SlideShare una empresa de Scribd logo
1 de 193
Presented By
[object Object],[object Object],[object Object],[object Object],S  A  H  Y  A
RECAP ,[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
Home Work   ,[object Object],[object Object]
Urine  ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Your Diagnosis   ASA +   Ve HBe Ag + ve ASO Titer – 800  Anti Ds DNA + ve  Increased PSA Leukocytosis (50,000) & Increased K Level (10)Morethan 5  IHBR Dilated ST Elevation & T Wave Inversion
Your Diagnosis   Infertility  ASAB +   Highly Infective HBV HBe Ag + ve Rheumatic fever ASO Titer – 800  SLE Anti Ds DNA + ve  Ca prostate  Increased PSA CLL  Chronic Lymphatic Leukemia  Leukocytosis (50,000) & Increased K Level (10)Morethan 5  Cirrhosis of Liver IHBR Dilated MI ST Elevation & T Wave Inversion
Stool   ,[object Object]
[object Object]
Your Diagnosis   Giardia  Taenia (Tape Worm) Enterobis  (Pin Worms) Ascaris  Occult blood  Cyst of Trichuria (whip) Ova, Cyst of Ancylostoma  EH Cyst
Syphilis Psora  TUB Schistosomiasis (Urinary tract Large intestine Liver Spine Lungs) Taenia Solium  ( Pork tape Worm ) Taenia Saginata ( Beef tape Worm ) Hydatid  ( Dog tape Worm ) Round Worm ( Ascaris Lumbricoids )  Hook Worm ( Ancylostoma Duodenal ) Whip Worm  ( Trichuria) Pin worm ( enterobius Vermicularis ) Filariasis ( Tissue Nematode) TREMATODS  CESTODES NEMATODS
[object Object],[object Object]
[object Object],[object Object]
Exercise ,[object Object]
[object Object],[object Object],[object Object],[object Object]
Miasmatic Interpretation   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperlipoprotenemia   ,[object Object]
[object Object],[object Object]
[object Object]
Lipoprotein (a) [LP (a)] ,[object Object]
LP (a) – Lipoprotein (a)   ,[object Object],[object Object],[object Object]
[object Object]
Indication of LP (a) ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
Allied complaints with increased LP (a) ,[object Object],[object Object],[object Object],[object Object]
2 Types of Hyperlipoprotenemia   ,[object Object],[object Object],[object Object],[object Object]
Primary  ,[object Object],[object Object],[object Object],[object Object]
Secondary  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
(Bronzed Diabetes)   Hemochromatosis   ,[object Object],[object Object]
Pigmentation + DM gives the name Bronzed DM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Wilson’s Disease ,[object Object],[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigation  ,[object Object],[object Object],[object Object]
Porphyrias   ,[object Object]
3 Types   ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AIP (Acute Intermittent Porphyria). ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Amino Acid Metabolism  ,[object Object]
Hyper Phenyl Alaninemia (Phenyl Ketonure _PKU) ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tubercular Because   ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Perforation of sclera followed by rupture of globe Anemia. Tarsal Tunnel Syndrome Raised ESR.  PDGF (platelet-derives Growth factor) participated in inflammatory and necrotic process ligaments and sub chondral bone liberate proteolytic enzymes which aggravate the destructive process Pain neck radiating to head and dorsal region Lateral deviation of big toe Carpel Tunnel Syndrome Pleural effusion Fibrinoid Degeneration of synovium Interstitial fibrosis of lung. Joint infiltration of CD4 Lymphocytes Thickening and oedema of synovial membraine Lateral subluxation of knee Tense cyst in popleteal fossae Hammer toe Infection supervene in joints leads to pyoarthrosis.  Deformed joints with secondary degenerative Changes Klunking sound in the neck on flexion.  Syniovial effusion Morning stiffness  Chronic Symmetrical poly arthritis ( bilateral ) Irreversable destruction of Joint cartilage. Foot drop. Wrist Drop.
Perforation of sclera followed by rupture of globe Anemia. Tarsal Tunnel Syndrome Raised ESR.   PDGF (platelet-derives Growth factor) participated in inflammatory and necrotic process ligaments and sub chondral bone liberate proteolytic enzymes which aggravate the destructive process Pain neck radiating to head and dorsal region Lateral deviation of big toe Carpel Tunnel Syndrome Pleural effusion Fibrinoid Degeneration of synovium Interstitial fibrosis of lung. Joint infiltration of CD4 Lymphocytes Thickening and oedema of synovial membraine Lateral subluxation of knee Tense cyst in popleteal fossae Hammer toe Infection supervene in joints leads to pyoarthrosis.  Deformed joints with secondary degenerative Changes Klunking sound in the neck on flexion.  Syniovial effusion Morning stiffness   Chronic Symmetrical poly arthritis ( bilateral ) Irreversable destruction of Joint cartilage. Foot drop. Wrist Drop.
Ratio   ,[object Object],[object Object]
Diagnosis ,[object Object]
Investigations to be done….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
4   or More of the following criteria for more than  6 weeks  is Diagnostic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Exercise (Home Work – 2)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
What is Your Investigation Profile in ,[object Object],[object Object]
E2 – Estradiol   ,[object Object],[object Object]
E2 Estradiol ,[object Object],[object Object],[object Object],[object Object],[object Object]
E2 Estradiol ,[object Object],[object Object]
< Normal Level also indicates   ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
E2 Estradiol ,[object Object],[object Object],[object Object],[object Object]
Unconjugated Estriol – E 3 ,[object Object],[object Object]
Unconjugated  Estriol – E 3 Triple Marker (E3 + AFP + HCG)  to know  fetal abnormalities   Indication of  Syphilinum  or MTP!
Unconjugated  Estriol – E 3 Persistently  low or  rapidly falling E3  indicates  fetal distress  and  SEPIA!
[object Object],[object Object]
ASAB ,[object Object]
Causes for development of ASAB ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The   Syco- Syphlitic  ASAB! ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
424 Diseases !  50 Doctors
Wish You a Happy Phone in Programme  ! '
Welcome Dr.Sarath Chandran ,[object Object]
UTILIZATION STRATEGIES OF REPERTORIES. Repertory The Multiuser TOOL of Prescription
Welcome  Dr.K.N.ASHOK KUMAR  B H M S Ph- 9447280882
Types of prescription ,[object Object],[object Object],[object Object],[object Object]
Exciting Cause ,[object Object],[object Object],[object Object]
Exciting Cause ,[object Object],[object Object],[object Object]
Physical cause ,[object Object],[object Object],[object Object]
Nervous Cause ,[object Object],[object Object]
Mechanical Cause ,[object Object],[object Object],[object Object]
Nervous Cause   ,[object Object],[object Object]
Maintaining cause   ,[object Object],[object Object]
maintaining cause ,[object Object],[object Object],[object Object]
2.Patholagical prescription THUMP Index Method  ,[object Object]
 
[object Object],[object Object]
3.Key note prescription By Repertory  ,[object Object],[object Object],[object Object],[object Object]
Gadha 4 ½
3.Key note prescription ,[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Unprejudiced observer   ,[object Object],[object Object]
Kent ,[object Object]
[object Object],[object Object],[object Object]
Please observe
 
Case of Croup   ,[object Object],[object Object]
A Case of Headache  ,[object Object],[object Object]
Shaji
SHAJI 39M
SHAJI 39M
[object Object]
 
 
4.Mental symptoms only ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
School Headache   ,[object Object],[object Object],[object Object]
5.Particulars only ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
6.Miasmatic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object]
 
 
 
SHAJI . Dysp ,[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
MATHEW M JAMES 18M ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MATHEW M JAMES 18M
BINU 28M ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANOOP 5M ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ARATHI GOPI 17F ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Not Talking much   ,[object Object]
Soori ,[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Horrible Pain ! ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
MARIAMMA 70F
[object Object],[object Object]
[object Object],[object Object]
[object Object]
[object Object]
[object Object],[object Object]
Observation   ,[object Object]
[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
 
[object Object]
[object Object]
[object Object]
[object Object]
At time (Not Place!) of Stool   ,[object Object]
Occupation - teacher ,[object Object]
Achaneyanenikkishtam ! ,[object Object]
[object Object]
[object Object],[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
 
 
MIND – AUDACITY (21) Arn,Puls,Tub ,IGN
[object Object],[object Object]
 
[object Object],[object Object]
Children Rubric
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
[object Object]
Thanks for the peaceful Listening.
FINAL LAP   ,[object Object]
FINAL LAP   ,[object Object]
FINAL LAP   ,[object Object]
[object Object]
[object Object],[object Object]
Till Then   ,[object Object]
Thank You

Más contenido relacionado

La actualidad más candente

Water and mineral metabolism
Water and mineral metabolismWater and mineral metabolism
Water and mineral metabolismKuldeep Bansod
 
Pediatric lecture notes in hematology
Pediatric lecture notes in hematologyPediatric lecture notes in hematology
Pediatric lecture notes in hematologyMr. Dipti sorte
 
Approach to anemia and iron deficiency anemia
Approach to anemia and iron deficiency anemiaApproach to anemia and iron deficiency anemia
Approach to anemia and iron deficiency anemiaTushar Jagzape
 
Exertional rhabdomyolysis
Exertional rhabdomyolysisExertional rhabdomyolysis
Exertional rhabdomyolysisngrimes
 
Calcium metabolism and parathyroid disorders
Calcium metabolism and parathyroid disordersCalcium metabolism and parathyroid disorders
Calcium metabolism and parathyroid disordersShivshankar Badole
 
Iron deficiency anemia
Iron deficiency anemiaIron deficiency anemia
Iron deficiency anemiaPirah Azadi
 
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...calcium metabolism and hypocalcimia / dental implant courses by Indian dental...
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...Indian dental academy
 
Classification Of Anaemia & Ida
Classification Of Anaemia & IdaClassification Of Anaemia & Ida
Classification Of Anaemia & IdaSusheela Innah
 
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...Manisha Thakur
 
White blood cell disorders
White blood cell disordersWhite blood cell disorders
White blood cell disordersderosaMSKCC
 
Blood disorders
Blood disordersBlood disorders
Blood disordersSonal Kale
 
Minerals, water and electrolytes
Minerals, water and electrolytesMinerals, water and electrolytes
Minerals, water and electrolytesaireenong
 
Iron Deficiency Anaemia
Iron Deficiency Anaemia Iron Deficiency Anaemia
Iron Deficiency Anaemia Sanjeev Kumar
 

La actualidad más candente (20)

Anemia
AnemiaAnemia
Anemia
 
Water and mineral metabolism
Water and mineral metabolismWater and mineral metabolism
Water and mineral metabolism
 
Pediatric lecture notes in hematology
Pediatric lecture notes in hematologyPediatric lecture notes in hematology
Pediatric lecture notes in hematology
 
Approach to anemia and iron deficiency anemia
Approach to anemia and iron deficiency anemiaApproach to anemia and iron deficiency anemia
Approach to anemia and iron deficiency anemia
 
Exertional rhabdomyolysis
Exertional rhabdomyolysisExertional rhabdomyolysis
Exertional rhabdomyolysis
 
Anemia 101
Anemia 101Anemia 101
Anemia 101
 
Calcium metabolism and parathyroid disorders
Calcium metabolism and parathyroid disordersCalcium metabolism and parathyroid disorders
Calcium metabolism and parathyroid disorders
 
Iron deficiency anemia
Iron deficiency anemiaIron deficiency anemia
Iron deficiency anemia
 
Anemia
AnemiaAnemia
Anemia
 
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...calcium metabolism and hypocalcimia / dental implant courses by Indian dental...
calcium metabolism and hypocalcimia / dental implant courses by Indian dental...
 
Classification Of Anaemia & Ida
Classification Of Anaemia & IdaClassification Of Anaemia & Ida
Classification Of Anaemia & Ida
 
Anemia
AnemiaAnemia
Anemia
 
Potassium at a glance
Potassium at a glancePotassium at a glance
Potassium at a glance
 
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...
ANEMIA IN PEDIATRICS: IRON DEFICIENCY ANEMIA, MEGALOBLASTIC ANEMIA, APLASTIC ...
 
White blood cell disorders
White blood cell disordersWhite blood cell disorders
White blood cell disorders
 
Hemolytic anemia
Hemolytic anemiaHemolytic anemia
Hemolytic anemia
 
Blood disorders
Blood disordersBlood disorders
Blood disorders
 
Megaloblastic anemia
Megaloblastic anemiaMegaloblastic anemia
Megaloblastic anemia
 
Minerals, water and electrolytes
Minerals, water and electrolytesMinerals, water and electrolytes
Minerals, water and electrolytes
 
Iron Deficiency Anaemia
Iron Deficiency Anaemia Iron Deficiency Anaemia
Iron Deficiency Anaemia
 

Destacado

Ruby 1.9.1への道
Ruby 1.9.1への道Ruby 1.9.1への道
Ruby 1.9.1への道Yuki Sonoda
 
Practical Puppet: Systems Building Systems
Practical Puppet: Systems Building SystemsPractical Puppet: Systems Building Systems
Practical Puppet: Systems Building SystemsAndrew Shafer
 
精神分裂症知多少?
精神分裂症知多少?精神分裂症知多少?
精神分裂症知多少?雪筠 林雪筠
 
ANE parallels to Gen 1-11
ANE parallels to Gen 1-11ANE parallels to Gen 1-11
ANE parallels to Gen 1-11Jonathan Swales
 
Ch. 14 The Future of American Schooling - Dr. William Allan Kritsonis
Ch. 14 The Future of American Schooling - Dr. William Allan KritsonisCh. 14 The Future of American Schooling - Dr. William Allan Kritsonis
Ch. 14 The Future of American Schooling - Dr. William Allan KritsonisWilliam Kritsonis
 
Personnel Issues - Presented by William Allan Kritsonis, PhD
Personnel Issues - Presented by William Allan Kritsonis, PhDPersonnel Issues - Presented by William Allan Kritsonis, PhD
Personnel Issues - Presented by William Allan Kritsonis, PhDWilliam Kritsonis
 
S T U D E N T D I S C I P L I N E I N S C H O O L S
S T U D E N T  D I S C I P L I N E  I N  S C H O O L SS T U D E N T  D I S C I P L I N E  I N  S C H O O L S
S T U D E N T D I S C I P L I N E I N S C H O O L SWilliam Kritsonis
 
Copy Of Copyright Laws In The Public School
Copy Of Copyright Laws In The Public SchoolCopy Of Copyright Laws In The Public School
Copy Of Copyright Laws In The Public SchoolWilliam Kritsonis
 
S T U D E N T A T T E N D A N C E A N D I N S T R U C T I O N A L P R O G...
S T U D E N T  A T T E N D A N C E  A N D  I N S T R U C T I O N A L  P R O G...S T U D E N T  A T T E N D A N C E  A N D  I N S T R U C T I O N A L  P R O G...
S T U D E N T A T T E N D A N C E A N D I N S T R U C T I O N A L P R O G...William Kritsonis
 
Tecnologia Comunicacio2
Tecnologia Comunicacio2Tecnologia Comunicacio2
Tecnologia Comunicacio2Pedro Pablo
 
A Real Trip To England
A Real Trip To EnglandA Real Trip To England
A Real Trip To Englandesam78
 
Epidemiology of physical activity in the Middle East
Epidemiology of physical activity in the Middle EastEpidemiology of physical activity in the Middle East
Epidemiology of physical activity in the Middle EastTarek Tawfik Amin
 
Haiti 2 years on gallery
Haiti 2 years on galleryHaiti 2 years on gallery
Haiti 2 years on galleryCAFOD
 
Economics 1 1 Notes Lower Version 2
Economics 1 1 Notes Lower Version 2Economics 1 1 Notes Lower Version 2
Economics 1 1 Notes Lower Version 2garingshawn
 
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.William Kritsonis
 

Destacado (20)

Court Case 3
Court  Case 3Court  Case 3
Court Case 3
 
Ruby 1.9.1への道
Ruby 1.9.1への道Ruby 1.9.1への道
Ruby 1.9.1への道
 
Practical Puppet: Systems Building Systems
Practical Puppet: Systems Building SystemsPractical Puppet: Systems Building Systems
Practical Puppet: Systems Building Systems
 
Crucible2
Crucible2Crucible2
Crucible2
 
Ukazka Automat
Ukazka AutomatUkazka Automat
Ukazka Automat
 
精神分裂症知多少?
精神分裂症知多少?精神分裂症知多少?
精神分裂症知多少?
 
ANE parallels to Gen 1-11
ANE parallels to Gen 1-11ANE parallels to Gen 1-11
ANE parallels to Gen 1-11
 
Ch. 14 The Future of American Schooling - Dr. William Allan Kritsonis
Ch. 14 The Future of American Schooling - Dr. William Allan KritsonisCh. 14 The Future of American Schooling - Dr. William Allan Kritsonis
Ch. 14 The Future of American Schooling - Dr. William Allan Kritsonis
 
Personnel Issues - Presented by William Allan Kritsonis, PhD
Personnel Issues - Presented by William Allan Kritsonis, PhDPersonnel Issues - Presented by William Allan Kritsonis, PhD
Personnel Issues - Presented by William Allan Kritsonis, PhD
 
S T U D E N T D I S C I P L I N E I N S C H O O L S
S T U D E N T  D I S C I P L I N E  I N  S C H O O L SS T U D E N T  D I S C I P L I N E  I N  S C H O O L S
S T U D E N T D I S C I P L I N E I N S C H O O L S
 
Dnevnik
DnevnikDnevnik
Dnevnik
 
Copy Of Copyright Laws In The Public School
Copy Of Copyright Laws In The Public SchoolCopy Of Copyright Laws In The Public School
Copy Of Copyright Laws In The Public School
 
Psalm 23
Psalm 23Psalm 23
Psalm 23
 
S T U D E N T A T T E N D A N C E A N D I N S T R U C T I O N A L P R O G...
S T U D E N T  A T T E N D A N C E  A N D  I N S T R U C T I O N A L  P R O G...S T U D E N T  A T T E N D A N C E  A N D  I N S T R U C T I O N A L  P R O G...
S T U D E N T A T T E N D A N C E A N D I N S T R U C T I O N A L P R O G...
 
Tecnologia Comunicacio2
Tecnologia Comunicacio2Tecnologia Comunicacio2
Tecnologia Comunicacio2
 
A Real Trip To England
A Real Trip To EnglandA Real Trip To England
A Real Trip To England
 
Epidemiology of physical activity in the Middle East
Epidemiology of physical activity in the Middle EastEpidemiology of physical activity in the Middle East
Epidemiology of physical activity in the Middle East
 
Haiti 2 years on gallery
Haiti 2 years on galleryHaiti 2 years on gallery
Haiti 2 years on gallery
 
Economics 1 1 Notes Lower Version 2
Economics 1 1 Notes Lower Version 2Economics 1 1 Notes Lower Version 2
Economics 1 1 Notes Lower Version 2
 
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.
Dr. William Allan Kritsonis - Student Discipline in the Schools, PPT.
 

Similar a SAHYA Part-16

2009外文讲义1
2009外文讲义12009外文讲义1
2009外文讲义1Deep Deep
 
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
 
Pathology of bood & Pathology of urine .pptx
Pathology of bood & Pathology of urine .pptxPathology of bood & Pathology of urine .pptx
Pathology of bood & Pathology of urine .pptxnileemamodhave1
 
disorders-of-the-parathyroid-glands
disorders-of-the-parathyroid-glandsdisorders-of-the-parathyroid-glands
disorders-of-the-parathyroid-glandsMsccMohamed
 
The Many Faces of Hyperparathyroidism & Advances in Treatment
The Many Faces of Hyperparathyroidism & Advances in TreatmentThe Many Faces of Hyperparathyroidism & Advances in Treatment
The Many Faces of Hyperparathyroidism & Advances in TreatmentMsccMohamed
 
Calcium metabolism and vitamin d deficiency
Calcium metabolism and vitamin d deficiencyCalcium metabolism and vitamin d deficiency
Calcium metabolism and vitamin d deficiencyKumar Amit
 
Iron Def Anemia 2014 081114.ppt
Iron Def Anemia 2014 081114.pptIron Def Anemia 2014 081114.ppt
Iron Def Anemia 2014 081114.pptssuser6f3f29
 
1618256660403_hypokalemia and hyperkalemia.pptx
1618256660403_hypokalemia and hyperkalemia.pptx1618256660403_hypokalemia and hyperkalemia.pptx
1618256660403_hypokalemia and hyperkalemia.pptxVignesKm1
 

Similar a SAHYA Part-16 (20)

CM & R.pptx
CM & R.pptxCM & R.pptx
CM & R.pptx
 
Seminar on calcium
Seminar on calciumSeminar on calcium
Seminar on calcium
 
Approach to anemia
Approach to anemiaApproach to anemia
Approach to anemia
 
Approach to Anemia.pptx
Approach to Anemia.pptxApproach to Anemia.pptx
Approach to Anemia.pptx
 
2009外文讲义1
2009外文讲义12009外文讲义1
2009外文讲义1
 
Mineral Metabolism
Mineral MetabolismMineral Metabolism
Mineral Metabolism
 
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
 
Iron deficiency anemia
Iron deficiency anemiaIron deficiency anemia
Iron deficiency anemia
 
Disorder of adernal gland
Disorder of adernal glandDisorder of adernal gland
Disorder of adernal gland
 
Pathology of bood & Pathology of urine .pptx
Pathology of bood & Pathology of urine .pptxPathology of bood & Pathology of urine .pptx
Pathology of bood & Pathology of urine .pptx
 
Calcium
CalciumCalcium
Calcium
 
disorders-of-the-parathyroid-glands
disorders-of-the-parathyroid-glandsdisorders-of-the-parathyroid-glands
disorders-of-the-parathyroid-glands
 
Calcim imbalances
Calcim imbalancesCalcim imbalances
Calcim imbalances
 
Hematology
HematologyHematology
Hematology
 
The Many Faces of Hyperparathyroidism & Advances in Treatment
The Many Faces of Hyperparathyroidism & Advances in TreatmentThe Many Faces of Hyperparathyroidism & Advances in Treatment
The Many Faces of Hyperparathyroidism & Advances in Treatment
 
Calcium metabolism and vitamin d deficiency
Calcium metabolism and vitamin d deficiencyCalcium metabolism and vitamin d deficiency
Calcium metabolism and vitamin d deficiency
 
Iron Def Anemia 2014 081114.ppt
Iron Def Anemia 2014 081114.pptIron Def Anemia 2014 081114.ppt
Iron Def Anemia 2014 081114.ppt
 
Lect.no(7)
Lect.no(7)Lect.no(7)
Lect.no(7)
 
1.2 Electrolytes.pptx
1.2 Electrolytes.pptx1.2 Electrolytes.pptx
1.2 Electrolytes.pptx
 
1618256660403_hypokalemia and hyperkalemia.pptx
1618256660403_hypokalemia and hyperkalemia.pptx1618256660403_hypokalemia and hyperkalemia.pptx
1618256660403_hypokalemia and hyperkalemia.pptx
 

Más de Similiacare.com No.1 Homeopathy Portal

A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...Similiacare.com No.1 Homeopathy Portal
 
A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...Similiacare.com No.1 Homeopathy Portal
 
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaints
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaintsa-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaints
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaintsSimiliacare.com No.1 Homeopathy Portal
 

Más de Similiacare.com No.1 Homeopathy Portal (20)

A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...
 
A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...A pilot study of effectiveness of homoeopathic treatment in management of alc...
A pilot study of effectiveness of homoeopathic treatment in management of alc...
 
Flow chart of acutes by similiacare.net
Flow chart of acutes by similiacare.netFlow chart of acutes by similiacare.net
Flow chart of acutes by similiacare.net
 
Flow chart of acutes by similiacare.net
Flow chart of acutes by similiacare.netFlow chart of acutes by similiacare.net
Flow chart of acutes by similiacare.net
 
Classification of diseases according to hahnemann
Classification of diseases according to hahnemannClassification of diseases according to hahnemann
Classification of diseases according to hahnemann
 
Classification of Chronic Disease
Classification of Chronic DiseaseClassification of Chronic Disease
Classification of Chronic Disease
 
Classification of Acute Disease
Classification of Acute DiseaseClassification of Acute Disease
Classification of Acute Disease
 
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaints
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaintsa-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaints
a-pilot-study-on-homoeopathic-management-of-chikun-gunya-and-allied-complaints
 
Chiqun gunya
Chiqun gunyaChiqun gunya
Chiqun gunya
 
Homeopathic Management of Osteogenesis Imperfecta by Dr Biju G Nair
Homeopathic Management of Osteogenesis Imperfecta by Dr Biju G NairHomeopathic Management of Osteogenesis Imperfecta by Dr Biju G Nair
Homeopathic Management of Osteogenesis Imperfecta by Dr Biju G Nair
 
Seminar: HOMOEOPATHIC MANAGEMENT OF HIV/AIDS
Seminar: HOMOEOPATHIC MANAGEMENT OF HIV/AIDSSeminar: HOMOEOPATHIC MANAGEMENT OF HIV/AIDS
Seminar: HOMOEOPATHIC MANAGEMENT OF HIV/AIDS
 
Seminar On Kali Group by Dr Jose
Seminar On Kali Group by Dr JoseSeminar On Kali Group by Dr Jose
Seminar On Kali Group by Dr Jose
 
Sahya Part-2
Sahya Part-2Sahya Part-2
Sahya Part-2
 
Sahya Part 1
Sahya Part 1Sahya Part 1
Sahya Part 1
 
Sahya Part 12
Sahya Part 12Sahya Part 12
Sahya Part 12
 
Sahya Part 3
Sahya Part 3Sahya Part 3
Sahya Part 3
 
Sahya Part 17
Sahya Part 17Sahya Part 17
Sahya Part 17
 
Sahya Part 15
Sahya Part 15Sahya Part 15
Sahya Part 15
 
Sahya Part 13
Sahya Part 13Sahya Part 13
Sahya Part 13
 
Sahya Part 14
Sahya Part 14Sahya Part 14
Sahya Part 14
 

Último

Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)wesley chun
 
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...apidays
 
Manulife - Insurer Transformation Award 2024
Manulife - Insurer Transformation Award 2024Manulife - Insurer Transformation Award 2024
Manulife - Insurer Transformation Award 2024The Digital Insurer
 
A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?Igalia
 
How to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerHow to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerThousandEyes
 
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...apidays
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAndrey Devyatkin
 
Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businesspanagenda
 
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...apidays
 
Real Time Object Detection Using Open CV
Real Time Object Detection Using Open CVReal Time Object Detection Using Open CV
Real Time Object Detection Using Open CVKhem
 
Ransomware_Q4_2023. The report. [EN].pdf
Ransomware_Q4_2023. The report. [EN].pdfRansomware_Q4_2023. The report. [EN].pdf
Ransomware_Q4_2023. The report. [EN].pdfOverkill Security
 
FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024The Digital Insurer
 
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ..."I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...Zilliz
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Scriptwesley chun
 
presentation ICT roal in 21st century education
presentation ICT roal in 21st century educationpresentation ICT roal in 21st century education
presentation ICT roal in 21st century educationjfdjdjcjdnsjd
 
MS Copilot expands with MS Graph connectors
MS Copilot expands with MS Graph connectorsMS Copilot expands with MS Graph connectors
MS Copilot expands with MS Graph connectorsNanddeep Nachan
 
DBX First Quarter 2024 Investor Presentation
DBX First Quarter 2024 Investor PresentationDBX First Quarter 2024 Investor Presentation
DBX First Quarter 2024 Investor PresentationDropbox
 
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbu
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu SubbuApidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbu
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbuapidays
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FMESafe Software
 

Último (20)

Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)Powerful Google developer tools for immediate impact! (2023-24 C)
Powerful Google developer tools for immediate impact! (2023-24 C)
 
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
Apidays Singapore 2024 - Scalable LLM APIs for AI and Generative AI Applicati...
 
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
+971581248768>> SAFE AND ORIGINAL ABORTION PILLS FOR SALE IN DUBAI AND ABUDHA...
 
Manulife - Insurer Transformation Award 2024
Manulife - Insurer Transformation Award 2024Manulife - Insurer Transformation Award 2024
Manulife - Insurer Transformation Award 2024
 
A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?A Year of the Servo Reboot: Where Are We Now?
A Year of the Servo Reboot: Where Are We Now?
 
How to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected WorkerHow to Troubleshoot Apps for the Modern Connected Worker
How to Troubleshoot Apps for the Modern Connected Worker
 
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
Apidays Singapore 2024 - Building Digital Trust in a Digital Economy by Veron...
 
AWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of TerraformAWS Community Day CPH - Three problems of Terraform
AWS Community Day CPH - Three problems of Terraform
 
Why Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire businessWhy Teams call analytics are critical to your entire business
Why Teams call analytics are critical to your entire business
 
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
Apidays New York 2024 - The Good, the Bad and the Governed by David O'Neill, ...
 
Real Time Object Detection Using Open CV
Real Time Object Detection Using Open CVReal Time Object Detection Using Open CV
Real Time Object Detection Using Open CV
 
Ransomware_Q4_2023. The report. [EN].pdf
Ransomware_Q4_2023. The report. [EN].pdfRansomware_Q4_2023. The report. [EN].pdf
Ransomware_Q4_2023. The report. [EN].pdf
 
FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024FWD Group - Insurer Innovation Award 2024
FWD Group - Insurer Innovation Award 2024
 
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ..."I see eyes in my soup": How Delivery Hero implemented the safety system for ...
"I see eyes in my soup": How Delivery Hero implemented the safety system for ...
 
Automating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps ScriptAutomating Google Workspace (GWS) & more with Apps Script
Automating Google Workspace (GWS) & more with Apps Script
 
presentation ICT roal in 21st century education
presentation ICT roal in 21st century educationpresentation ICT roal in 21st century education
presentation ICT roal in 21st century education
 
MS Copilot expands with MS Graph connectors
MS Copilot expands with MS Graph connectorsMS Copilot expands with MS Graph connectors
MS Copilot expands with MS Graph connectors
 
DBX First Quarter 2024 Investor Presentation
DBX First Quarter 2024 Investor PresentationDBX First Quarter 2024 Investor Presentation
DBX First Quarter 2024 Investor Presentation
 
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbu
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu SubbuApidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbu
Apidays Singapore 2024 - Modernizing Securities Finance by Madhu Subbu
 
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers:  A Deep Dive into Serverless Spatial Data and FMECloud Frontiers:  A Deep Dive into Serverless Spatial Data and FME
Cloud Frontiers: A Deep Dive into Serverless Spatial Data and FME
 

SAHYA Part-16

  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10. Your Diagnosis ASA + Ve HBe Ag + ve ASO Titer – 800 Anti Ds DNA + ve Increased PSA Leukocytosis (50,000) & Increased K Level (10)Morethan 5 IHBR Dilated ST Elevation & T Wave Inversion
  • 11. Your Diagnosis Infertility ASAB + Highly Infective HBV HBe Ag + ve Rheumatic fever ASO Titer – 800 SLE Anti Ds DNA + ve Ca prostate Increased PSA CLL Chronic Lymphatic Leukemia Leukocytosis (50,000) & Increased K Level (10)Morethan 5 Cirrhosis of Liver IHBR Dilated MI ST Elevation & T Wave Inversion
  • 12.
  • 13.
  • 14. Your Diagnosis Giardia Taenia (Tape Worm) Enterobis (Pin Worms) Ascaris Occult blood Cyst of Trichuria (whip) Ova, Cyst of Ancylostoma EH Cyst
  • 15. Syphilis Psora TUB Schistosomiasis (Urinary tract Large intestine Liver Spine Lungs) Taenia Solium ( Pork tape Worm ) Taenia Saginata ( Beef tape Worm ) Hydatid ( Dog tape Worm ) Round Worm ( Ascaris Lumbricoids ) Hook Worm ( Ancylostoma Duodenal ) Whip Worm ( Trichuria) Pin worm ( enterobius Vermicularis ) Filariasis ( Tissue Nematode) TREMATODS CESTODES NEMATODS
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.
  • 34.
  • 35.
  • 36.
  • 37.
  • 38.
  • 39.
  • 40.
  • 41.
  • 42.
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.
  • 48.
  • 49.
  • 50.
  • 51.
  • 52.
  • 53.
  • 54.
  • 55.
  • 56. Perforation of sclera followed by rupture of globe Anemia. Tarsal Tunnel Syndrome Raised ESR. PDGF (platelet-derives Growth factor) participated in inflammatory and necrotic process ligaments and sub chondral bone liberate proteolytic enzymes which aggravate the destructive process Pain neck radiating to head and dorsal region Lateral deviation of big toe Carpel Tunnel Syndrome Pleural effusion Fibrinoid Degeneration of synovium Interstitial fibrosis of lung. Joint infiltration of CD4 Lymphocytes Thickening and oedema of synovial membraine Lateral subluxation of knee Tense cyst in popleteal fossae Hammer toe Infection supervene in joints leads to pyoarthrosis. Deformed joints with secondary degenerative Changes Klunking sound in the neck on flexion. Syniovial effusion Morning stiffness Chronic Symmetrical poly arthritis ( bilateral ) Irreversable destruction of Joint cartilage. Foot drop. Wrist Drop.
  • 57. Perforation of sclera followed by rupture of globe Anemia. Tarsal Tunnel Syndrome Raised ESR. PDGF (platelet-derives Growth factor) participated in inflammatory and necrotic process ligaments and sub chondral bone liberate proteolytic enzymes which aggravate the destructive process Pain neck radiating to head and dorsal region Lateral deviation of big toe Carpel Tunnel Syndrome Pleural effusion Fibrinoid Degeneration of synovium Interstitial fibrosis of lung. Joint infiltration of CD4 Lymphocytes Thickening and oedema of synovial membraine Lateral subluxation of knee Tense cyst in popleteal fossae Hammer toe Infection supervene in joints leads to pyoarthrosis. Deformed joints with secondary degenerative Changes Klunking sound in the neck on flexion. Syniovial effusion Morning stiffness Chronic Symmetrical poly arthritis ( bilateral ) Irreversable destruction of Joint cartilage. Foot drop. Wrist Drop.
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71. Unconjugated Estriol – E 3 Triple Marker (E3 + AFP + HCG) to know fetal abnormalities Indication of Syphilinum or MTP!
  • 72. Unconjugated Estriol – E 3 Persistently low or rapidly falling E3 indicates fetal distress and SEPIA!
  • 73.
  • 74.
  • 75.
  • 76.
  • 77.
  • 78. 424 Diseases ! 50 Doctors
  • 79. Wish You a Happy Phone in Programme ! '
  • 80.
  • 81. UTILIZATION STRATEGIES OF REPERTORIES. Repertory The Multiuser TOOL of Prescription
  • 82. Welcome Dr.K.N.ASHOK KUMAR B H M S Ph- 9447280882
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.  
  • 94.
  • 95.
  • 97.
  • 98.  
  • 99.
  • 100.
  • 101.
  • 102.
  • 104.  
  • 105.
  • 106.
  • 107. Shaji
  • 110.
  • 111.  
  • 112.  
  • 113.
  • 114.  
  • 115.
  • 116.
  • 117.  
  • 118.
  • 119.  
  • 120.
  • 121.  
  • 122.  
  • 123.  
  • 124.
  • 125.  
  • 126.
  • 127.  
  • 128.  
  • 129.
  • 130.
  • 131.
  • 133.
  • 134.
  • 135.
  • 136.
  • 137.
  • 138.
  • 139.
  • 140.
  • 141.
  • 142.
  • 144.
  • 145.
  • 146.
  • 147.
  • 148.
  • 149.
  • 150.
  • 151.
  • 152.
  • 153.
  • 154.
  • 155.
  • 156.
  • 157.  
  • 158.
  • 159.
  • 160.
  • 161.
  • 162.
  • 163.
  • 164.
  • 165.
  • 166.
  • 167.
  • 168.
  • 169.
  • 170.
  • 171.  
  • 172.  
  • 173. MIND – AUDACITY (21) Arn,Puls,Tub ,IGN
  • 174.
  • 175.  
  • 176.
  • 178.
  • 179.
  • 180.
  • 181.
  • 182.
  • 183.
  • 184.
  • 185.
  • 186. Thanks for the peaceful Listening.
  • 187.
  • 188.
  • 189.
  • 190.
  • 191.
  • 192.