SlideShare a Scribd company logo

Primary hypertrophic osteoarthropathy (hpoa)

•Download as PPT, PDF•
•
M
medicaldump

Go to www.medicaldump.com for everyday updates! This is a power point about Primary Hypertrophic Osteoarthropathy (HPOA)

Health & MedicineTechnology
1 of 34
Primary Hypertrophic Osteoarthropathy (HPOA)
A Case Report
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Case History
[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]
Cutis Vertis Gyrata
Note: 1. Coarse wrinkles over forehead 2. Tylosis 3. Seborrhoea 4. Folliculitis 5. Prominent Naso Labial folds
Note: Sparse hair growth over the Chest and Axilla.
Clubbing
Note: Clubbing in the feet with Symmetric enlargement of both ankles and knees.
[object Object],[object Object],[object Object],[object Object],[object Object]
WORK UP ,[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],[object Object],[object Object],[object Object]
Normal
[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],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
EGD: Hypertrophic gastric mucosal folds.
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion ,[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],[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],[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],[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],[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],[object Object],[object Object],[object Object],[object Object]
Thank you…

Recommended

Hypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxHypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxGajananWattamwar1
 
OSTEOSARCOMA
OSTEOSARCOMAOSTEOSARCOMA
OSTEOSARCOMADrAyush Garg
 
Approach to skeletal dysplasia
Approach to skeletal dysplasiaApproach to skeletal dysplasia
Approach to skeletal dysplasiaNavni Garg
 
Osteopetrosis
OsteopetrosisOsteopetrosis
OsteopetrosisAnish Choudhary
 
Spina ventosa
Spina ventosaSpina ventosa
Spina ventosaPratikDhabalia
 
Osteochondroma (dr. mahesh)
Osteochondroma (dr. mahesh)Osteochondroma (dr. mahesh)
Osteochondroma (dr. mahesh)Bangabandhu Sheikh Mujib Medical University (BSMMU)
 
Brodie's abcess
Brodie's abcessBrodie's abcess
Brodie's abcessSitanshu Barik
 
Imaging in arthritis
Imaging in arthritisImaging in arthritis
Imaging in arthritisNavni Garg
 

Recommended

Hypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxHypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxGajananWattamwar1
 
OSTEOSARCOMA
OSTEOSARCOMAOSTEOSARCOMA
OSTEOSARCOMADrAyush Garg
 
Approach to skeletal dysplasia
Approach to skeletal dysplasiaApproach to skeletal dysplasia
Approach to skeletal dysplasiaNavni Garg
 
Osteopetrosis
OsteopetrosisOsteopetrosis
OsteopetrosisAnish Choudhary
 
Spina ventosa
Spina ventosaSpina ventosa
Spina ventosaPratikDhabalia
 
Osteochondroma (dr. mahesh)
Osteochondroma (dr. mahesh)Osteochondroma (dr. mahesh)
Osteochondroma (dr. mahesh)Bangabandhu Sheikh Mujib Medical University (BSMMU)
 
Brodie's abcess
Brodie's abcessBrodie's abcess
Brodie's abcessSitanshu Barik
 
Imaging in arthritis
Imaging in arthritisImaging in arthritis
Imaging in arthritisNavni Garg
 
Psoriatic arthropathy
Psoriatic arthropathyPsoriatic arthropathy
Psoriatic arthropathyDr Daulatram Dhaked
 
Periosteal reaction
Periosteal reactionPeriosteal reaction
Periosteal reactionmohamad hosseinian
 
An approach to limping child
An approach to limping childAn approach to limping child
An approach to limping childmanoj das
 
Imaging in rickets
Imaging in ricketsImaging in rickets
Imaging in ricketsVikram Patil
 
Churg-Strauss Syndrome
Churg-Strauss SyndromeChurg-Strauss Syndrome
Churg-Strauss SyndromeAde Wijaya
 
Osteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg diseaseOsteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg diseaseJamil Kifayatullah
 
Osteolytic lesions of Bone
Osteolytic lesions of BoneOsteolytic lesions of Bone
Osteolytic lesions of BoneVineel Bezawada
 
SERO-NEGATIVE ARTHRITIS
SERO-NEGATIVE ARTHRITISSERO-NEGATIVE ARTHRITIS
SERO-NEGATIVE ARTHRITISDr Syed Yousuf Ali
 
Neurocutaneous markers
Neurocutaneous markersNeurocutaneous markers
Neurocutaneous markersKurian Joseph
 
Radiology of Bone Tumours
Radiology of Bone TumoursRadiology of Bone Tumours
Radiology of Bone TumoursMuhammad Eimaduddin
 
Diagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone InfectionDiagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone InfectionMohamed M.A. Zaitoun
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasiaRMLIMS
 
External markers of tuberculosis
External markers of tuberculosisExternal markers of tuberculosis
External markers of tuberculosisKurian Joseph
 
Chordoma
Chordoma Chordoma
Chordoma Ade Wijaya
 
IgG4-related disease
IgG4-related diseaseIgG4-related disease
IgG4-related diseaseChulalongkorn Allergy and Clinical Immunology Research Group
 
Crystal induced arthritis - Carlin
Crystal induced arthritis - CarlinCrystal induced arthritis - Carlin
Crystal induced arthritis - CarlinVirginia Mason Internal Medicine Residency
 
Congenital anomalies of upper limb
Congenital anomalies of upper limbCongenital anomalies of upper limb
Congenital anomalies of upper limbVictor Effiom
 
Chondroblastoma
Chondroblastoma Chondroblastoma
Chondroblastoma orthoprince
 
Hypophosphatemic rickets
Hypophosphatemic ricketsHypophosphatemic rickets
Hypophosphatemic ricketsSarah Agbonkhese
 
Ewing's sarcoma
Ewing's sarcomaEwing's sarcoma
Ewing's sarcomaSreekanth Nallam
 
Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)DR.SHARIF AHSAN
 
Uk progeria
Uk progeriaUk progeria
Uk progeriaPRIYANKA KAMBLI
 

More Related Content

What's hot

An approach to limping child
An approach to limping childAn approach to limping child
An approach to limping childmanoj das
 
Imaging in rickets
Imaging in ricketsImaging in rickets
Imaging in ricketsVikram Patil
 
Churg-Strauss Syndrome
Churg-Strauss SyndromeChurg-Strauss Syndrome
Churg-Strauss SyndromeAde Wijaya
 
Osteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg diseaseOsteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg diseaseJamil Kifayatullah
 
Osteolytic lesions of Bone
Osteolytic lesions of BoneOsteolytic lesions of Bone
Osteolytic lesions of BoneVineel Bezawada
 
Neurocutaneous markers
Neurocutaneous markersNeurocutaneous markers
Neurocutaneous markersKurian Joseph
 
Diagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone InfectionDiagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone InfectionMohamed M.A. Zaitoun
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasiaRMLIMS
 
External markers of tuberculosis
External markers of tuberculosisExternal markers of tuberculosis
External markers of tuberculosisKurian Joseph
 
Congenital anomalies of upper limb
Congenital anomalies of upper limbCongenital anomalies of upper limb
Congenital anomalies of upper limbVictor Effiom
 
Chondroblastoma
Chondroblastoma Chondroblastoma
Chondroblastoma orthoprince
 

What's hot (20)

Psoriatic arthropathy
Psoriatic arthropathyPsoriatic arthropathy
Psoriatic arthropathy
 
Periosteal reaction
Periosteal reactionPeriosteal reaction
Periosteal reaction
 
An approach to limping child
An approach to limping childAn approach to limping child
An approach to limping child
 
Imaging in rickets
Imaging in ricketsImaging in rickets
Imaging in rickets
 
Churg-Strauss Syndrome
Churg-Strauss SyndromeChurg-Strauss Syndrome
Churg-Strauss Syndrome
 
Osteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg diseaseOsteopetrosis(albergs schoberg disease
Osteopetrosis(albergs schoberg disease
 
Osteolytic lesions of Bone
Osteolytic lesions of BoneOsteolytic lesions of Bone
Osteolytic lesions of Bone
 
SERO-NEGATIVE ARTHRITIS
SERO-NEGATIVE ARTHRITISSERO-NEGATIVE ARTHRITIS
SERO-NEGATIVE ARTHRITIS
 
Neurocutaneous markers
Neurocutaneous markersNeurocutaneous markers
Neurocutaneous markers
 
Radiology of Bone Tumours
Radiology of Bone TumoursRadiology of Bone Tumours
Radiology of Bone Tumours
 
Diagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone InfectionDiagnostic Imaging of Bone Infection
Diagnostic Imaging of Bone Infection
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasia
 
External markers of tuberculosis
External markers of tuberculosisExternal markers of tuberculosis
External markers of tuberculosis
 
Chordoma
Chordoma Chordoma
Chordoma
 
IgG4-related disease
IgG4-related diseaseIgG4-related disease
IgG4-related disease
 
Crystal induced arthritis - Carlin
Crystal induced arthritis - CarlinCrystal induced arthritis - Carlin
Crystal induced arthritis - Carlin
 
Congenital anomalies of upper limb
Congenital anomalies of upper limbCongenital anomalies of upper limb
Congenital anomalies of upper limb
 
Chondroblastoma
Chondroblastoma Chondroblastoma
Chondroblastoma
 
Hypophosphatemic rickets
Hypophosphatemic ricketsHypophosphatemic rickets
Hypophosphatemic rickets
 
Ewing's sarcoma
Ewing's sarcomaEwing's sarcoma
Ewing's sarcoma
 

Similar to Primary hypertrophic osteoarthropathy (hpoa)

Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)DR.SHARIF AHSAN
 
Gout Diagnosis and Management
Gout Diagnosis and Management Gout Diagnosis and Management
Gout Diagnosis and Management Saumyarup Pal
 
Modes of inheritance (part 2)-Dr.Gourav
Modes of inheritance (part 2)-Dr.GouravModes of inheritance (part 2)-Dr.Gourav
Modes of inheritance (part 2)-Dr.GouravGourav Thakre
 
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
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasiaAshok Bhatt
 
Fatembolism
FatembolismFatembolism
Fatembolismmee2007
 
Fatembolism
FatembolismFatembolism
Fatembolismmee2007
 
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONE
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONEGIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONE
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONEArif S
 
Differential diagnosis of hip
Differential diagnosis of hipDifferential diagnosis of hip
Differential diagnosis of hipRutuja Patharkar
 
Skeletal dysplasia final
Skeletal dysplasia finalSkeletal dysplasia final
Skeletal dysplasia finalNihit Jain
 
Fat embolism DR. FARAN MAHMOOD
Fat embolism DR. FARAN MAHMOODFat embolism DR. FARAN MAHMOOD
Fat embolism DR. FARAN MAHMOODfaran mahmood
 
Syndromes of Head & Neck
Syndromes of Head & NeckSyndromes of Head & Neck
Syndromes of Head & NeckSanchit Goyal
 
History Taking &General examination
History Taking &General examinationHistory Taking &General examination
History Taking &General examinationSudhanshu Mishra
 
Hutchinson-Gilford Progeria Syndrome
Hutchinson-Gilford Progeria SyndromeHutchinson-Gilford Progeria Syndrome
Hutchinson-Gilford Progeria SyndromeMohamadAlhes
 

Similar to Primary hypertrophic osteoarthropathy (hpoa) (20)

Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)
 
Uk progeria
Uk progeriaUk progeria
Uk progeria
 
Gout Diagnosis and Management
Gout Diagnosis and Management Gout Diagnosis and Management
Gout Diagnosis and Management
 
Modes of inheritance (part 2)-Dr.Gourav
Modes of inheritance (part 2)-Dr.GouravModes of inheritance (part 2)-Dr.Gourav
Modes of inheritance (part 2)-Dr.Gourav
 
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
 
Skeletal dysplasia
Skeletal dysplasiaSkeletal dysplasia
Skeletal dysplasia
 
Dermatomyositis
DermatomyositisDermatomyositis
Dermatomyositis
 
PERTHES DISEASE
PERTHES DISEASEPERTHES DISEASE
PERTHES DISEASE
 
Medicine endocrine
Medicine endocrineMedicine endocrine
Medicine endocrine
 
Fatembolism
FatembolismFatembolism
Fatembolism
 
Fatembolism
FatembolismFatembolism
Fatembolism
 
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONE
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONEGIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONE
GIGANTISM,AND OTHER ENDOCRINE DISEASES OF BONE
 
Differential diagnosis of hip
Differential diagnosis of hipDifferential diagnosis of hip
Differential diagnosis of hip
 
Skeletal dysplasia final
Skeletal dysplasia finalSkeletal dysplasia final
Skeletal dysplasia final
 
Fat embolism DR. FARAN MAHMOOD
Fat embolism DR. FARAN MAHMOODFat embolism DR. FARAN MAHMOOD
Fat embolism DR. FARAN MAHMOOD
 
A Case Of Short Neck
A Case Of Short NeckA Case Of Short Neck
A Case Of Short Neck
 
Syndromes of Head & Neck
Syndromes of Head & NeckSyndromes of Head & Neck
Syndromes of Head & Neck
 
History Taking &General examination
History Taking &General examinationHistory Taking &General examination
History Taking &General examination
 
Hutchinson-Gilford Progeria Syndrome
Hutchinson-Gilford Progeria SyndromeHutchinson-Gilford Progeria Syndrome
Hutchinson-Gilford Progeria Syndrome
 
Other Pediatric Rheumatic DIseases
Other Pediatric Rheumatic DIseasesOther Pediatric Rheumatic DIseases
Other Pediatric Rheumatic DIseases
 

More from medicaldump

Anemia introduction - medicaldump.com
Anemia introduction - medicaldump.comAnemia introduction - medicaldump.com
Anemia introduction - medicaldump.commedicaldump
 
Iron deficiency anemia medicaldump.com
Iron deficiency anemia medicaldump.comIron deficiency anemia medicaldump.com
Iron deficiency anemia medicaldump.commedicaldump
 
S_brief_I_referral_T-i
S_brief_I_referral_T-iS_brief_I_referral_T-i
S_brief_I_referral_T-imedicaldump
 
S_brief_I_referral_T-ii
S_brief_I_referral_T-iiS_brief_I_referral_T-ii
S_brief_I_referral_T-iimedicaldump
 
Spongiotic dermatitis tinea
Spongiotic dermatitis tineaSpongiotic dermatitis tinea
Spongiotic dermatitis tineamedicaldump
 
Pemphigus vulgaris
Pemphigus vulgarisPemphigus vulgaris
Pemphigus vulgarismedicaldump
 
Chronic Stable Angina
Chronic Stable AnginaChronic Stable Angina
Chronic Stable Anginamedicaldump
 
Hypercalcemia of malignancy
Hypercalcemia of malignancyHypercalcemia of malignancy
Hypercalcemia of malignancymedicaldump
 

More from medicaldump (14)

Anemia introduction - medicaldump.com
Anemia introduction - medicaldump.comAnemia introduction - medicaldump.com
Anemia introduction - medicaldump.com
 
Iron deficiency anemia medicaldump.com
Iron deficiency anemia medicaldump.comIron deficiency anemia medicaldump.com
Iron deficiency anemia medicaldump.com
 
medicaldump.com
medicaldump.commedicaldump.com
medicaldump.com
 
Asperg
AspergAsperg
Asperg
 
Candid
CandidCandid
Candid
 
S_brief_I_referral_T-i
S_brief_I_referral_T-iS_brief_I_referral_T-i
S_brief_I_referral_T-i
 
S_brief_I_referral_T-ii
S_brief_I_referral_T-iiS_brief_I_referral_T-ii
S_brief_I_referral_T-ii
 
Brain anim
Brain animBrain anim
Brain anim
 
Spongiotic dermatitis tinea
Spongiotic dermatitis tineaSpongiotic dermatitis tinea
Spongiotic dermatitis tinea
 
Pemphigus vulgaris
Pemphigus vulgarisPemphigus vulgaris
Pemphigus vulgaris
 
Chronic Stable Angina
Chronic Stable AnginaChronic Stable Angina
Chronic Stable Angina
 
Hypercalcemia of malignancy
Hypercalcemia of malignancyHypercalcemia of malignancy
Hypercalcemia of malignancy
 
Osteoporosis
OsteoporosisOsteoporosis
Osteoporosis
 
Heart failure
Heart failureHeart failure
Heart failure
 

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 Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Miss joya
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...indiancallgirl4rent
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...narwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableNehru place Escorts
 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patnamakika9823
 
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
 
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
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Miss joya
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
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
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...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
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
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
 

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 Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
Russian Call Girls in Pune Riya 9907093804 Short 1500 Night 6000 Best call gi...
 
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
(Rocky) Jaipur Call Girl - 9521753030 Escorts Service 50% Off with Cash ON De...
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
High Profile Call Girls Coimbatore Saanvi☎️ 8250192130 Independent Escort Se...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls AvailableVip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
Vip Call Girls Anna Salai Chennai 👉 8250192130 ❣️💯 Top Class Girls Available
 
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service PatnaLow Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
Low Rate Call Girls Patna Anika 8250192130 Independent Escort Service Patna
 
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
 
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 ...
 
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
Russian Call Girls in Pune Tanvi 9907093804 Short 1500 Night 6000 Best call g...
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
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...
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
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
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
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
 

Primary hypertrophic osteoarthropathy (hpoa)