@renatoalbani: O cara parecia ser todo sério! KKKKKK

renatoalbani
renatoalbani
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Region: BR
Thursday 17 September 2026 23:00:00 GMT
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rafa_4084
rafa_40 :
nome!! 👌sai sangue kkkkkkkk
2026-09-18 16:57:05
28
maxchoferzim
Max ChoferziM :
Deve ser casado, e não queria ser filmado 🤣🤣🤣
2026-09-17 23:47:09
91
dr.klebinho_oficial
Doutor Klebinho :
Ku Shai Sang 😂😂😂
2026-09-18 10:25:18
14
mauroluciorosrio
Apache :
Cara, eu preciso ir ao seu show. Muito bom 😊
2026-09-19 00:02:46
6
geooliveira04
🇻 🇦 🇱 🇩 🇴  🇸 🇮 🇱 🇻 🇦 :
ku Xai xang 😂po faz isso não fica disfarçando no show kkkkk sério todo sério o vagabundo e mete esse nome lindo do nadão 😂😂😂
2026-09-18 10:56:41
9
gilmartallesrocha
Gilmar Talles Rocha :
sacanagem ele ja sabendo do meme
2026-09-18 01:31:49
28
eduardoaprigioo
Oficina 2tempos :
A risada mais verdadeira que teve foi dessa mulher 🤣🤣🤣🤣🤣
2026-09-19 01:22:11
3
thaisseba
Thais Seba :
Se tá saindo chang é de perder mesmo os sentidos e ficar sem saber onde está. [Risada aprovada][Risada aprovada][Risada aprovada][Risada aprovada][Risada aprovada]
2026-09-18 13:57:30
6
danielacalixto1978
🌹 Daniela Calixto 🌹 :
2026-09-18 09:19:22
5
fa.hi.n
Fábio h.n :
quando vc vai vir para Sorocaba?
2026-09-18 17:15:28
1
claudiosiqueira1343
Arquit♊️ČlauđŜiqueira🌈🦋Fibro :
2026-09-18 01:40:16
5
marcianajulia099
Marciana🇧🇷🥰 :
Eu preciso ir num show desses [Lágrimas de alegria][Lágrimas de alegria][Lágrimas de alegria][Lágrimas de alegria][Lágrimas de alegria]
2026-09-19 00:36:12
1
ricardoccosta83
Ricardo 🇧🇷 :
depois de uma semana vendo esse vídeo é que entendi o final kkkkk morri kkkk
2026-09-18 22:30:14
1
priscilasilva3959
Sila :
vem pra arapiraca AL quero ir no seu show ❤️❤️❤️🥰🥰🥰❤️❤️❤️🥰🥰🥰❤️❤️❤️
2026-09-17 23:03:58
1
tiago.sandi
Tiago :
😂😂
2026-09-17 23:10:46
3
brunomarques1394
BRUNO MARQUES ✌️😎 :
2026-09-17 23:44:51
2
douradolopes01
ronemdourado :
kkkk
2026-09-18 00:04:30
0
leandrorodrigues180586
Leandro Rodrigues :
😂
2026-09-18 04:06:33
1
leidiane.oliveira1
user04364966309 :
2026-09-19 00:45:38
0
mariiamadalena
Mariia Madalena :
Çocorro
2026-09-19 01:36:44
0
uiliamlimanews
Uiliam Lima | Notícia :
essa risada ai e fd kkkk
2026-09-19 12:32:23
0
jotta_vitin09
jotta :
Cosorro
2026-09-19 12:47:19
0
natalia_boechat_psi
Psicóloga Natália Boechat :
Ahahahaha adoro quando mandam um “reverso” 🤣🤣🤣🤣🤣🤣
2026-09-19 04:14:15
0
garimpododescontogo
Garimpo do Desconto GO :
2026-09-19 11:09:46
1
neide2551
Neide Sousa :
😂
2026-09-18 00:24:53
0
To see more videos from user @renatoalbani, please go to the Tikwm homepage.

Other Videos

APPROACH TO LEUKEMIA 🔬 When a patient presents with constitutional symptoms (fever, chills, night sweats, weight loss) + hepatosplenomegaly, always think: CBC + Peripheral Smear → Blasts on smear? Let’s break it down: ⸻ ⚡ Step 1: Lymphoid vs Myeloid Lineage? Use flow cytometry and morphology. 1️⃣ Lymphoid Leukemias: ➊ Acute Lymphoblastic Leukemia (ALL) → Bone marrow biopsy: >20% lymphoblasts → Assess for Philadelphia chromosome → ✅ If positive: Dasatinib/Nilotinib + HSCT → 🧪 Treat with Hyper-CVAD (multi-agent chemo) Textbook tip: Most common in children. Good prognosis with early treatment! ➋ Hairy Cell Leukemia → Seen with leukopenia, and “hairy” projections on smear → Treat with Cladribine Rare B-cell leukemia, often presents with splenomegaly and pancytopenia ➌ Chronic Lymphocytic Leukemia (CLL) → Mature lymphocytosis + smudge cells on smear → CD5/CD23+ B-cells confirmed by flow cytometry → Treat with Fludarabine + Chlorambucil Watchful waiting in asymptomatic patients is appropriate ⸻ 2️⃣ Myeloid Leukemias: ➊ Acute Myeloid Leukemia (AML) → Bone marrow biopsy: >20% myeloblasts → Treat with 7+3 (cytarabine + anthracycline), ± HSCT Classically seen in older adults. Auer rods on smear are hallmark! ➋ Acute Promyelocytic Leukemia (APL) → Atypical promyelocytes on smear → Treat with ATRA (All-Trans Retinoic Acid) → Medical emergency due to DIC risk Associated with t(15;17) translocation ➌ Chronic Myeloid Leukemia (CML) → WBC >100,000, granulocytes on smear → Confirm with Philadelphia chromosome (t(9;22)) via FISH → Treat with Tyrosine Kinase Inhibitors (Imatinib/Dasatinib) → If in blast crisis: Add HSCT Triphasic disease: chronic → accelerated → blast phase ⸻ 📌 High-Yield Notes: 	1.Always differentiate acute vs chronic by blast percentage 	2.Philadelphia chromosome is present in both CML and Ph+ ALL 	3.CLL is the most common leukemia in elderly adults 	4.AML is associated with benzene exposure and prior chemo ⸻ 🔗 Visit our website for high-yield medical notes and approaches: www.mediconotes.com #Hematology #FutureDoctor #Medicine #MedLife #Medicaleducation #MedEd #MedicalSchool #USMLE #PLAB #mrcp
APPROACH TO LEUKEMIA 🔬 When a patient presents with constitutional symptoms (fever, chills, night sweats, weight loss) + hepatosplenomegaly, always think: CBC + Peripheral Smear → Blasts on smear? Let’s break it down: ⸻ ⚡ Step 1: Lymphoid vs Myeloid Lineage? Use flow cytometry and morphology. 1️⃣ Lymphoid Leukemias: ➊ Acute Lymphoblastic Leukemia (ALL) → Bone marrow biopsy: >20% lymphoblasts → Assess for Philadelphia chromosome → ✅ If positive: Dasatinib/Nilotinib + HSCT → 🧪 Treat with Hyper-CVAD (multi-agent chemo) Textbook tip: Most common in children. Good prognosis with early treatment! ➋ Hairy Cell Leukemia → Seen with leukopenia, and “hairy” projections on smear → Treat with Cladribine Rare B-cell leukemia, often presents with splenomegaly and pancytopenia ➌ Chronic Lymphocytic Leukemia (CLL) → Mature lymphocytosis + smudge cells on smear → CD5/CD23+ B-cells confirmed by flow cytometry → Treat with Fludarabine + Chlorambucil Watchful waiting in asymptomatic patients is appropriate ⸻ 2️⃣ Myeloid Leukemias: ➊ Acute Myeloid Leukemia (AML) → Bone marrow biopsy: >20% myeloblasts → Treat with 7+3 (cytarabine + anthracycline), ± HSCT Classically seen in older adults. Auer rods on smear are hallmark! ➋ Acute Promyelocytic Leukemia (APL) → Atypical promyelocytes on smear → Treat with ATRA (All-Trans Retinoic Acid) → Medical emergency due to DIC risk Associated with t(15;17) translocation ➌ Chronic Myeloid Leukemia (CML) → WBC >100,000, granulocytes on smear → Confirm with Philadelphia chromosome (t(9;22)) via FISH → Treat with Tyrosine Kinase Inhibitors (Imatinib/Dasatinib) → If in blast crisis: Add HSCT Triphasic disease: chronic → accelerated → blast phase ⸻ 📌 High-Yield Notes: 1.Always differentiate acute vs chronic by blast percentage 2.Philadelphia chromosome is present in both CML and Ph+ ALL 3.CLL is the most common leukemia in elderly adults 4.AML is associated with benzene exposure and prior chemo ⸻ 🔗 Visit our website for high-yield medical notes and approaches: www.mediconotes.com #Hematology #FutureDoctor #Medicine #MedLife #Medicaleducation #MedEd #MedicalSchool #USMLE #PLAB #mrcp

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