  infarction (CASE	PRESENTATION )Myocardial  infarction (CASE	PRESENTATION )
Myocardial infarction (CASE PRESENTATION )
 
Stroke
StrokeStroke
Stroke
 

Recently uploaded

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 Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call girls in Ahmedabad High profile
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls ServiceMiss joya
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls ServiceMiss joya
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...Miss joya
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 
♛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
 
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...Miss joya
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
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
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Miss joya
 
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 Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiNehru place Escorts
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Servicenarwatsonia7
 

Recently uploaded (20)

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 Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
Call Girls Service Navi Mumbai Samaira 8617697112 Independent Escort Service ...
 
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Hadapsar ( Pune) Girls Service
 
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls ServiceCALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune)  Girls Service
CALL ON ➥9907093804 🔝 Call Girls Baramati ( Pune) Girls Service
 
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
VIP Call Girls Pune Sanjana 9907093804 Short 1500 Night 6000 Best call girls ...
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Majestic 📞 9907093804 High Profile Service 100% Safe
 
♛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 ...
 
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9001626015 Escorts Service 50% Off with Cash ON De...
 
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
VIP Call Girls Pune Vani 9907093804 Short 1500 Night 6000 Best call girls Ser...
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
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
 
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
Call Girls Service Pune Vaishnavi 9907093804 Short 1500 Night 6000 Best call ...
 
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 Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service ChennaiCall Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
Call Girls Service Chennai Jiya 7001305949 Independent Escort Service Chennai
 
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls ServiceCall Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
Call Girls Service Bellary Road Just Call 7001305949 Enjoy College Girls Service
 

Nephrotic syndrome