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

Imaging in rickets
Imaging in ricketsImaging in rickets
Imaging in ricketsVikram Patil
 
Presentation1, radiological imaging of tuberous sclerosis.
Presentation1, radiological imaging of tuberous sclerosis.Presentation1, radiological imaging of tuberous sclerosis.
Presentation1, radiological imaging of tuberous sclerosis.Abdellah Nazeer
 
Paediatric chest imaging
Paediatric chest imagingPaediatric chest imaging
Paediatric chest imagingSidra Afzal
 
Bone age assessment
Bone age assessmentBone age assessment
Bone age assessmentDr. Muhammad Bin Zulfiqar
 
Hypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxHypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxGajananWattamwar1
 
Ring enhancing lesions
Ring enhancing lesionsRing enhancing lesions
Ring enhancing lesionsAbhijeet Deshmukh
 
Intradural extramedullary mass - a case on MRI
Intradural extramedullary mass - a case on MRIIntradural extramedullary mass - a case on MRI
Intradural extramedullary mass - a case on MRIREKHAKHARE
 
Imaging: BOOP
Imaging: BOOPImaging: BOOP
Imaging: BOOPStanley Medical College, Department of Medicine
 

Recommended

Imaging in rickets
Imaging in ricketsImaging in rickets
Imaging in ricketsVikram Patil
 
Presentation1, radiological imaging of tuberous sclerosis.
Presentation1, radiological imaging of tuberous sclerosis.Presentation1, radiological imaging of tuberous sclerosis.
Presentation1, radiological imaging of tuberous sclerosis.Abdellah Nazeer
 
Paediatric chest imaging
Paediatric chest imagingPaediatric chest imaging
Paediatric chest imagingSidra Afzal
 
Bone age assessment
Bone age assessmentBone age assessment
Bone age assessmentDr. Muhammad Bin Zulfiqar
 
Hypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxHypertrophic pulmonary osteoarthropathy.pptx
Hypertrophic pulmonary osteoarthropathy.pptxGajananWattamwar1
 
Ring enhancing lesions
Ring enhancing lesionsRing enhancing lesions
Ring enhancing lesionsAbhijeet Deshmukh
 
Intradural extramedullary mass - a case on MRI
Intradural extramedullary mass - a case on MRIIntradural extramedullary mass - a case on MRI
Intradural extramedullary mass - a case on MRIREKHAKHARE
 
Imaging: BOOP
Imaging: BOOPImaging: BOOP
Imaging: BOOPStanley Medical College, Department of Medicine
 
HRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku JosephHRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku JosephDr.Tinku Joseph
 
granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis) granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis) Ameen Rageh
 
Approach to skeletal dysplasia
Approach to skeletal dysplasiaApproach to skeletal dysplasia
Approach to skeletal dysplasiaNavni Garg
 
Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)DR.SHARIF AHSAN
 
Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.Abdellah Nazeer
 
Paediatric chest imaging
Paediatric chest imagingPaediatric chest imaging
Paediatric chest imagingYahyaMahmood3
 
Radiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisRadiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisDev Lakhera
 
Sydenham Chorea
Sydenham ChoreaSydenham Chorea
Sydenham ChoreaAde Wijaya
 
Tuberous sclerosis
Tuberous sclerosis Tuberous sclerosis
Tuberous sclerosis Siva Pesala
 
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarAn approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
Hypersensitivity pneumonitis
Hypersensitivity pneumonitisHypersensitivity pneumonitis
Hypersensitivity pneumonitisChulalongkorn Allergy and Clinical Immunology Research Group
 
Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.Abdellah Nazeer
 
Holoprosencephaly
HoloprosencephalyHoloprosencephaly
HoloprosencephalyVikram Patil
 
Myelination disorders
Myelination disordersMyelination disorders
Myelination disordersAnish Choudhary
 
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.Abdellah Nazeer
 
Skeletal dysplasia final
Skeletal dysplasia finalSkeletal dysplasia final
Skeletal dysplasia finalNihit Jain
 
Lung consolidation
Lung consolidationLung consolidation
Lung consolidationDr Bilal Natiq
 
Radiological imaging of mediastinal masses
Radiological imaging of mediastinal massesRadiological imaging of mediastinal masses
Radiological imaging of mediastinal massesPankaj Kaira
 
Hyper-IgE syndrome
Hyper-IgE syndromeHyper-IgE syndrome
Hyper-IgE syndromeChulalongkorn Allergy and Clinical Immunology Research Group
 
CXR: Lung Mass - Mediastinal Mass
CXR: Lung Mass - Mediastinal MassCXR: Lung Mass - Mediastinal Mass
CXR: Lung Mass - Mediastinal MassStanley Medical College, Department of Medicine
 
Uk progeria
Uk progeriaUk progeria
Uk progeriaPRIYANKA KAMBLI
 
Gout Diagnosis and Management
Gout Diagnosis and Management Gout Diagnosis and Management
Gout Diagnosis and Management Saumyarup Pal
 

More Related Content

What's hot

HRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku JosephHRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku JosephDr.Tinku Joseph
 
granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis) granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis) Ameen Rageh
 
Approach to skeletal dysplasia
Approach to skeletal dysplasiaApproach to skeletal dysplasia
Approach to skeletal dysplasiaNavni Garg
 
Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)DR.SHARIF AHSAN
 
Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.Abdellah Nazeer
 
Paediatric chest imaging
Paediatric chest imagingPaediatric chest imaging
Paediatric chest imagingYahyaMahmood3
 
Radiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisRadiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisDev Lakhera
 
Sydenham Chorea
Sydenham ChoreaSydenham Chorea
Sydenham ChoreaAde Wijaya
 
Tuberous sclerosis
Tuberous sclerosis Tuberous sclerosis
Tuberous sclerosis Siva Pesala
 
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarAn approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarDr. Muhammad Bin Zulfiqar
 
Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.Abdellah Nazeer
 
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.Abdellah Nazeer
 
Skeletal dysplasia final
Skeletal dysplasia finalSkeletal dysplasia final
Skeletal dysplasia finalNihit Jain
 
Radiological imaging of mediastinal masses
Radiological imaging of mediastinal massesRadiological imaging of mediastinal masses
Radiological imaging of mediastinal massesPankaj Kaira
 

What's hot (20)

HRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku JosephHRCT Chest - By Dr. Tinku Joseph
HRCT Chest - By Dr. Tinku Joseph
 
granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis) granulomatosis with polyangiitis (Wegener’s granulomatosis)
granulomatosis with polyangiitis (Wegener’s granulomatosis)
 
Approach to skeletal dysplasia
Approach to skeletal dysplasiaApproach to skeletal dysplasia
Approach to skeletal dysplasia
 
Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)Primary hypertrophic osteoarthropathy (hpoa)
Primary hypertrophic osteoarthropathy (hpoa)
 
Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.Presentation1.pptx, radiological imaging of the thyroid gland diseases.
Presentation1.pptx, radiological imaging of the thyroid gland diseases.
 
Paediatric chest imaging
Paediatric chest imagingPaediatric chest imaging
Paediatric chest imaging
 
Radiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosisRadiographic manifestations of pulmonary tuberculosis
Radiographic manifestations of pulmonary tuberculosis
 
Sydenham Chorea
Sydenham ChoreaSydenham Chorea
Sydenham Chorea
 
Tuberous sclerosis
Tuberous sclerosis Tuberous sclerosis
Tuberous sclerosis
 
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin ZulfiqarAn approach to cardiac xray Dr. Muhammad Bin Zulfiqar
An approach to cardiac xray Dr. Muhammad Bin Zulfiqar
 
Hypersensitivity pneumonitis
Hypersensitivity pneumonitisHypersensitivity pneumonitis
Hypersensitivity pneumonitis
 
Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.Presentation1.pptx, radiological imaging of pulmonary infection.
Presentation1.pptx, radiological imaging of pulmonary infection.
 
Holoprosencephaly
HoloprosencephalyHoloprosencephaly
Holoprosencephaly
 
Myelination disorders
Myelination disordersMyelination disorders
Myelination disorders
 
Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.Presentation1.pptx, radiological imaging of adult neck masses.
Presentation1.pptx, radiological imaging of adult neck masses.
 
Skeletal dysplasia final
Skeletal dysplasia finalSkeletal dysplasia final
Skeletal dysplasia final
 
Lung consolidation
Lung consolidationLung consolidation
Lung consolidation
 
Radiological imaging of mediastinal masses
Radiological imaging of mediastinal massesRadiological imaging of mediastinal masses
Radiological imaging of mediastinal masses
 
Hyper-IgE syndrome
Hyper-IgE syndromeHyper-IgE syndrome
Hyper-IgE syndrome
 
CXR: Lung Mass - Mediastinal Mass
CXR: Lung Mass - Mediastinal MassCXR: Lung Mass - Mediastinal Mass
CXR: Lung Mass - Mediastinal Mass
 

Similar to Primary hypertrophic osteoarthropathy (hpoa)

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
 
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
 
Thyroid nodule evaluation
Thyroid nodule evaluationThyroid nodule evaluation
Thyroid nodule evaluationlpgupta
 

Similar to Primary hypertrophic osteoarthropathy (hpoa) (20)

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
 
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
 
Thyroid nodule evaluation
Thyroid nodule evaluationThyroid nodule evaluation
Thyroid nodule evaluation
 
Down syndrome.pdf
Down syndrome.pdfDown syndrome.pdf
Down syndrome.pdf
 

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

Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Modelssonalikaur4
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...narwatsonia7
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...narwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 
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
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
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
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 

Recently uploaded (20)

Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original PhotosBook Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
Book Call Girls in Yelahanka - For 7001305949 Cheap & Best with original Photos
 
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Whitefield Just Call 7001305949 Top Class Call Girl Service Available
 
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking ModelsMumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
Mumbai Call Girls Service 9910780858 Real Russian Girls Looking Models
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
Russian Call Girl Brookfield - 7001305949 Escorts Service 50% Off with Cash O...
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
Call Girls Frazer Town Just Call 7001305949 Top Class Call Girl Service Avail...
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCREscort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
Escort Service Call Girls In Sarita Vihar,, 99530°56974 Delhi NCR
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 
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...
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
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
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 

Primary hypertrophic osteoarthropathy (hpoa)