SlideShare a Scribd company logo
1 of 29
Presenter :-
Anil Adhikari
Subash Rimal
Vets for Animal Welfare
1
Contents:
 History taking
 Clinical findings
 Clinical parameters
 Laboratory finding
 Postmortem finding
 Diagnosis
 Differential diagnosis
 Treatment
 Epidemiology
2
History taking
Why????????
 Animal cannot describe their clinical symptoms.
3
History cont…
Method:
 Be familiar to the farmer.
 Use of non technical term.
 Take history a/c to the disease.
4
What to include??
 Disease history
 Previous exposure
 Management history(feeding, nutrition)
 Morbidity ,mortality ,case fatality
5
Examination of environment:
Exdoor environment:
 Stocking rate
 Water disposal
 Waste disposal
Indoor encironment:
 Hygiene
 Flooring
6
7
Examination of the patient
Behaviour and general appearance
 Bright
 Dull
 Excitation
8
9
Voice :Bellowing ,yawning.
10
Eating :Mastication, Rumination
11
Defecation: Constipation, diarrhoea
12
Posture;
13
Gait
14
15
Body condition
16
skin
17
Clinical parameters:
 Heart rate
 Respiration rate
 Temperature
 Pulse
 Mucosal membrane, etc.
18
Laboratory diagnosis
 Sample to take????
 a/c to sign symptoms and your presumptive diagnosis.
Normal parameters:
Pcv
Hb count
Blood cell count
19
Diagnosis
 How to daignosis?
20
21
22
Pathophysiology:
23
24
Differential diagnosis:
 Disease having similar clinical signs.
25
Treatment:
 Evidence based medicine..
 Empirical treatment..
 Mechanism of action???
26
Prevention and control
27
zoonotic????
28
Thank you for your
patience !!!!
29

More Related Content

What's hot

Repeat breeding by Dr Adnan ahmad
Repeat breeding by Dr Adnan ahmadRepeat breeding by Dr Adnan ahmad
Repeat breeding by Dr Adnan ahmadDr Adnan Ahmad
 
Affection of horn
Affection of hornAffection of horn
Affection of hornBikas Puri
 
Medicinal & Surgical Techniques of Population control in dogs
Medicinal & Surgical Techniques of Population control in dogsMedicinal & Surgical Techniques of Population control in dogs
Medicinal & Surgical Techniques of Population control in dogsHarshit Saxena
 
Haemoparasites of Animals
Haemoparasites of AnimalsHaemoparasites of Animals
Haemoparasites of AnimalsDr. Fakhar
 
Management of renal disease in dog
Management of renal disease in dogManagement of renal disease in dog
Management of renal disease in dogVikash Babu Rajput
 
5th year practical revision fetal presentations
5th year practical revision   fetal presentations5th year practical revision   fetal presentations
5th year practical revision fetal presentationsMohamed Wahab
 
TRANSMISSIBLE VENERAL TUMOR
TRANSMISSIBLE VENERAL TUMORTRANSMISSIBLE VENERAL TUMOR
TRANSMISSIBLE VENERAL TUMORKipjen Laishram
 
Enterotoxemia in sheep Goat
Enterotoxemia in sheep Goat Enterotoxemia in sheep Goat
Enterotoxemia in sheep Goat tasbeehullahjan
 
ICAWC 2013 - Sarcoptic and Demodectic Mange - David Grant
ICAWC 2013 - Sarcoptic and Demodectic Mange - David GrantICAWC 2013 - Sarcoptic and Demodectic Mange - David Grant
ICAWC 2013 - Sarcoptic and Demodectic Mange - David GrantDogs Trust
 
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...Abdullah Al Mubin
 
Traumatic reticuloperitonitis , traumatic pericarditis
Traumatic reticuloperitonitis , traumatic pericarditisTraumatic reticuloperitonitis , traumatic pericarditis
Traumatic reticuloperitonitis , traumatic pericarditisRekha Pathak
 

What's hot (20)

Colibacillosis
ColibacillosisColibacillosis
Colibacillosis
 
Repeat breeding by Dr Adnan ahmad
Repeat breeding by Dr Adnan ahmadRepeat breeding by Dr Adnan ahmad
Repeat breeding by Dr Adnan ahmad
 
History taking of animals
History taking of animalsHistory taking of animals
History taking of animals
 
Affection of horn
Affection of hornAffection of horn
Affection of horn
 
Pyometra in cow
Pyometra in cowPyometra in cow
Pyometra in cow
 
Medicinal & Surgical Techniques of Population control in dogs
Medicinal & Surgical Techniques of Population control in dogsMedicinal & Surgical Techniques of Population control in dogs
Medicinal & Surgical Techniques of Population control in dogs
 
Strangles
StranglesStrangles
Strangles
 
Haemoparasites of Animals
Haemoparasites of AnimalsHaemoparasites of Animals
Haemoparasites of Animals
 
Colic in horses
Colic in horsesColic in horses
Colic in horses
 
Management of renal disease in dog
Management of renal disease in dogManagement of renal disease in dog
Management of renal disease in dog
 
5th year practical revision fetal presentations
5th year practical revision   fetal presentations5th year practical revision   fetal presentations
5th year practical revision fetal presentations
 
Clinical examination of Cattle
Clinical examination of CattleClinical examination of Cattle
Clinical examination of Cattle
 
TRANSMISSIBLE VENERAL TUMOR
TRANSMISSIBLE VENERAL TUMORTRANSMISSIBLE VENERAL TUMOR
TRANSMISSIBLE VENERAL TUMOR
 
Enterotoxemia in sheep Goat
Enterotoxemia in sheep Goat Enterotoxemia in sheep Goat
Enterotoxemia in sheep Goat
 
ICAWC 2013 - Sarcoptic and Demodectic Mange - David Grant
ICAWC 2013 - Sarcoptic and Demodectic Mange - David GrantICAWC 2013 - Sarcoptic and Demodectic Mange - David Grant
ICAWC 2013 - Sarcoptic and Demodectic Mange - David Grant
 
Theileriosis
TheileriosisTheileriosis
Theileriosis
 
Contagious ecthyma
Contagious ecthyma Contagious ecthyma
Contagious ecthyma
 
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...
Breeding Soundness Evaluation in Female Animal by Rectal Palpation and Ultras...
 
Deg nala disease
Deg nala diseaseDeg nala disease
Deg nala disease
 
Traumatic reticuloperitonitis , traumatic pericarditis
Traumatic reticuloperitonitis , traumatic pericarditisTraumatic reticuloperitonitis , traumatic pericarditis
Traumatic reticuloperitonitis , traumatic pericarditis
 

Similar to Vets diagnostic approach presentation

Laboratory Investigations
Laboratory InvestigationsLaboratory Investigations
Laboratory InvestigationsDr. Saurabh Roy
 
Routine Laboratory Investigations.pdf
Routine Laboratory Investigations.pdfRoutine Laboratory Investigations.pdf
Routine Laboratory Investigations.pdfbashirlone123
 
Routine laboratory investigations
Routine laboratory investigationsRoutine laboratory investigations
Routine laboratory investigationsDr. Bibina George
 
The Clinical Case Scenario puzzle
The Clinical Case Scenario puzzle The Clinical Case Scenario puzzle
The Clinical Case Scenario puzzle drchris5252
 
A case report of nephropathy
A case report of nephropathyA case report of nephropathy
A case report of nephropathyHao-Chen Ke
 
Collection and Handling of Specimens for Laboratory Diagnosis
Collection and Handling of Specimens for Laboratory DiagnosisCollection and Handling of Specimens for Laboratory Diagnosis
Collection and Handling of Specimens for Laboratory DiagnosisPerez Eric
 
Mikru"s presentation on AWD
Mikru"s presentation on AWDMikru"s presentation on AWD
Mikru"s presentation on AWDmikru taye
 
case presentation on Lung abscess
case presentation on Lung abscesscase presentation on Lung abscess
case presentation on Lung abscesseducation4227
 
The clinical case puzzle
The clinical case puzzle  The clinical case puzzle
The clinical case puzzle drchris5252
 
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptxeditedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptxNageen3
 
3 history taking & physical examination
3  history taking & physical examination3  history taking & physical examination
3 history taking & physical examinationawadfadlalla1
 
Pediatrics cases by DNB NATboard
Pediatrics  cases by DNB NATboardPediatrics  cases by DNB NATboard
Pediatrics cases by DNB NATboardRaghavendra Babu
 
Paediatrics Clinicopathological Conference - Approach to a Child with Pallor
Paediatrics Clinicopathological Conference - Approach to a Child with PallorPaediatrics Clinicopathological Conference - Approach to a Child with Pallor
Paediatrics Clinicopathological Conference - Approach to a Child with PallorAzizul Halid, MBBS
 
Canine disease diagnosis (Sulove Koirala)
Canine disease diagnosis (Sulove Koirala)Canine disease diagnosis (Sulove Koirala)
Canine disease diagnosis (Sulove Koirala)Sulove Koirala
 
Miami research associates oct. 2014
Miami research associates   oct. 2014Miami research associates   oct. 2014
Miami research associates oct. 2014Teresa Wright CCRP
 
Vpl 605 clinical pathology
Vpl 605  clinical pathology Vpl 605  clinical pathology
Vpl 605 clinical pathology SOURABH BABU
 
Pediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxPediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxAJAY MANDAL
 

Similar to Vets diagnostic approach presentation (20)

Laboratory Investigations
Laboratory InvestigationsLaboratory Investigations
Laboratory Investigations
 
Routine Laboratory Investigations.pdf
Routine Laboratory Investigations.pdfRoutine Laboratory Investigations.pdf
Routine Laboratory Investigations.pdf
 
Routine laboratory investigations
Routine laboratory investigationsRoutine laboratory investigations
Routine laboratory investigations
 
The Clinical Case Scenario puzzle
The Clinical Case Scenario puzzle The Clinical Case Scenario puzzle
The Clinical Case Scenario puzzle
 
MPI 5 TGC Review
MPI 5 TGC ReviewMPI 5 TGC Review
MPI 5 TGC Review
 
A case report of nephropathy
A case report of nephropathyA case report of nephropathy
A case report of nephropathy
 
Collection and Handling of Specimens for Laboratory Diagnosis
Collection and Handling of Specimens for Laboratory DiagnosisCollection and Handling of Specimens for Laboratory Diagnosis
Collection and Handling of Specimens for Laboratory Diagnosis
 
Mikru"s presentation on AWD
Mikru"s presentation on AWDMikru"s presentation on AWD
Mikru"s presentation on AWD
 
case presentation on Lung abscess
case presentation on Lung abscesscase presentation on Lung abscess
case presentation on Lung abscess
 
Specimen collection
Specimen collectionSpecimen collection
Specimen collection
 
The clinical case puzzle
The clinical case puzzle  The clinical case puzzle
The clinical case puzzle
 
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptxeditedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx
editedcollectionandhandlingofsamplesforlabdiagnosis-160519152130.pptx
 
3 history taking & physical examination
3  history taking & physical examination3  history taking & physical examination
3 history taking & physical examination
 
Pediatrics cases by DNB NATboard
Pediatrics  cases by DNB NATboardPediatrics  cases by DNB NATboard
Pediatrics cases by DNB NATboard
 
Paediatrics Clinicopathological Conference - Approach to a Child with Pallor
Paediatrics Clinicopathological Conference - Approach to a Child with PallorPaediatrics Clinicopathological Conference - Approach to a Child with Pallor
Paediatrics Clinicopathological Conference - Approach to a Child with Pallor
 
Canine disease diagnosis (Sulove Koirala)
Canine disease diagnosis (Sulove Koirala)Canine disease diagnosis (Sulove Koirala)
Canine disease diagnosis (Sulove Koirala)
 
Miami research associates oct. 2014
Miami research associates   oct. 2014Miami research associates   oct. 2014
Miami research associates oct. 2014
 
Vpl 605 clinical pathology
Vpl 605  clinical pathology Vpl 605  clinical pathology
Vpl 605 clinical pathology
 
Salmonella diarizonae case report
Salmonella diarizonae case reportSalmonella diarizonae case report
Salmonella diarizonae case report
 
Pediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptxPediatrics History Taking and Physical Examination.pptx
Pediatrics History Taking and Physical Examination.pptx
 

Recently uploaded

Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
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 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
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
VIP Call Girls 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
 
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
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiAlinaDevecerski
 
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
 
(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
 
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
 
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
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
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
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsGfnyt
 
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 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 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
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safenarwatsonia7
 

Recently uploaded (20)

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...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
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 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
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
VIP Call Girls 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...
 
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
 
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls DelhiRussian Escorts Girls  Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
Russian Escorts Girls Nehru Place ZINATHI 🔝9711199012 ☪ 24/7 Call Girls Delhi
 
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...
 
(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...
 
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
 
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...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
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 ...
 
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual NeedsBangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
Bangalore Call Girl Whatsapp Number 100% Complete Your Sexual Needs
 
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 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 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
 
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% SafeBangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
Bangalore Call Girls Marathahalli 📞 9907093804 High Profile Service 100% Safe
 

Vets diagnostic approach presentation