SlideShare a Scribd company logo
1 of 96
SPLENOMEGALY  By Dr Bashir Ahmed Dar Associate Professor Medicine Chinkipora Sopore Kashmir Email  [email_address]
Slight enlargement just palpable (less than 5 cm ) ,[object Object],[object Object],[object Object],[object Object]
Moderate enlargement (to umbilicus) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Marked enlargement (more than 8 cm or below umbilicus) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infective causes of splenomegaly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infective causes of splenomegaly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Massive  splenomegaly
Rheumatoid arthritis (Felty’s syndrome) ,[object Object],[object Object]
Features of Felty’s  syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Investigations Felty's syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tropical Splenomegaly ,[object Object],[object Object],[object Object],[object Object]
Tropical Splenomegaly ,[object Object],[object Object],[object Object],[object Object]
Kala azar (leishmaniasis) ,[object Object],[object Object],[object Object],[object Object]
kala azar, black fever, sandfly disease, Dum-Dum fever and espundia.   SYNONYMS
Protozoan in the family   Trypanosomatidae   In the genus   Leishmania
Estimates All over world except Not found in South-east Asia  350 million people at risk 12 million people infected / year There are 59,000 deaths / year
[object Object],[object Object],[object Object],[object Object],[object Object],Some Facts
LEISHMANIASIS or KALA-AZAR It is the result of the infection with one of the species of protozoa (leishmania).  Conveyed by: Sandflies (Phlebotomus). Visceral Leishmaniasis : L. donovani Mucocutaneous   : L. Braziliensis
 
Have specific reservoirs Leishmania   Parasites
Rodents Sloths
Vectors Phlebotomine Sand Flies
30 to 70 eggs hatch 1 to 2 weeks 4 instars diapauses in 4 th  instar pupal development 5-10 days adults crepuscular and nocturnal 20 to 40 days
Opossum Armadillo
 
[object Object],[object Object],[object Object],[object Object]
Cutaneous  :  L. tropica major   L. tropica minor  New World  :  L. Braziliensis   L. Mexicana Old world
PATHOLOGY ,[object Object],[object Object],[object Object],[object Object],»
Leishmania : an obligate intracellular protozoan parasite  ( 2-6 µm in diameter) parasitophorous vacuoles of macrophages
Promastigotes in Sand Fly gut and in Culture Media (about 15-30 µm by 2-3 µm),
[object Object],Amastigote in macrophage
CLINICAL PICTURE ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Forms of Leishmaniasis  ,[object Object],[object Object],[object Object],[object Object]
Cutaneous form
Wet lesion by  L. major ,[object Object],[object Object],[object Object]
Lymphatic spread of  L. major ,[object Object],[object Object]
Clinical Forms of Leishmaniasis
Simple ‘dry’ lesion by  L. tropica ,[object Object],[object Object],[object Object],[object Object]
Leishmaniasis recidivans ,[object Object],[object Object]
Mucocutaneous lesion by  L. aethiopica ,[object Object]
[object Object],[object Object],Chiclero’s ulcer by  L. mexicana
Lymphatic spread of  L. mexicana ,[object Object],[object Object]
[object Object],[object Object],Early lesion of Espundia
Pharyngeal involvement   ,[object Object],[object Object]
 
PKDL Post Kalazar Dermal Leishmaniasis
 
 
 
 
 
 
Visceral form
 
 
Clinical picture of kala-azar in Kenya ,[object Object],[object Object]
 
Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Iliac crest aspiration of bone marrow ,[object Object]
L. infantum  in macrophage from bone marrow ,[object Object]
Amastigotes in macrophage from skin ,[object Object]
Punch biopsy ,[object Object]
Parasitised macrophage in skin section ,[object Object]
DIAGNOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[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 ,[object Object],[object Object],[object Object],[object Object],[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 ,[object Object],[object Object]
[object Object],[object Object],[object Object]
Myelofibrosis or myelosclerosis ,[object Object],[object Object],[object Object],[object Object]
GAUCHER’S DISEASE
History ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object]
What Is It? ,[object Object],[object Object],[object Object]
TYPE 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
TYPE 1 (continued) ,[object Object],[object Object]
TYPE 2 ,[object Object],[object Object],[object Object]
TYPE 2 (continued) ,[object Object],[object Object],[object Object],[object Object]
TYPE 3 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms ,[object Object],[object Object],[object Object],[object Object]
Symptoms (continued) ,[object Object],[object Object],[object Object]
How Do You Get It? ,[object Object],[object Object],[object Object]
If 2 Carriers Have Children ,[object Object]
Who Has It? ,[object Object],[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object]
Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hairy cell leukaemia ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object]
[object Object]
[object Object],[object Object]
Hematologic Disorders Causing Massive Splenomegaly ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

Obstructive jaundice
Obstructive jaundiceObstructive jaundice
Obstructive jaundiceSilah Aysha
 
Clinical examination of spleen
Clinical examination of spleenClinical examination of spleen
Clinical examination of spleenJibran Mohsin
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitissanyal1981
 
Systemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaSystemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaPraveen Nagula
 
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementSpleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementAravind Endamu
 
Paraneoplastic syndromes
Paraneoplastic syndromesParaneoplastic syndromes
Paraneoplastic syndromesSCGH ED CME
 
Budd chiari syndrome
Budd chiari syndromeBudd chiari syndrome
Budd chiari syndromeJino Justin
 
Sigmoid volvulus/ Generalised abdominal pain
Sigmoid volvulus/  Generalised abdominal painSigmoid volvulus/  Generalised abdominal pain
Sigmoid volvulus/ Generalised abdominal painSelvaraj Balasubramani
 
3.clinical diagnosis & investigation in a case of thyroid swelling
3.clinical diagnosis & investigation in a case of thyroid swelling3.clinical diagnosis & investigation in a case of thyroid swelling
3.clinical diagnosis & investigation in a case of thyroid swellingArkaprovo Roy
 
Hypersplenism ;its surgical management
 Hypersplenism ;its surgical management    Hypersplenism ;its surgical management
Hypersplenism ;its surgical management devrajpatel5
 

What's hot (20)

Obstructive jaundice
Obstructive jaundiceObstructive jaundice
Obstructive jaundice
 
Chronic cholecystitis
Chronic cholecystitisChronic cholecystitis
Chronic cholecystitis
 
Sarcoidosis
SarcoidosisSarcoidosis
Sarcoidosis
 
Gall stone disease
Gall stone diseaseGall stone disease
Gall stone disease
 
Abdiminal tuberculosis
Abdiminal tuberculosisAbdiminal tuberculosis
Abdiminal tuberculosis
 
Goitre
GoitreGoitre
Goitre
 
Clinical examination of spleen
Clinical examination of spleenClinical examination of spleen
Clinical examination of spleen
 
Trop spl syndr
Trop spl syndrTrop spl syndr
Trop spl syndr
 
Acute appendicitis
Acute appendicitisAcute appendicitis
Acute appendicitis
 
Systemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaSystemic sclerosis..scleroderma
Systemic sclerosis..scleroderma
 
Reye’s syndrome
Reye’s syndromeReye’s syndrome
Reye’s syndrome
 
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical managementSpleenomegaly & hypersplenism etiology pathogenesis and surgical management
Spleenomegaly & hypersplenism etiology pathogenesis and surgical management
 
Paraneoplastic syndromes
Paraneoplastic syndromesParaneoplastic syndromes
Paraneoplastic syndromes
 
Henoch scholein purpura
Henoch scholein purpuraHenoch scholein purpura
Henoch scholein purpura
 
Budd chiari syndrome
Budd chiari syndromeBudd chiari syndrome
Budd chiari syndrome
 
Sigmoid volvulus/ Generalised abdominal pain
Sigmoid volvulus/  Generalised abdominal painSigmoid volvulus/  Generalised abdominal pain
Sigmoid volvulus/ Generalised abdominal pain
 
Chronic pancreatitis
Chronic pancreatitisChronic pancreatitis
Chronic pancreatitis
 
Dermoid cyst
Dermoid cystDermoid cyst
Dermoid cyst
 
3.clinical diagnosis & investigation in a case of thyroid swelling
3.clinical diagnosis & investigation in a case of thyroid swelling3.clinical diagnosis & investigation in a case of thyroid swelling
3.clinical diagnosis & investigation in a case of thyroid swelling
 
Hypersplenism ;its surgical management
 Hypersplenism ;its surgical management    Hypersplenism ;its surgical management
Hypersplenism ;its surgical management
 

Viewers also liked

Complications of malaria
Complications of malariaComplications of malaria
Complications of malariaChandan N
 
Cerebral malaria by tarapatla
 Cerebral malaria by tarapatla Cerebral malaria by tarapatla
Cerebral malaria by tarapatlasandeep5697
 
Cerebral malaria lec
Cerebral malaria  lecCerebral malaria  lec
Cerebral malaria lecShakeel Ahmed
 
Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malariamoses owiti
 
Malaria - Complications (Severe Malaria)
Malaria - Complications (Severe Malaria)Malaria - Complications (Severe Malaria)
Malaria - Complications (Severe Malaria)Brij Bhushan
 
Malaria life cycle, clinical features and management
Malaria life cycle, clinical features and managementMalaria life cycle, clinical features and management
Malaria life cycle, clinical features and managementAmar Patil
 
Cerebral malaria
Cerebral  malariaCerebral  malaria
Cerebral malariasankalpgmc8
 

Viewers also liked (12)

Complications of malaria
Complications of malariaComplications of malaria
Complications of malaria
 
Malaria clinical features
Malaria clinical featuresMalaria clinical features
Malaria clinical features
 
14 malaria
14  malaria14  malaria
14 malaria
 
Cerebral malaria by tarapatla
 Cerebral malaria by tarapatla Cerebral malaria by tarapatla
Cerebral malaria by tarapatla
 
Cerebral malaria lec
Cerebral malaria  lecCerebral malaria  lec
Cerebral malaria lec
 
Cerebral malaria
Cerebral malariaCerebral malaria
Cerebral malaria
 
Malaria - Complications (Severe Malaria)
Malaria - Complications (Severe Malaria)Malaria - Complications (Severe Malaria)
Malaria - Complications (Severe Malaria)
 
Cerebral Malaria
Cerebral Malaria Cerebral Malaria
Cerebral Malaria
 
Malaria life cycle, clinical features and management
Malaria life cycle, clinical features and managementMalaria life cycle, clinical features and management
Malaria life cycle, clinical features and management
 
Cerebral malaria
Cerebral  malariaCerebral  malaria
Cerebral malaria
 
3 Malaria Clinical Features
3 Malaria Clinical Features3 Malaria Clinical Features
3 Malaria Clinical Features
 
Malária
MaláriaMalária
Malária
 

Similar to Massive Splenomegaly By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associate Professor Medicine

Similar to Massive Splenomegaly By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associate Professor Medicine (20)

Leishmanisis.
Leishmanisis.Leishmanisis.
Leishmanisis.
 
Leprosy & syphilis
Leprosy & syphilisLeprosy & syphilis
Leprosy & syphilis
 
Cutaneous Antrax & Its Mimics
Cutaneous Antrax & Its MimicsCutaneous Antrax & Its Mimics
Cutaneous Antrax & Its Mimics
 
PATHOLOGY OF UPPER RESPIRARTORY
PATHOLOGY OF UPPER RESPIRARTORY PATHOLOGY OF UPPER RESPIRARTORY
PATHOLOGY OF UPPER RESPIRARTORY
 
Bacterial infection
Bacterial infectionBacterial infection
Bacterial infection
 
Presentation1.pptx
Presentation1.pptxPresentation1.pptx
Presentation1.pptx
 
Lab 8 leishmaniasis
Lab 8  leishmaniasisLab 8  leishmaniasis
Lab 8 leishmaniasis
 
indian.ppt
indian.pptindian.ppt
indian.ppt
 
Leishmaniasis
Leishmaniasis Leishmaniasis
Leishmaniasis
 
Leprosy & Syphilis
Leprosy & SyphilisLeprosy & Syphilis
Leprosy & Syphilis
 
Cutaneous tuberculosis final ppt
Cutaneous tuberculosis final pptCutaneous tuberculosis final ppt
Cutaneous tuberculosis final ppt
 
Leishmaniasis.ppt
Leishmaniasis.pptLeishmaniasis.ppt
Leishmaniasis.ppt
 
Medical Parasythology _Leishmaniasis.ppt
Medical Parasythology _Leishmaniasis.pptMedical Parasythology _Leishmaniasis.ppt
Medical Parasythology _Leishmaniasis.ppt
 
Leishmaniasis (2).ppt
Leishmaniasis (2).pptLeishmaniasis (2).ppt
Leishmaniasis (2).ppt
 
Scribd doc
Scribd docScribd doc
Scribd doc
 
Scribd doc
Scribd docScribd doc
Scribd doc
 
Leishmania
LeishmaniaLeishmania
Leishmania
 
Cervical mases DDx and Radio-imaging by B.H.A.A Malik
Cervical mases DDx and Radio-imaging by  B.H.A.A MalikCervical mases DDx and Radio-imaging by  B.H.A.A Malik
Cervical mases DDx and Radio-imaging by B.H.A.A Malik
 
FILARIASIS.ppt
FILARIASIS.pptFILARIASIS.ppt
FILARIASIS.ppt
 
HCM 124 lecture 6.pptx
HCM 124 lecture 6.pptxHCM 124 lecture 6.pptx
HCM 124 lecture 6.pptx
 

More from Prof Dr Bashir Ahmed Dar

Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirLocalization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirLocalization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore KashmirHemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIR
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIRHEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIR
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIRProf Dr Bashir Ahmed Dar
 
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore KashmirPorphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore KashmirPorphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore KashmirThalassemia by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore KashmirBell's Palsy by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore KashmirFacial paralysis by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...Prof Dr Bashir Ahmed Dar
 
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore KashmirResearch article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore KashmirResearch article on SLE by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...Prof Dr Bashir Ahmed Dar
 
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore Kashmir
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore KashmirA research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore Kashmir
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore KashmirProf Dr Bashir Ahmed Dar
 
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRHYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRProf Dr Bashir Ahmed Dar
 
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRHYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRProf Dr Bashir Ahmed Dar
 

More from Prof Dr Bashir Ahmed Dar (20)

Memories Dr bashir sopore kashmir
Memories Dr bashir sopore kashmirMemories Dr bashir sopore kashmir
Memories Dr bashir sopore kashmir
 
sopore kashmir dr
sopore kashmir drsopore kashmir dr
sopore kashmir dr
 
Photo album dr bashir sopore kashmir
Photo album dr bashir sopore kashmirPhoto album dr bashir sopore kashmir
Photo album dr bashir sopore kashmir
 
Prof dr bashir ahmed dar sopore kashmir
Prof dr bashir ahmed dar sopore kashmirProf dr bashir ahmed dar sopore kashmir
Prof dr bashir ahmed dar sopore kashmir
 
Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirLocalization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brainstem lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore KashmirLocalization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Localization of brain lesion by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore KashmirHemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Hemiplegia Part-1 By Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIR
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIRHEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIR
HEMIPLEGIA PART-1 BY PROF DR BASHIR AHMED DAR SOPORE KASHMIR
 
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore KashmirPorphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Easy Understanding By Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore KashmirPorphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore Kashmir
Porphyria Made Easy By Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore KashmirThalassemia by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Thalassemia by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore KashmirBell's Palsy by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Bell's Palsy by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore KashmirFacial paralysis by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Facial paralysis by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...
OBESITY AND WEIGHT LOSS SURGERY, HOW MUCH BENEFICIAL AND SAFE?BY DR MANZOOR A...
 
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore KashmirResearch article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on anti aging tool by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore KashmirResearch article on SLE by Prof Dr Bashir Ahmed Dar Sopore Kashmir
Research article on SLE by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...
Original Research work on Frontotemporal Dementia by Prof Dr Bashir Ahmed Dar...
 
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore Kashmir
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore KashmirA research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore Kashmir
A research article Fountain of Youth by Prof Dr Bashir Ahmed Dar Sopore Kashmir
 
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRHYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-2 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
 
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIRHYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
HYPERTHYROIDISM PART-1 BY DR BASHIR ASSOCIATE PROFESSOR MEDICINE SOPORE KASHMIR
 

Recently uploaded

Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfMedicoseAcademics
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Servicesonalikaur4
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Serviceparulsinha
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Bookingnarwatsonia7
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 

Recently uploaded (20)

Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment BookingCall Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
Call Girl Koramangala | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hsr Layout Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hebbal Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdfHemostasis Physiology and Clinical correlations by Dr Faiza.pdf
Hemostasis Physiology and Clinical correlations by Dr Faiza.pdf
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in green park  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in green park DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls ServiceCall Girls Thane Just Call 9910780858 Get High Class Call Girls Service
Call Girls Thane Just Call 9910780858 Get High Class Call Girls Service
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort ServiceCall Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
Call Girls Service In Shyam Nagar Whatsapp 8445551418 Independent Escort Service
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment BookingHousewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
Housewife Call Girls Hoskote | 7001305949 At Low Cost Cash Payment Booking
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jayanagar Just Call 7001305949 Top Class Call Girl Service Available
 

Massive Splenomegaly By Dr Bashir Ahmed Dar Chinkipora Sopore Kashmir Associate Professor Medicine