SlideShare a Scribd company logo

Hini2012 update

•Download as PPT, PDF•
•
Babak Jebelli
Babak Jebelli

The document provides guidelines for evaluating and managing patients with influenza-like illness (ILI) during pregnancy. It describes the symptoms of ILI and H1N1 flu. Patients with mild ILI symptoms and no risk factors can be treated as outpatients, while those with concerning signs, comorbidities, or symptom progression warrant further evaluation and treatment including Tamiflu and possible hospitalization.

Health & Medicine
1 of 34
CDC WEB SITE 10/06 : What are the symptoms of seasonal and 2009 H1N1 flu? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDC CASE DEFINITIONS ,[object Object],[object Object],[object Object],[object Object]
CDC DEFINITION OF Close Contacts   ,[object Object],[object Object],[object Object],[object Object]
CDC ADDITION TO “CLOSE CONTACT” 10/16 ,[object Object],[object Object]
INCUBATION PERIOD CDC 10/16 ,[object Object],[object Object],[object Object]
Co-Morbidities that predispose patients to Complications from Influenza ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications from 2009 H1N1 causing Severe Maternal Disease ,[object Object],[object Object],[object Object]
Primary Viral Pneumonia Clinical Presentation   ,[object Object],[object Object],Lancet 2009; 374: 451–58 N Engl J Med 2009;361
INFLUENZA FACILTATES BACTERIAL PNEUMONIA INFECTION ,[object Object],[object Object],Clin Microbiol Rev. 2006 July; 19(3): 571 N Engl J Med 2009;361. Morb Mortal Wkly Rep. 2007 Apr 13;56(14):325-9
2009 H1N1 CASES ASSOCIATED WITH BACTERIAL PNEUMONIA ,[object Object],[object Object],MMWR 2009 ;58:749--52. September 29, 2009 BACETRIAL CO-INFECTION WITH H1N1 N Engl J Med 2009;361. Morb Mortal Wkly Rep. 2007 Apr 13;56(14):325-9
Secondary Bacterial Pneumonia CLINICAL PRESENTATION ,[object Object],[object Object]
Clinical features of severe cases of 2009 H1N1 ,[object Object],[object Object],[object Object],WHO 10/16/2009
RIVERSIDE OB INTERIM RECOMMENDATIONS 10/26 Triage Evaluation Clinical Management Outpatient Follow up
Co-Morbidities that predispose patients to Complications from Influenza ,[object Object],[object Object],[object Object],[object Object],[object Object]
Asthma and Pregnancy confer a high risk for Severe Disease with Seasonal Influenza or H1N1 ,[object Object],[object Object],[object Object],[object Object],MMWR Morb Mortal Wkly Rep. 2009 May 15;58(18):497-500. N Engl J Med 2009;361
Mild ILI Symptoms SEVERE DISEASE NOT LIKELY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MILD ILI SYMPTON ONSET > 72 HOURS No Treatment with Tamiflu , NO culture, No Observation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MILD ILI SYMPTON ONSET < 72 HOURS Treat with Tamiflu & Release NO culture No Observation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concerning ILI Signs & Symptoms Warrant further Evaluation, Tamiflu Tx, Culture & Observation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation for Concerning ILI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],N Engl J Med 2009;361 (10.1056/NEJMoa0906695) Obstet & Gynecol VOL. 114, NO. 4, 2009
Consider Viral Studies, Tamiflu, Observation WITH No FEVER HOWEVER CLINICALLY CONCERNING ILI Sx/Sx AND ,[object Object],[object Object],[object Object]
ILI of Concern Further Workup & Treatment Indicated ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Obstet & Genecol VOL. 114, NO. 4, 2009
SEVERE ILI Stabilization & Consider Delivery ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications & 2009 H1N1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT WITH TAMIFLU Requires Approval By (…..) in Comments Section ,[object Object],[object Object],[object Object]
PREGNANCY HI RISK ,[object Object],[object Object],[object Object],[object Object],[object Object]
SEVERE ILI Stabilization in the ICU ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Who to treat CDPH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TREATMENT VS PROPHYLAXIS ,[object Object],[object Object]
TAMIFLU INFORMATION ,[object Object],[object Object],[object Object]
IV THERAPY RECOMMENDED ,[object Object],[object Object],[object Object]
INHALATION THERAPY ,[object Object],[object Object],[object Object]
MEDICAL COMPLICATIONS ,[object Object],[object Object],[object Object]
MEDICAL COMPLICATIONS HIGH RISK FOR ADVERSE OUTCOME ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended

Community acquired pneumonia [cap] in children
Community acquired pneumonia [cap] in childrenCommunity acquired pneumonia [cap] in children
Community acquired pneumonia [cap] in childrenHardik Shah
 
Management Of Community Acquired Pneumonia
Management Of Community Acquired PneumoniaManagement Of Community Acquired Pneumonia
Management Of Community Acquired PneumoniaAshraf ElAdawy
 
Pediatric pneumonia
Pediatric pneumoniaPediatric pneumonia
Pediatric pneumoniaVirendra Hindustani
 
Community acquired pneumonia by dr md abdullah saleem
Community acquired pneumonia by dr md abdullah saleemCommunity acquired pneumonia by dr md abdullah saleem
Community acquired pneumonia by dr md abdullah saleemsaleem051
 
Pediatricpneumonia
PediatricpneumoniaPediatricpneumonia
Pediatricpneumoniamousa elshamly
 
Acute respiratory infection (ARI)
Acute respiratory infection (ARI)Acute respiratory infection (ARI)
Acute respiratory infection (ARI)University college of Medical Sciences, Delhi
 
Dengue fever
Dengue feverDengue fever
Dengue feverNirav Dhinoja
 
Community Acquired Pneumonia- Comprehensive Review
Community Acquired Pneumonia- Comprehensive ReviewCommunity Acquired Pneumonia- Comprehensive Review
Community Acquired Pneumonia- Comprehensive Reviewjamal turki
 

Recommended

Community acquired pneumonia [cap] in children
Community acquired pneumonia [cap] in childrenCommunity acquired pneumonia [cap] in children
Community acquired pneumonia [cap] in childrenHardik Shah
 
Management Of Community Acquired Pneumonia
Management Of Community Acquired PneumoniaManagement Of Community Acquired Pneumonia
Management Of Community Acquired PneumoniaAshraf ElAdawy
 
Pediatric pneumonia
Pediatric pneumoniaPediatric pneumonia
Pediatric pneumoniaVirendra Hindustani
 
Community acquired pneumonia by dr md abdullah saleem
Community acquired pneumonia by dr md abdullah saleemCommunity acquired pneumonia by dr md abdullah saleem
Community acquired pneumonia by dr md abdullah saleemsaleem051
 
Pediatricpneumonia
PediatricpneumoniaPediatricpneumonia
Pediatricpneumoniamousa elshamly
 
Acute respiratory infection (ARI)
Acute respiratory infection (ARI)Acute respiratory infection (ARI)
Acute respiratory infection (ARI)University college of Medical Sciences, Delhi
 
Dengue fever
Dengue feverDengue fever
Dengue feverNirav Dhinoja
 
Community Acquired Pneumonia- Comprehensive Review
Community Acquired Pneumonia- Comprehensive ReviewCommunity Acquired Pneumonia- Comprehensive Review
Community Acquired Pneumonia- Comprehensive Reviewjamal turki
 
Community- Acquired Pneumonia
Community- Acquired PneumoniaCommunity- Acquired Pneumonia
Community- Acquired PneumoniaSun Yai-Cheng
 
Community Acquired Pneumonia
Community Acquired PneumoniaCommunity Acquired Pneumonia
Community Acquired PneumoniaAshraf ElAdawy
 
Lower respiratory tract infection
Lower respiratory tract infectionLower respiratory tract infection
Lower respiratory tract infectionSuzana Arbutina
 
Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.abdullahel amaan
 
Clinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARIClinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARIAshraf ElAdawy
 
Presentation on pneumonia
Presentation on pneumoniaPresentation on pneumonia
Presentation on pneumoniamanoj922
 
Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia NITISH SHAH
 
Community Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi BakhshCommunity Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi Bakhshmanjhoo1982
 
Pneumonia management guidelines
Pneumonia management guidelinesPneumonia management guidelines
Pneumonia management guidelinesMehakinder Singh
 
CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia ) CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia ) Rawan Adnan
 
Pneumonia updated management
Pneumonia updated managementPneumonia updated management
Pneumonia updated managementtaherzy1406
 
COMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIACOMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIAmandar haval
 
Influenza: Symptoms, causes, treatment and prevention
Influenza: Symptoms, causes, treatment and preventionInfluenza: Symptoms, causes, treatment and prevention
Influenza: Symptoms, causes, treatment and preventionLazoi Lifecare Private Limited
 
Community acquired pneumonia (cap)
Community acquired pneumonia (cap)Community acquired pneumonia (cap)
Community acquired pneumonia (cap)Ngọc Anh Lương
 
Pneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karkiPneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karkiDr. Sundar Karki
 
Modified pneumonia in geriatric population
Modified pneumonia in geriatric populationModified pneumonia in geriatric population
Modified pneumonia in geriatric populationpbprabhakar rao pv
 
Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)Dr. Saad Saleh Al Ani
 
Journal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumoniaJournal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumoniaRobin Thomas
 
Guidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumoniaGuidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumoniaIbrahim Al Sharabi
 
Approach to recurrent pneumonia
Approach to recurrent pneumoniaApproach to recurrent pneumonia
Approach to recurrent pneumoniaSeema Rai
 
Late preterm delivery
Late preterm deliveryLate preterm delivery
Late preterm deliveryBabak Jebelli
 
Coccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyCoccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyBabak Jebelli
 

More Related Content

What's hot

Community- Acquired Pneumonia
Community- Acquired PneumoniaCommunity- Acquired Pneumonia
Community- Acquired PneumoniaSun Yai-Cheng
 
Community Acquired Pneumonia
Community Acquired PneumoniaCommunity Acquired Pneumonia
Community Acquired PneumoniaAshraf ElAdawy
 
Lower respiratory tract infection
Lower respiratory tract infectionLower respiratory tract infection
Lower respiratory tract infectionSuzana Arbutina
 
Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.abdullahel amaan
 
Clinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARIClinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARIAshraf ElAdawy
 
Presentation on pneumonia
Presentation on pneumoniaPresentation on pneumonia
Presentation on pneumoniamanoj922
 
Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia NITISH SHAH
 
Community Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi BakhshCommunity Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi Bakhshmanjhoo1982
 
Pneumonia management guidelines
Pneumonia management guidelinesPneumonia management guidelines
Pneumonia management guidelinesMehakinder Singh
 
CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia ) CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia ) Rawan Adnan
 
Pneumonia updated management
Pneumonia updated managementPneumonia updated management
Pneumonia updated managementtaherzy1406
 
COMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIACOMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIAmandar haval
 
Community acquired pneumonia (cap)
Community acquired pneumonia (cap)Community acquired pneumonia (cap)
Community acquired pneumonia (cap)Ngọc Anh Lương
 
Pneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karkiPneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karkiDr. Sundar Karki
 
Modified pneumonia in geriatric population
Modified pneumonia in geriatric populationModified pneumonia in geriatric population
Modified pneumonia in geriatric populationpbprabhakar rao pv
 
Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)Dr. Saad Saleh Al Ani
 
Journal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumoniaJournal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumoniaRobin Thomas
 
Guidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumoniaGuidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumoniaIbrahim Al Sharabi
 
Approach to recurrent pneumonia
Approach to recurrent pneumoniaApproach to recurrent pneumonia
Approach to recurrent pneumoniaSeema Rai
 

What's hot (20)

Community- Acquired Pneumonia
Community- Acquired PneumoniaCommunity- Acquired Pneumonia
Community- Acquired Pneumonia
 
Community Acquired Pneumonia
Community Acquired PneumoniaCommunity Acquired Pneumonia
Community Acquired Pneumonia
 
Lower respiratory tract infection
Lower respiratory tract infectionLower respiratory tract infection
Lower respiratory tract infection
 
Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.Childhood Pneumonia 2017, BSMMU, Bangladesh.
Childhood Pneumonia 2017, BSMMU, Bangladesh.
 
Clinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARIClinical case Management Of Severe Acute Respiratory Infection SARI
Clinical case Management Of Severe Acute Respiratory Infection SARI
 
Presentation on pneumonia
Presentation on pneumoniaPresentation on pneumonia
Presentation on pneumonia
 
Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia Pediatric community Acquired Pneumonia
Pediatric community Acquired Pneumonia
 
Community Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi BakhshCommunity Acquired Pneumonia Dr Ellahi Bakhsh
Community Acquired Pneumonia Dr Ellahi Bakhsh
 
Pneumonia management guidelines
Pneumonia management guidelinesPneumonia management guidelines
Pneumonia management guidelines
 
CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia ) CAP (Community Acquired Pneumonia )
CAP (Community Acquired Pneumonia )
 
Pneumonia updated management
Pneumonia updated managementPneumonia updated management
Pneumonia updated management
 
COMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIACOMMUNITY ACQUIRED PNEUMONIA
COMMUNITY ACQUIRED PNEUMONIA
 
Influenza: Symptoms, causes, treatment and prevention
Influenza: Symptoms, causes, treatment and preventionInfluenza: Symptoms, causes, treatment and prevention
Influenza: Symptoms, causes, treatment and prevention
 
Community acquired pneumonia (cap)
Community acquired pneumonia (cap)Community acquired pneumonia (cap)
Community acquired pneumonia (cap)
 
Pneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karkiPneumonia in children by dr. sundar karki
Pneumonia in children by dr. sundar karki
 
Modified pneumonia in geriatric population
Modified pneumonia in geriatric populationModified pneumonia in geriatric population
Modified pneumonia in geriatric population
 
Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)Community acquired pneumonia in children (1)
Community acquired pneumonia in children (1)
 
Journal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumoniaJournal: Approach to Common Bacterial Infections: Community acquired pneumonia
Journal: Approach to Common Bacterial Infections: Community acquired pneumonia
 
Guidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumoniaGuidelines for the management of adults with community acquired pneumonia
Guidelines for the management of adults with community acquired pneumonia
 
Approach to recurrent pneumonia
Approach to recurrent pneumoniaApproach to recurrent pneumonia
Approach to recurrent pneumonia
 

Viewers also liked

Late preterm delivery
Late preterm deliveryLate preterm delivery
Late preterm deliveryBabak Jebelli
 
Coccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyCoccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyBabak Jebelli
 
Heriditary spherocytosis
Heriditary spherocytosisHeriditary spherocytosis
Heriditary spherocytosisVijay Shankar
 
Cell injury: CELL ADAPTATIONS
Cell injury: CELL ADAPTATIONSCell injury: CELL ADAPTATIONS
Cell injury: CELL ADAPTATIONSVijay Shankar
 
Cell injury : Intracellular accumulations
Cell injury : Intracellular accumulationsCell injury : Intracellular accumulations
Cell injury : Intracellular accumulationsVijay Shankar
 
Aplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemiasAplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemiasVijay Shankar
 
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASIS
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASISRESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASIS
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASISVijay Shankar
 
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURA
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURARESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURA
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURAVijay Shankar
 
Cell injury: Pathologic calcification and Cell aging
Cell injury: Pathologic calcification and Cell agingCell injury: Pathologic calcification and Cell aging
Cell injury: Pathologic calcification and Cell agingVijay Shankar
 
Cell injury: Necrosis and Gangrene
Cell injury: Necrosis and GangreneCell injury: Necrosis and Gangrene
Cell injury: Necrosis and GangreneVijay Shankar
 
Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Babak Jebelli
 
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDS
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDSRESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDS
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDSVijay Shankar
 
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITIS
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITISRESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITIS
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITISVijay Shankar
 
Hemolytic anemia extracorpuscular defects.
Hemolytic anemia extracorpuscular defects.Hemolytic anemia extracorpuscular defects.
Hemolytic anemia extracorpuscular defects.Vijay Shankar
 

Viewers also liked (20)

Late preterm delivery
Late preterm deliveryLate preterm delivery
Late preterm delivery
 
Coccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancyCoccidioidomycosis in pregnancy
Coccidioidomycosis in pregnancy
 
Economy
EconomyEconomy
Economy
 
A Case of Pure Red Cell Aplasia
A Case of Pure Red Cell AplasiaA Case of Pure Red Cell Aplasia
A Case of Pure Red Cell Aplasia
 
Heriditary spherocytosis
Heriditary spherocytosisHeriditary spherocytosis
Heriditary spherocytosis
 
Cell injury: CELL ADAPTATIONS
Cell injury: CELL ADAPTATIONSCell injury: CELL ADAPTATIONS
Cell injury: CELL ADAPTATIONS
 
Cell injury : Intracellular accumulations
Cell injury : Intracellular accumulationsCell injury : Intracellular accumulations
Cell injury : Intracellular accumulations
 
Aplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemiasAplastic and hypoproliferative anemias
Aplastic and hypoproliferative anemias
 
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASIS
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASISRESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASIS
RESPIRATORY SYSTEM: BRONCHIAL ASTHMA AND BRONCHIECTASIS
 
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURA
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURARESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURA
RESPIRATORY SYSTEM: TUMORS OF LUNG & PLEURA
 
Pph share drive
Pph share drive Pph share drive
Pph share drive
 
Cell injury: Pathologic calcification and Cell aging
Cell injury: Pathologic calcification and Cell agingCell injury: Pathologic calcification and Cell aging
Cell injury: Pathologic calcification and Cell aging
 
Acute leukemias
Acute leukemiasAcute leukemias
Acute leukemias
 
Cell injury: Necrosis and Gangrene
Cell injury: Necrosis and GangreneCell injury: Necrosis and Gangrene
Cell injury: Necrosis and Gangrene
 
Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012Kpsc diabetes in pregnancy pathway 8.6.2012
Kpsc diabetes in pregnancy pathway 8.6.2012
 
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDS
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDSRESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDS
RESPIRATORY SYSTEM: INTRODUCTION, ATELECTASIS, ARDS
 
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITIS
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITISRESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITIS
RESPIRATORY SYSTEM: EMPHYSEMA, CHRONIC BRONCHITIS
 
Chronic leukemias
Chronic leukemiasChronic leukemias
Chronic leukemias
 
Hemolytic anemia extracorpuscular defects.
Hemolytic anemia extracorpuscular defects.Hemolytic anemia extracorpuscular defects.
Hemolytic anemia extracorpuscular defects.
 
Bleeding disorders
Bleeding disordersBleeding disorders
Bleeding disorders
 

Similar to Hini2012 update

Kuwait influenza case management guidelines for 2nd flu workshop 2016
Kuwait influenza case management guidelines for 2nd flu workshop 2016Kuwait influenza case management guidelines for 2nd flu workshop 2016
Kuwait influenza case management guidelines for 2nd flu workshop 2016Ashraf ElAdawy
 
H1 N1 Management
H1 N1 ManagementH1 N1 Management
H1 N1 ManagementGamal Agmy
 
Swine flu- Pandemic Influenza A (H1N1)
Swine flu- Pandemic Influenza A (H1N1)Swine flu- Pandemic Influenza A (H1N1)
Swine flu- Pandemic Influenza A (H1N1)Sumi Singh
 
Update management of CAP
Update management of CAPUpdate management of CAP
Update management of CAPSaher Farghly
 
Swineflu Update, An Indian Prespective
Swineflu Update, An Indian PrespectiveSwineflu Update, An Indian Prespective
Swineflu Update, An Indian Prespectivechandra talur
 
Influenza in Children Recommendations for Prevention &Treatment
Influenza in Children Recommendations for Prevention &Treatment Influenza in Children Recommendations for Prevention &Treatment
Influenza in Children Recommendations for Prevention &Treatment Ashraf ElAdawy
 
Lower respiratory tract infection (LRTI) in
Lower respiratory tract infection (LRTI) inLower respiratory tract infection (LRTI) in
Lower respiratory tract infection (LRTI) inOsama Felemban
 
Pneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdfPneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdfLankeSuneetha
 
Clinical manifestations of influenza
Clinical manifestations of influenzaClinical manifestations of influenza
Clinical manifestations of influenzaAshraf ElAdawy
 
Swine Flu
Swine FluSwine Flu
Swine Fluohogi
 
Pediatric pneumonia sadeghpour
Pediatric pneumonia sadeghpourPediatric pneumonia sadeghpour
Pediatric pneumonia sadeghpoursaba sadeghpour
 

Similar to Hini2012 update (20)

Kuwait influenza case management guidelines for 2nd flu workshop 2016
Kuwait influenza case management guidelines for 2nd flu workshop 2016Kuwait influenza case management guidelines for 2nd flu workshop 2016
Kuwait influenza case management guidelines for 2nd flu workshop 2016
 
H1 N1 Management
H1 N1 ManagementH1 N1 Management
H1 N1 Management
 
Swine flu- Pandemic Influenza A (H1N1)
Swine flu- Pandemic Influenza A (H1N1)Swine flu- Pandemic Influenza A (H1N1)
Swine flu- Pandemic Influenza A (H1N1)
 
Swine Flu Update Dec'09
Swine Flu Update Dec'09Swine Flu Update Dec'09
Swine Flu Update Dec'09
 
Update management of CAP
Update management of CAPUpdate management of CAP
Update management of CAP
 
Swineflu Update, An Indian Prespective
Swineflu Update, An Indian PrespectiveSwineflu Update, An Indian Prespective
Swineflu Update, An Indian Prespective
 
Influenza in Children Recommendations for Prevention &Treatment
Influenza in Children Recommendations for Prevention &Treatment Influenza in Children Recommendations for Prevention &Treatment
Influenza in Children Recommendations for Prevention &Treatment
 
H1 n1 swine flu
H1 n1 swine fluH1 n1 swine flu
H1 n1 swine flu
 
Influenza
InfluenzaInfluenza
Influenza
 
H1N1
H1N1 H1N1
H1N1
 
Presentation1
Presentation1Presentation1
Presentation1
 
Pneumonia
PneumoniaPneumonia
Pneumonia
 
Lower respiratory tract infection (LRTI) in
Lower respiratory tract infection (LRTI) inLower respiratory tract infection (LRTI) in
Lower respiratory tract infection (LRTI) in
 
Influenza (2)local file
Influenza (2)local fileInfluenza (2)local file
Influenza (2)local file
 
Pneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdfPneumonia, causes, risk factors, treatment.pdf
Pneumonia, causes, risk factors, treatment.pdf
 
Influenza
InfluenzaInfluenza
Influenza
 
Clinical manifestations of influenza
Clinical manifestations of influenzaClinical manifestations of influenza
Clinical manifestations of influenza
 
Swine Flu
Swine Flu Swine Flu
Swine Flu
 
Swine Flu
Swine FluSwine Flu
Swine Flu
 
Pediatric pneumonia sadeghpour
Pediatric pneumonia sadeghpourPediatric pneumonia sadeghpour
Pediatric pneumonia sadeghpour
 

More from Babak Jebelli

Twins clinical management 2012
Twins clinical management 2012Twins clinical management 2012
Twins clinical management 2012Babak Jebelli
 
New Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixNew Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixBabak Jebelli
 
Medication 53333-phpapp02
Medication 53333-phpapp02Medication 53333-phpapp02
Medication 53333-phpapp02Babak Jebelli
 
Hcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsHcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsBabak Jebelli
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands diseaseBabak Jebelli
 
Insulin resistance and pcos
Insulin resistance and pcosInsulin resistance and pcos
Insulin resistance and pcosBabak Jebelli
 
Fht interpretation & management
Fht interpretation & managementFht interpretation & management
Fht interpretation & managementBabak Jebelli
 
Asymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneAsymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneBabak Jebelli
 
Prevention of pertussis
Prevention of pertussisPrevention of pertussis
Prevention of pertussisBabak Jebelli
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands diseaseBabak Jebelli
 

More from Babak Jebelli (20)

Twins clinical management 2012
Twins clinical management 2012Twins clinical management 2012
Twins clinical management 2012
 
New Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervixNew Progesterone Guideline for Preterm labor and incidental shortened cervix
New Progesterone Guideline for Preterm labor and incidental shortened cervix
 
Medication 53333-phpapp02
Medication 53333-phpapp02Medication 53333-phpapp02
Medication 53333-phpapp02
 
Hcahps score trends in the past 4 years
Hcahps score trends in the past 4 yearsHcahps score trends in the past 4 years
Hcahps score trends in the past 4 years
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands disease
 
Insulin resistance and pcos
Insulin resistance and pcosInsulin resistance and pcos
Insulin resistance and pcos
 
Induction summary
Induction summaryInduction summary
Induction summary
 
Hyperemesis6 12
Hyperemesis6 12Hyperemesis6 12
Hyperemesis6 12
 
Gbs 2010
Gbs 2010Gbs 2010
Gbs 2010
 
Foley bulb
Foley bulbFoley bulb
Foley bulb
 
Fht interpretation & management
Fht interpretation & managementFht interpretation & management
Fht interpretation & management
 
Asymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesteroneAsymptomatic short cervix and vaginanal, progesterone
Asymptomatic short cervix and vaginanal, progesterone
 
Prevention of pertussis
Prevention of pertussisPrevention of pertussis
Prevention of pertussis
 
Magnesium sulfate
Magnesium sulfateMagnesium sulfate
Magnesium sulfate
 
Labor down
Labor downLabor down
Labor down
 
Vte prophylaxis
Vte prophylaxisVte prophylaxis
Vte prophylaxis
 
Von willebrands disease
Von willebrands diseaseVon willebrands disease
Von willebrands disease
 
Vbac tables
Vbac tablesVbac tables
Vbac tables
 
Vbac2010a
Vbac2010aVbac2010a
Vbac2010a
 
Uterine inversion
Uterine inversionUterine inversion
Uterine inversion
 

Recently uploaded

💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Genuine Call Girls
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Sheetaleventcompany
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...call girls hydrabad
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...soniyagrag336
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Sheetaleventcompany
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 

Recently uploaded (20)

💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
💰Call Girl In Bangalore☎️7304373326💰 Call Girl service in Bangalore☎️Bangalor...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
Kolkata Call Girls Service ❤️🍑 9xx000xx09 👄🫦 Independent Escort Service Kolka...
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 

Hini2012 update

  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. RIVERSIDE OB INTERIM RECOMMENDATIONS 10/26 Triage Evaluation Clinical Management Outpatient Follow up
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.