SlideShare a Scribd company logo
1 of 7
Buergen's disease is an obstructive
vascular disorder caused by segmental
inflammation in the arteries and veins of
the upper on lower extremities.
It is also known as & thromboangitis
obliterans (TAO)
It results in thrombus formation &
occlusion of the vessels.
Age 20-40
Idiopathy
Cigarette smoking.
Pain in feet
Thromvophlebitis
Burning pain
Parasthesia may be develop
Ulceration & Gangrene occur
Local examination:
1. Change in color.
2. Signs of ischemia
3. Buerger's postural test.
4. Capillary filling time
5. Venous refilling
Blood test
Allen’s test
Angiogram
stop smoking.
vasodilators, thrombolytic & anticoagulant
Intermittent compression.
vascular Surgery
Exposure of affected areas to heat on cold
should be avoided.
Amputation, if infection on gangrene
occurs.

More Related Content

Similar to Buerger's disease.pptx

Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3 Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3 Carmela Domocmat
 
PHLEBITIS AND THROMBOPHLEBITIS.pptx
PHLEBITIS AND THROMBOPHLEBITIS.pptxPHLEBITIS AND THROMBOPHLEBITIS.pptx
PHLEBITIS AND THROMBOPHLEBITIS.pptxLuckyCyril1
 
thrombophlebitis and phlebothrombosis.pptx
thrombophlebitis and phlebothrombosis.pptxthrombophlebitis and phlebothrombosis.pptx
thrombophlebitis and phlebothrombosis.pptxSYED MASOOD
 
CVS Pathology 6 Vasculitis 2019 sufia husain
CVS Pathology 6 Vasculitis 2019 sufia husainCVS Pathology 6 Vasculitis 2019 sufia husain
CVS Pathology 6 Vasculitis 2019 sufia husainSufia Husain
 
Etiology, pathogenesis & Morphology of thrombosis.pptx
Etiology, pathogenesis & Morphology of thrombosis.pptxEtiology, pathogenesis & Morphology of thrombosis.pptx
Etiology, pathogenesis & Morphology of thrombosis.pptxManahil Jamil
 
Buerger's disease, Thromboangitis obliterans
Buerger's disease, Thromboangitis obliteransBuerger's disease, Thromboangitis obliterans
Buerger's disease, Thromboangitis obliteransSheikh Mohammad Ullah
 
Peripheral vascular disease
Peripheral vascular diseasePeripheral vascular disease
Peripheral vascular diseaseAndrewCrofton
 
Deep vein thrombosis
Deep vein thrombosisDeep vein thrombosis
Deep vein thrombosisMadhur Anand
 
THROMBOSIS & SHOCK
THROMBOSIS & SHOCKTHROMBOSIS & SHOCK
THROMBOSIS & SHOCKAli Muntazir
 
Peripheral Vascular Diseases
Peripheral Vascular DiseasesPeripheral Vascular Diseases
Peripheral Vascular DiseasesJack Frost
 
Common Lungs Ailments science 4 .........
Common Lungs Ailments science 4 .........Common Lungs Ailments science 4 .........
Common Lungs Ailments science 4 .........JoyceMaeOmerez
 

Similar to Buerger's disease.pptx (16)

Buerger’s disease
Buerger’s diseaseBuerger’s disease
Buerger’s disease
 
pulmonary embolism
pulmonary embolismpulmonary embolism
pulmonary embolism
 
tmp2132644439.PDF
tmp2132644439.PDFtmp2132644439.PDF
tmp2132644439.PDF
 
Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3 Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3
Nursing Care of Clients with Peripheral Vascular Disorders Part 3 of 3
 
VENOUS DISORDERS (thrombopheblitis)
VENOUS DISORDERS (thrombopheblitis)VENOUS DISORDERS (thrombopheblitis)
VENOUS DISORDERS (thrombopheblitis)
 
PHLEBITIS AND THROMBOPHLEBITIS.pptx
PHLEBITIS AND THROMBOPHLEBITIS.pptxPHLEBITIS AND THROMBOPHLEBITIS.pptx
PHLEBITIS AND THROMBOPHLEBITIS.pptx
 
thrombophlebitis and phlebothrombosis.pptx
thrombophlebitis and phlebothrombosis.pptxthrombophlebitis and phlebothrombosis.pptx
thrombophlebitis and phlebothrombosis.pptx
 
CVS Pathology 6 Vasculitis 2019 sufia husain
CVS Pathology 6 Vasculitis 2019 sufia husainCVS Pathology 6 Vasculitis 2019 sufia husain
CVS Pathology 6 Vasculitis 2019 sufia husain
 
Etiology, pathogenesis & Morphology of thrombosis.pptx
Etiology, pathogenesis & Morphology of thrombosis.pptxEtiology, pathogenesis & Morphology of thrombosis.pptx
Etiology, pathogenesis & Morphology of thrombosis.pptx
 
Cardiovascular disorders
Cardiovascular disordersCardiovascular disorders
Cardiovascular disorders
 
Buerger's disease, Thromboangitis obliterans
Buerger's disease, Thromboangitis obliteransBuerger's disease, Thromboangitis obliterans
Buerger's disease, Thromboangitis obliterans
 
Peripheral vascular disease
Peripheral vascular diseasePeripheral vascular disease
Peripheral vascular disease
 
Deep vein thrombosis
Deep vein thrombosisDeep vein thrombosis
Deep vein thrombosis
 
THROMBOSIS & SHOCK
THROMBOSIS & SHOCKTHROMBOSIS & SHOCK
THROMBOSIS & SHOCK
 
Peripheral Vascular Diseases
Peripheral Vascular DiseasesPeripheral Vascular Diseases
Peripheral Vascular Diseases
 
Common Lungs Ailments science 4 .........
Common Lungs Ailments science 4 .........Common Lungs Ailments science 4 .........
Common Lungs Ailments science 4 .........
 

More from SubhashreeMahapatro (20)

BMW.pptx
BMW.pptxBMW.pptx
BMW.pptx
 
Antibiotic stewardship.pptx
Antibiotic stewardship.pptxAntibiotic stewardship.pptx
Antibiotic stewardship.pptx
 
nursing process.pptx
nursing process.pptxnursing process.pptx
nursing process.pptx
 
Raynaud's disease.pptx
Raynaud's disease.pptxRaynaud's disease.pptx
Raynaud's disease.pptx
 
Epidemiology & infection control.pptx
Epidemiology & infection control.pptxEpidemiology & infection control.pptx
Epidemiology & infection control.pptx
 
chronic renal failure.pptx
chronic renal failure.pptxchronic renal failure.pptx
chronic renal failure.pptx
 
BPH.pptx
BPH.pptxBPH.pptx
BPH.pptx
 
aneurysm.pptx
aneurysm.pptxaneurysm.pptx
aneurysm.pptx
 
Acute renal failure.pptx
Acute renal failure.pptxAcute renal failure.pptx
Acute renal failure.pptx
 
Isolation precaution.pptx
Isolation precaution.pptxIsolation precaution.pptx
Isolation precaution.pptx
 
valvular disorder.pptx
valvular disorder.pptxvalvular disorder.pptx
valvular disorder.pptx
 
OSCE.pptx
OSCE.pptxOSCE.pptx
OSCE.pptx
 
HAI.pptx
HAI.pptxHAI.pptx
HAI.pptx
 
Health behaviour & Health education.pptx
Health behaviour & Health education.pptxHealth behaviour & Health education.pptx
Health behaviour & Health education.pptx
 
Essaytype question & SAQ.pptx
Essaytype question & SAQ.pptxEssaytype question & SAQ.pptx
Essaytype question & SAQ.pptx
 
Discussion & Symposium method.pptx
Discussion & Symposium method.pptxDiscussion & Symposium method.pptx
Discussion & Symposium method.pptx
 
Attitude Scale.pptx
Attitude Scale.pptxAttitude Scale.pptx
Attitude Scale.pptx
 
Lecture method CET 1.pptx
Lecture method CET 1.pptxLecture method CET 1.pptx
Lecture method CET 1.pptx
 
microteaching.pptx
microteaching.pptxmicroteaching.pptx
microteaching.pptx
 
Field trip, Workshop, Exhibition.pptx
Field trip, Workshop, Exhibition.pptxField trip, Workshop, Exhibition.pptx
Field trip, Workshop, Exhibition.pptx
 

Recently uploaded

Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthanindiancallgirl4rent
 
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Sheetaleventcompany
 
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...mahaiklolahd
 
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetRajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetPatna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetNanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMuzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabSheetaleventcompany
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Ahmedabad Call Girls
 
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...mahaiklolahd
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in Lahore
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in LahoreBest Lahore Escorts 😮‍💨03250114445 || VIP escorts in Lahore
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in LahoreDeny Daniel
 
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Service
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort ServiceSexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Service
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Servicejaanseema653
 
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetneemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetAhmedabad Call Girls
 

Recently uploaded (20)

Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
 
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sangli Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
Premium Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangalor...
 
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mathura Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
Call Girl in Bangalore 9632137771 {LowPrice} ❤️ (Navya) Bangalore Call Girls ...
 
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetSambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Sambalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetRajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Rajkot Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetBhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Bhagalpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetPatna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Patna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetNanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Nanded Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMuzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali PunjabCall Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
Call Girls Service Mohali {7435815124} ❤️VVIP PALAK Call Girl in Mohali Punjab
 
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
Independent Call Girls Hyderabad 💋 9352988975 💋 Genuine WhatsApp Number for R...
 
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhopal Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...Call Girl in Indore 8827247818 {Low Price}👉   Nitya Indore Call Girls  * ITRG...
Call Girl in Indore 8827247818 {Low Price}👉 Nitya Indore Call Girls * ITRG...
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in Lahore
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in LahoreBest Lahore Escorts 😮‍💨03250114445 || VIP escorts in Lahore
Best Lahore Escorts 😮‍💨03250114445 || VIP escorts in Lahore
 
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Service
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort ServiceSexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Service
Sexy Call Girl Dharmapuri Arshi 💚9058824046💚 Dharmapuri Escort Service
 
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetneemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
neemuch Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real MeetVip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
Vip Call Girls Makarba 👙 6367187148 👙 Genuine WhatsApp Number for Real Meet
 

Buerger's disease.pptx