SlideShare ist ein Scribd-Unternehmen logo
1 von 34
Diabetes Insipidus Dr Thomas Fox  Endocrine SpR RCH
[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anti-diuretic hormone (Arginine Vasopressin ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
                                                                                          
Water homeostasis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of ADH ,[object Object],[object Object],[object Object],[object Object],[object Object]
H20 H20 Collecting Duct Principal cell ADH DNA AQP 2 Synthesis Transport AQP 2 ADH affect on kidney V2 R
ADH production ,[object Object],[object Object],[object Object],[object Object]
ADH Production in response to volume and osmolality changes
ADH Production ,[object Object],[object Object],[object Object],[object Object]
Case 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Case cont ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2 years later ,[object Object],[object Object],[object Object],[object Object],[object Object]
On admission ,[object Object],[object Object],[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 - medical ,[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment – surgical ,[object Object],[object Object],[object Object]
Case 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Further investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ophthalmology review ,[object Object]
Pituitary MRI ,[object Object],[object Object],[object Object],[object Object]
 
Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Progress ,[object Object],[object Object],[object Object],[object Object]
Differential diagnosis of polydipsia/polyuria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of cranial DI ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Water deprivation test ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object]

Weitere ähnliche Inhalte

Was ist angesagt?

Was ist angesagt? (20)

Diabetes inspidus dr.hamada
Diabetes inspidus  dr.hamadaDiabetes inspidus  dr.hamada
Diabetes inspidus dr.hamada
 
Hyperthyroidism
HyperthyroidismHyperthyroidism
Hyperthyroidism
 
Hyperparathyroidism
HyperparathyroidismHyperparathyroidism
Hyperparathyroidism
 
Hypoparathyroidism
HypoparathyroidismHypoparathyroidism
Hypoparathyroidism
 
Addison disease by dr shahjada selim
Addison disease by dr shahjada selimAddison disease by dr shahjada selim
Addison disease by dr shahjada selim
 
Diabetes insipidus (DI)
Diabetes insipidus (DI)Diabetes insipidus (DI)
Diabetes insipidus (DI)
 
Hyperaldosteronism
HyperaldosteronismHyperaldosteronism
Hyperaldosteronism
 
Pheochromocytoma
Pheochromocytoma Pheochromocytoma
Pheochromocytoma
 
Hyperkalemia
HyperkalemiaHyperkalemia
Hyperkalemia
 
Hyperthyroidism & hypothyrodism
Hyperthyroidism  &  hypothyrodismHyperthyroidism  &  hypothyrodism
Hyperthyroidism & hypothyrodism
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
SIADH
SIADHSIADH
SIADH
 
Cushing syndrome
Cushing syndromeCushing syndrome
Cushing syndrome
 
Primary hyperaldosteronism
Primary hyperaldosteronismPrimary hyperaldosteronism
Primary hyperaldosteronism
 
Acute Glomerulonephritis (AGN) by Dr. Dilip
Acute Glomerulonephritis (AGN) by Dr. DilipAcute Glomerulonephritis (AGN) by Dr. Dilip
Acute Glomerulonephritis (AGN) by Dr. Dilip
 
Diabetes insipidus and syndrome of inappropriate antidiuretic hormone
Diabetes insipidus and syndrome of inappropriate antidiuretic hormoneDiabetes insipidus and syndrome of inappropriate antidiuretic hormone
Diabetes insipidus and syndrome of inappropriate antidiuretic hormone
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
Hyponatremia
HyponatremiaHyponatremia
Hyponatremia
 
Diabetes insipidus
Diabetes insipidusDiabetes insipidus
Diabetes insipidus
 
Myocarditis
MyocarditisMyocarditis
Myocarditis
 

Ähnlich wie Diabetes Insipidus

SIADH
SIADHSIADH
SIADHaungp
 
Seminar on fluid and electrolyte imbalance
Seminar on fluid and electrolyte imbalanceSeminar on fluid and electrolyte imbalance
Seminar on fluid and electrolyte imbalanceaneez103
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentationGiri Dharan
 
Central diabetes insipidus
Central diabetes insipidusCentral diabetes insipidus
Central diabetes insipidusRanjita Pallavi
 
Fluid and electrolyte balance
Fluid and electrolyte balanceFluid and electrolyte balance
Fluid and electrolyte balanceDiwakar vasudev
 
Adrenal Crisis.pptx
Adrenal Crisis.pptxAdrenal Crisis.pptx
Adrenal Crisis.pptxnawan_junior
 
adrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdfadrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdfDrYaqoobBahar
 
Case Presentation: Management of Hyperparathyroidism following Surgery
Case Presentation: Management of Hyperparathyroidism following SurgeryCase Presentation: Management of Hyperparathyroidism following Surgery
Case Presentation: Management of Hyperparathyroidism following SurgeryJoy Awoniyi
 
Approach to a patient with Hyponatremia.pptx
Approach to a patient with Hyponatremia.pptxApproach to a patient with Hyponatremia.pptx
Approach to a patient with Hyponatremia.pptxMariaFatima374066
 
Fluid And Electrolyte Emergencies In Critically Ill Children
Fluid And Electrolyte Emergencies In Critically Ill ChildrenFluid And Electrolyte Emergencies In Critically Ill Children
Fluid And Electrolyte Emergencies In Critically Ill ChildrenDang Thanh Tuan
 
Copy Of Investigation Of Endocrine Disease
Copy Of  Investigation Of Endocrine DiseaseCopy Of  Investigation Of Endocrine Disease
Copy Of Investigation Of Endocrine Diseaseguest633bcb
 
Adrenal gland disorders kinara
Adrenal gland disorders kinaraAdrenal gland disorders kinara
Adrenal gland disorders kinaraKinara Kenyoru
 
Nephrotic and nephritic Syndrome children 7.ppt
Nephrotic and nephritic Syndrome children 7.pptNephrotic and nephritic Syndrome children 7.ppt
Nephrotic and nephritic Syndrome children 7.pptArun170190
 
23 renal disease
23 renal disease23 renal disease
23 renal diseaseinternalmed
 

Ähnlich wie Diabetes Insipidus (20)

Electrolytes
ElectrolytesElectrolytes
Electrolytes
 
SIADH
SIADHSIADH
SIADH
 
Seminar on fluid and electrolyte imbalance
Seminar on fluid and electrolyte imbalanceSeminar on fluid and electrolyte imbalance
Seminar on fluid and electrolyte imbalance
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentation
 
Central diabetes insipidus
Central diabetes insipidusCentral diabetes insipidus
Central diabetes insipidus
 
Fluid and electrolyte balance
Fluid and electrolyte balanceFluid and electrolyte balance
Fluid and electrolyte balance
 
Adrenal Crisis.pptx
Adrenal Crisis.pptxAdrenal Crisis.pptx
Adrenal Crisis.pptx
 
adrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdfadrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdf
 
A Case of Gitelman's Syndrome
A Case of Gitelman's SyndromeA Case of Gitelman's Syndrome
A Case of Gitelman's Syndrome
 
Seco dka
Seco dkaSeco dka
Seco dka
 
Case Presentation: Management of Hyperparathyroidism following Surgery
Case Presentation: Management of Hyperparathyroidism following SurgeryCase Presentation: Management of Hyperparathyroidism following Surgery
Case Presentation: Management of Hyperparathyroidism following Surgery
 
Hypernatremia
HypernatremiaHypernatremia
Hypernatremia
 
Hypoadrenalism
HypoadrenalismHypoadrenalism
Hypoadrenalism
 
Approach to a patient with Hyponatremia.pptx
Approach to a patient with Hyponatremia.pptxApproach to a patient with Hyponatremia.pptx
Approach to a patient with Hyponatremia.pptx
 
Fluid And Electrolyte Emergencies In Critically Ill Children
Fluid And Electrolyte Emergencies In Critically Ill ChildrenFluid And Electrolyte Emergencies In Critically Ill Children
Fluid And Electrolyte Emergencies In Critically Ill Children
 
CME: Chronic Renal failure
CME: Chronic Renal failureCME: Chronic Renal failure
CME: Chronic Renal failure
 
Copy Of Investigation Of Endocrine Disease
Copy Of  Investigation Of Endocrine DiseaseCopy Of  Investigation Of Endocrine Disease
Copy Of Investigation Of Endocrine Disease
 
Adrenal gland disorders kinara
Adrenal gland disorders kinaraAdrenal gland disorders kinara
Adrenal gland disorders kinara
 
Nephrotic and nephritic Syndrome children 7.ppt
Nephrotic and nephritic Syndrome children 7.pptNephrotic and nephritic Syndrome children 7.ppt
Nephrotic and nephritic Syndrome children 7.ppt
 
23 renal disease
23 renal disease23 renal disease
23 renal disease
 

Mehr von PeninsulaEndocrine

Endocrine disease in pregnancy
Endocrine disease in pregnancyEndocrine disease in pregnancy
Endocrine disease in pregnancyPeninsulaEndocrine
 
Primary hyperaldosteronism - arterial venous sampling cases
Primary hyperaldosteronism - arterial venous sampling casesPrimary hyperaldosteronism - arterial venous sampling cases
Primary hyperaldosteronism - arterial venous sampling casesPeninsulaEndocrine
 
Hypogonadism and testosterone replacement part 2
Hypogonadism and testosterone replacement part 2Hypogonadism and testosterone replacement part 2
Hypogonadism and testosterone replacement part 2PeninsulaEndocrine
 
Hypogonadism and testosterone replacement
Hypogonadism and testosterone replacementHypogonadism and testosterone replacement
Hypogonadism and testosterone replacementPeninsulaEndocrine
 
Erectile dysfunction in diabetes
Erectile dysfunction in diabetesErectile dysfunction in diabetes
Erectile dysfunction in diabetesPeninsulaEndocrine
 
ADVANCE - Type 2 diabetes - vascular risk with intervention
ADVANCE - Type 2 diabetes - vascular risk with interventionADVANCE - Type 2 diabetes - vascular risk with intervention
ADVANCE - Type 2 diabetes - vascular risk with interventionPeninsulaEndocrine
 
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with intervention
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with interventionDCCT/EDIC - Type 1 diabetes - cardiovascular risk with intervention
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with interventionPeninsulaEndocrine
 
DCCT – intensive diabetes therapy and glomerular filtration
DCCT – intensive diabetes therapy and glomerular filtrationDCCT – intensive diabetes therapy and glomerular filtration
DCCT – intensive diabetes therapy and glomerular filtrationPeninsulaEndocrine
 

Mehr von PeninsulaEndocrine (20)

Gestational diabetes
Gestational diabetesGestational diabetes
Gestational diabetes
 
Endocrine disease in pregnancy
Endocrine disease in pregnancyEndocrine disease in pregnancy
Endocrine disease in pregnancy
 
Diabetes in pregnancy
Diabetes in pregnancyDiabetes in pregnancy
Diabetes in pregnancy
 
Hypoglycaemia in older people
Hypoglycaemia in older peopleHypoglycaemia in older people
Hypoglycaemia in older people
 
Diabetes in the elderly
Diabetes in the elderlyDiabetes in the elderly
Diabetes in the elderly
 
Primary hyperaldosteronism - arterial venous sampling cases
Primary hyperaldosteronism - arterial venous sampling casesPrimary hyperaldosteronism - arterial venous sampling cases
Primary hyperaldosteronism - arterial venous sampling cases
 
Calcium metabolism handout
Calcium metabolism handoutCalcium metabolism handout
Calcium metabolism handout
 
Calcium metabolism handout
Calcium metabolism handoutCalcium metabolism handout
Calcium metabolism handout
 
Kallmann syndrome
Kallmann syndromeKallmann syndrome
Kallmann syndrome
 
Kallmann syndrome
Kallmann syndromeKallmann syndrome
Kallmann syndrome
 
Hypogonadism and testosterone replacement part 2
Hypogonadism and testosterone replacement part 2Hypogonadism and testosterone replacement part 2
Hypogonadism and testosterone replacement part 2
 
Hypogonadism and testosterone replacement
Hypogonadism and testosterone replacementHypogonadism and testosterone replacement
Hypogonadism and testosterone replacement
 
Erectile dysfunction in diabetes
Erectile dysfunction in diabetesErectile dysfunction in diabetes
Erectile dysfunction in diabetes
 
The role of the podiatrist
The role of the podiatristThe role of the podiatrist
The role of the podiatrist
 
The diabetic foot
The diabetic footThe diabetic foot
The diabetic foot
 
ADVANCE - Type 2 diabetes - vascular risk with intervention
ADVANCE - Type 2 diabetes - vascular risk with interventionADVANCE - Type 2 diabetes - vascular risk with intervention
ADVANCE - Type 2 diabetes - vascular risk with intervention
 
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with intervention
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with interventionDCCT/EDIC - Type 1 diabetes - cardiovascular risk with intervention
DCCT/EDIC - Type 1 diabetes - cardiovascular risk with intervention
 
DCCT - Hypoglycemia
DCCT - HypoglycemiaDCCT - Hypoglycemia
DCCT - Hypoglycemia
 
DCCT overview
DCCT overviewDCCT overview
DCCT overview
 
DCCT – intensive diabetes therapy and glomerular filtration
DCCT – intensive diabetes therapy and glomerular filtrationDCCT – intensive diabetes therapy and glomerular filtration
DCCT – intensive diabetes therapy and glomerular filtration
 

Kürzlich hochgeladen

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowtanudubay92
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableSteve Davis
 
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
 
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
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...dilbirsingh0889
 
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...Janvi Singh
 
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Available
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service AvailableLucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Available
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Availablesoniyagrag336
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
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
 
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...Rashmi Entertainment
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
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 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 Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
 

Kürzlich hochgeladen (20)

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
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 ...
 
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...
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
 
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...
Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...
 
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Available
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service AvailableLucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Available
Lucknow Call Girls Just Call 👉👉8630512678 Top Class Call Girl Service Available
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
 
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...
 
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
❤️ Chandigarh Call Girls☎️98151-579OO☎️ Call Girl service in Chandigarh ☎️ Ch...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
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 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 Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
 

Diabetes Insipidus