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@bek_mebel_906554422: ##ameriak🇺🇸 #izroil🇮🇱uzbekistan

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Region: UZ
Wednesday 10 May 2023 13:55:05 GMT
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user7599684602995
АЛЬХАМДУЛИЛЛАХ :
А ХАМЕШАМ МАЙДАЧА ЗУР ДАМ ГИФСАС 🥰🥰🥰
2023-05-14 14:57:02
1
jasururazov2
Jasur_776_J :
Ино чанпул ака
2023-05-10 18:26:23
0
user3020534761616
user3020534761616 :
качелетон чанд пул
2023-05-12 07:46:12
0
milinka.l
милинка :
хамин чан нархаш
2023-05-22 14:18:05
0
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Anh em có phát hiện bài hát người con gái PaKô con cháu Bác Hồ không nhỉ #beatnetwork #hellovietnam
Anh em có phát hiện bài hát người con gái PaKô con cháu Bác Hồ không nhỉ #beatnetwork #hellovietnam
🔒Remember MORE groin lump causes! ✅ Get updated when the answer is released by commenting! 🔒 Follow me Dr Matt Barrett @dr_mattbarrett to study medicine smarter! —— ⚠️ Spoiler alert: Indirect inguinal hernia 🔒 Mass in the groin that enlarged with coughing/valsava? Think inguinal hernia We can’t be sure what this patient is doing to enlarge their lump, but it’s most likely coughing or straining. 🔥 Where are we? ✅ just above the underwear line above the groin Whats our top differentials for an expanding groin lump? ✅ Inguinal hernia ☑️ femoral hernia - but these happen 💡 lateral and below the public tubercle! 🔥 Is it direct or indirect? 💡 Direct hernia - directly protrude though the weakness in the abdo wall (Hesselbachs triangle) and into the Inguinal canal (involves superficial Ring only) 💡 Indirect hernia - squeeze though the deep ring of the inguinal canal and exit via the superficial ring ✅ We’d need a clinical exam to tell. If you occlude the deep ring and it still occluded, it’s a direct hernia! #doctor #nurse #mbbs #medico #osce #medicalquiz #medstudent
🔒Remember MORE groin lump causes! ✅ Get updated when the answer is released by commenting! 🔒 Follow me Dr Matt Barrett @dr_mattbarrett to study medicine smarter! —— ⚠️ Spoiler alert: Indirect inguinal hernia 🔒 Mass in the groin that enlarged with coughing/valsava? Think inguinal hernia We can’t be sure what this patient is doing to enlarge their lump, but it’s most likely coughing or straining. 🔥 Where are we? ✅ just above the underwear line above the groin Whats our top differentials for an expanding groin lump? ✅ Inguinal hernia ☑️ femoral hernia - but these happen 💡 lateral and below the public tubercle! 🔥 Is it direct or indirect? 💡 Direct hernia - directly protrude though the weakness in the abdo wall (Hesselbachs triangle) and into the Inguinal canal (involves superficial Ring only) 💡 Indirect hernia - squeeze though the deep ring of the inguinal canal and exit via the superficial ring ✅ We’d need a clinical exam to tell. If you occlude the deep ring and it still occluded, it’s a direct hernia! #doctor #nurse #mbbs #medico #osce #medicalquiz #medstudent
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Makanan enak tapi lebih sehat dan nutrisi oke. Di Grainsly kamu bisa menikmati menu high protein yang enak, mengenyangkan, dan tetap lebih sehat untuk aktivitas sehari-hari. Bikin nagih karena gampang ga pake mikir, cocok buat aktivitas padet. #Grainsly #GrainslyDaily #HighProtein #Mukbang #Makananenak dks6ms6x
Makanan enak tapi lebih sehat dan nutrisi oke. Di Grainsly kamu bisa menikmati menu high protein yang enak, mengenyangkan, dan tetap lebih sehat untuk aktivitas sehari-hari. Bikin nagih karena gampang ga pake mikir, cocok buat aktivitas padet. #Grainsly #GrainslyDaily #HighProtein #Mukbang #Makananenak dks6ms6x

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