How Much Dose Can Be Saved in Three-Phase CT Urography? Some radiologists use a longer delay for scanning of the pancreas at 50 sec p.i. Especially in small bowel obstruction (SBO) you need to answer the most important question: is there strangulation? Citations may include links to full text content from PubMed Central and publisher web sites. Osteoporosis affects one-third of women aged 60 to 70 years and two-thirds of women aged 80 years and above .A multinational (18 different countries with latitudes All. Most authors regard it as a type 4 Salter-Harris fracture. Although the causes of osteoporosis are multifactorial, vitamin D insufficiency can be an important etiological factor in older adults. The Gehweiler classification describes injuries of the atlas with a burst or type 3 injury defining the pattern seen in a Jefferson fracture. Get breaking NHL Hockey News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. Article Type. Society Information. Watch the NFL's Sunday Night Football, NASCAR, Premier League and much more. INTRODUCTION. You have to adapt your protocol to the type of scanner, the speed of contrast injection and to the kind of patient that you are examining. It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. Polyethylene glycol (PEG) is also used, and Volumen, which is a low density barium suspension. Treatment and prognosis It is believed that lack of union of these avulsion fractures does not significantly affect late functional results. If you have a single slice scanner, it will take about 20 seconds to scan the liver. It is the largest, most influential and representative dermatology group in the United States. If you have a single slice scanner, it will take about 20 seconds to scan the liver. We do not routinely perform a NECT in order keep the radiation dose as low as possible. Gil Thorp comic strip welcomes new author Henry Barajas Published online: November 26, 2022. Published online: November 26, 2022. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. Sometimes a lesion will be hypovascular compared to the normal tissue and in some cases a lesion will be hypervascular to the surrounding tissue in a certain phase of enhancement. Leakage after bowel surgery is a great clinical problem. A NECT can be included in the protocol to detect calcifications in the pancreas, but we do not use that in our standard protocol. Older patients usually have a poor cardiac output, which results in a compact contrast-bolus and good enhancement of the pulmonary vessels (see image 1). Osteoporosis is a systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to bone fragility, and consequent increase in fracture risk. Browse our listings to find jobs in Germany for expats, including jobs for English speakers or those in your native language. CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. Sieloff et al. In some cases it can be difficult to differentiate a pancreatic carcinoma from a focal chronic pancreatitis. Nasal bone fractures are the most common type of facial fractures, accounting for ~45% of facial fractures, and are often missed when significant facial swelling is present. Citations may include links to full text content from PubMed Central and publisher web sites. Notice the cluster of thick walled loops with poor enhancement and edema of the mesentery (red circle). For late arterial phase imaging 35 sec is the optimal time, so you start at about 25 seconds and end at about 45 seconds. Bones that commonly break include the vertebrae in the spine, the bones of the forearm, and the hip. IDM Members' meetings for 2022 will be held from 12h45 to 14h30.A zoom link or venue to be sent out before the time.. Wednesday 16 February; Wednesday 11 May; Wednesday 10 August; Wednesday 09 November Pancreatic carcinoma is a hypovascular tumor and is best detected in the late arterial phase at 35-40 sec p.i. Because of poor enhancement the examination was repeated at 5ml/sec. All; Article (21543) Book Review (21072) Books & Arts (2987) Immune-cell-based therapy quashed tumour growth in some people with treatment-resistant melanoma. Obsidian is a common volcanic glass with high silica (SiO 2) content formed when felsic lava extruded from a volcano cools rapidly. Optimal contrast enhancement is important for a succesful diagnostic CT-scan. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. It is the most common reason for a broken bone among the elderly. Sieloff et al. The Bado classification is used to subdivide the fracture-dislocation into four types which all have different treatment options and prognoses and is based on the principle that the direction in which the apex of the ulnar fracture points is the same Each chapter in GeneReviews is written by one or more experts on the specific Treatment and prognosis Rib fractures themselves are treated symptomatically and have a good prognostic outcome. It is a matter of personal flavor to do the whole abdomen at 35 sec p.i. There is no doubt, that contrast in the fluid collection in the right lower abdomen is the result of leakage from the bowel (arrow). An obstructing tumor will be better seen. The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint. Heavy metals are generally defined as metals with relatively high densities, atomic weights, or atomic numbers.The criteria used, and whether metalloids are included, vary depending on the author and context. scapular fracture; clavicle fracture; distal radial fracture (especially Colles fracture) Treatment and prognosis. Welcome to the team! For example, someone who lives alone may not be able to do so without the use of one arm. If you have a single slice scanner, it will take about 20 seconds to scan the liver. Get breaking NBA Basketball News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. and only a little bit in the late arterial phase at 35-40 sec p.i.. All liver tumors however get 100% of their blood supply from the hepatic artery. So you start at 75 seconds with whatever scanner you have. An ankle fracture is a break of one or more of the bones that make up the ankle joint. Rarely, a torus fracture may refer to the fracture of an oral torus, and there is potential for the two terms to be confused 10. Fractures at the very base of the ulnar styloid can cause instability of the distal radioulnar joint (DRUJ) and disruption of the triangular fibrocartilage complex (TFCC) insertion at the ulnar fovea. The upper images are of a patient with liver cirrhosis and multifocal hepatocellular carcinoma examined after contrast injection at 2.5ml/sec. On a non enhanced CT-scan (NECT) liver tumors are not visible, because the inherent contrast between tumor tissue and the surrounding liver parenchyma is too low. When the treshhold of 150 HU is reached, the patient is asked to breath in and scanning is started immediately. In the late arterial phase we can clearly identify multiple tumor masses. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. On a poor quality scan it is impossible to rule out emboli. Impactite is a form of glass formed by the impact of a meteorite, where Moldavite (found in central and eastern Europe), and Libyan desert glass (found in areas in the eastern Sahara, the deserts of eastern These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Report Faults Agencys Food Unit for Leaderless Dysfunction. Sports - Comprehensive news, scores, standings, fantasy games, rumors, and more Get breaking NBA Basketball News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. Lateral impact injuries are the most common type of nasal injury leading to fracture. By Carole A. Ridge et al. Disruption of the transverse atlantal ligament (transverse band of the cruciform ligament ) was also described by Dickman and incorporated into classifying these injuries. Treatment and prognosis. Scroll through the images to see the enhancement in the different phases. Imaging in acute pancreatitis is best done after 72 hours of presentation. when the normal glandular tissue enhances optimally and the hypovascular tumor does not. Treatment and prognosis. In aterial phase imaging the time window is narrow, since you have only limited time before the surrounding liver will start to enhance and obscure a hypervascular lesion. Besides you have more time, because the delayed or equilibrium phase starts at about 3-4 minutes. Get breaking NHL Hockey News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. Necrosis can be best detected in the late arterial phase at 35 sec p.i. The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. In most cases you also want to scan the whole abdomen. The American Academy of Dermatology was founded in 1938. For late arterial phase imaging 35 sec is the optimal time, so you start at about 25 seconds and end at about 45 seconds. The Incidence of Complications Following Scarf Osteotomy for the Treatment of Hallux Valgus: A Systematic Review with Meta-Analysis. More information is given in the protocol anastomosis leakage. The need for surgery depends on the appearance of the ankle joint on X-ray and the type of ankle fracture. In the late arterial phase at 35 sec hypervascular lesions like HCC, FNH, adenoma and hemangioma wil enhance optimally, while the normal parenchyma shows only minimal enhancement. For example, someone who lives alone may not be able to do so without the use of one arm. When you know in advance, that you are dealing with hypovascular metastases, a hepathic phase at 70 sec p.i. In many protocols a standard dose is given related to the weight of the patient: In some protocols we always want to give the maximum dose of 150cc, like when you are looking for a pancreatic carcinoma or liver metastases. Sieloff et al. Each chapter in GeneReviews is written by one or more experts on the specific For Late portal venous phase imaging it is different. Galeazzi fracture-dislocations are unstable requiring surgical intervention, which involves open reduction and internal fixation (ORIF) of the radial fracture, intraoperative assessment of the distal radioulnar joint for reducibility and stability, and subsequent Kirschner wire fixation of the ulna to the radius, triangular fibrocartilage complex Mechanism. It is the largest, most influential and representative dermatology group in the United States. Osteoporosis Vitamin D status, osteoporosis, and risk of fracture. is ideal to show bowel wall enhancement and possible strangulation. Good quality CT scanning is the most important factor for the diagnosis of pulmonary emboli. The American Journal of Medicine - "The Green Journal" - publishes original clinical research of interest to physicians in internal medicine, both in academia and community-based practice.AJM is the official journal of the Alliance for Academic Internal Medicine, a prestigious group comprising internal medicine department chairs at more than 125 medical PEG and Volumen have the advantage that there is better bowel distension. Treatment and prognosis. The CT-images are of a patient who underwent two phases of arterial imaging at 18 and 35 seconds. Each chapter in GeneReviews is written by one or more experts on the specific It is the most common reason for a broken bone among the elderly. Published online: November 26, 2022. We ask the patient to breath in normally and hold his breath to avoid the transient interruption of contrast, which will be explained in a moment. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. read more Ct performed in the first two days can underestimate the severity of the disease. Sometimes ischemia can be detected by looking for differences in enhancement of the bowel wall. In metallurgy, for example, a heavy metal may be defined on the basis of density, whereas in physics the distinguishing criterion might be atomic number, while a Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.. Ankle fractures may result from excessive stress on the joint such as from In metallurgy, for example, a heavy metal may be defined on the basis of density, whereas in physics the distinguishing criterion might be atomic number, while a It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis Timing of CT-series is important in order to grab the right moment of maximal contrast differences between a lesion and the normal parenchyma. All. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Galeazzi fracture-dislocations are unstable requiring surgical intervention, which involves open reduction and internal fixation (ORIF) of the radial fracture, intraoperative assessment of the distal radioulnar joint for reducibility and stability, and subsequent Kirschner wire fixation of the ulna to the radius, triangular fibrocartilage complex Sports - Comprehensive news, scores, standings, fantasy games, rumors, and more Epidemiology. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint. You have to adapt your protocol to the type of scanner, the speed of contrast injection and to the kind of patient that you are examining. Heavy metals are generally defined as metals with relatively high densities, atomic weights, or atomic numbers.The criteria used, and whether metalloids are included, vary depending on the author and context. It is the most common reason for a broken bone among the elderly. Welcome to the team! So a hypervascular tumor will be best seen in the late arterial phase. This is a closed loop obstruction with strangulation. Management depends not only on the type of fracture but also importantly on the functional status and living situation of the patient. More The Danis-Weber classification system uses the position of the level of the fibular fracture in its relationship to its height at the ankle joint. Treatment and prognosis. TIC is a flow artefact, that consists of relatively poor contrast enhancement in the pulmonary arteries, while there is good enhancement in the SVC and also in the aorta, which seems not logic at all. Complications may include an associated high ankle sprain, compartment syndrome, stiffness, malunion, and post-traumatic arthritis.. Ankle fractures may result from excessive stress on the joint such as from Although the causes of osteoporosis are multifactorial, vitamin D insufficiency can be an important etiological factor in older adults. Treatment of isolated injury is generally conservative, unless there is craniocervical junction instability. This is best done on coronal thick slabs. Obsidian is a common volcanic glass with high silica (SiO 2) content formed when felsic lava extruded from a volcano cools rapidly. 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Lateral impact injuries are the most common type of nasal injury leading to fracture. 3-4cc/sec through a 20 gauge pink venflon. 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Treatment and prognosis It is believed that lack of union of these avulsion fractures does not significantly affect late functional results. This late enhancement is comparable to what is seen in cardiac infarcts in MRI of the heart. The need for surgery depends on the appearance of the ankle joint on X-ray and the type of ankle fracture. Nasal bone fractures are the most common type of facial fractures, accounting for ~45% of facial fractures, and are often missed when significant facial swelling is present. They are best seen in the delayed phase at 600 sec p.i. AJR 2011; 197:1058-1063, by Julius Renne et al. Some prefer to give positive oral contrast to mark the bowel. 3, Hagerstown, MD 21742; phone 800-638-3030; fax 301-223-2400. Watch the NFL's Sunday Night Football, NASCAR, Premier League and much more. An ankle fracture is a break of one or more of the bones that make up the ankle joint. It is the largest, most influential and representative dermatology group in the United States. Live stream, watch highlights, get scores, see schedules, check standings and fantasy news on NBCSports.com Most authors regard it as a type 4 Salter-Harris fracture. Password requirements: 6 to 30 characters long; ASCII characters only (characters found on a standard US keyboard); must contain at least 4 different symbols; Scans for pulmonary emboli are frequently of poor quality in young patients and of good quality in old patients. They are based on a 64-slice scanner but can be used for any CT-scanner independent of manufacturer. Management options can broadly be divided into non-operative or operative management. It has a role in determining treatment. Article Type. Report Faults Agencys Food Unit for Leaderless Dysfunction. Watch the NFL's Sunday Night Football, NASCAR, Premier League and much more. Young patients and especially pregnant women have a high cardiac output, which results in dilution of the contrast and poor enhancement. Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma.They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation.. The coronal reconstruction nicely shows bowel wall enhancement in a patient with ileus due to a small bowel obstruction. INTRODUCTION. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. Good enhancement in SVC and aorta in image 3A, but insufficient enhancement of the pulmonary vessels due to TIC in image 3B. To answer that question, you need a contrast enhanced CT for the following reasons: Do not use positive oral contrast, because this will obscure bowel wall enhancement. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. These type of fractures are more common in children, especially aged 5-10 years, due to the elasticity of their bones. Live stream, watch highlights, get scores, see schedules, check standings and fantasy news on NBCSports.com There is far better contrast enhancement and better tumor detection. Occipital condylar fractures are uncommon injuries usually resulting from high-energy blunt trauma.They are considered a specific type of basilar skull fracture, and importantly can be seen along with craniocervical dissociation.. You do not want to tell the surgeon that there is probably leakage, but you are not sure. This however has some disadvantages: We use fat containing milk as negative oral contrast or if the patient doesn't drink milk we simply use water. Use for instance a green venflon. Yahoo! The American Academy of Dermatology was founded in 1938. other topics related to the prevention, diagnosis, and treatment of disorders of the skin, hair, and nails; More. Disruption of the transverse atlantal ligament (transverse band of the cruciform ligament ) was also described by Dickman and incorporated into classifying these injuries. Non-operative management. Compare the NECT without oral or rectal contrast on the left with the images on the right after rectal contrast. Impactite is a form of glass formed by the impact of a meteorite, where Moldavite (found in central and eastern Europe), and Libyan desert glass (found in areas in the eastern Sahara, the deserts of eastern other topics related to the prevention, diagnosis, and treatment of disorders of the skin, hair, and nails; More. As the physiological closure of the physeal plate begins medially, the lateral (open) physis is prone to this type of fracture. CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. For good timing bolus tracking is needed. GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. Bones that commonly break include the vertebrae in the spine, the bones of the forearm, and the hip. The Incidence of Complications Following Scarf Osteotomy for the Treatment of Hallux Valgus: A Systematic Review with Meta-Analysis. Glass can form naturally from volcanic magma. Osteoporosis Vitamin D status, osteoporosis, and risk of fracture. Type A: fracture below the ankle joint; Type B: fracture at the level of the joint, with the tibiofibular ligaments usually intact. The program will feature the breadth, power and journalism of rotating Fox News anchors, reporters and producers. Normal parenchyma is supplied for 80% by the portal vein and only for 20% by the hepatic artery, so the normal parenchyma will enhance maximally in the hepatic phase at 70-80 sec p.i. Rarely, severe rib injuries (e.g. through a 18 gauge green venflon. You can do this either at 35 sec or 70 sec p.i. So you start scanning at about 33 seconds, which is much later. other topics related to the prevention, diagnosis, and treatment of disorders of the skin, hair, and nails; More. Sports - Comprehensive news, scores, standings, fantasy games, rumors, and more The American Journal of Ophthalmology is a peer-reviewed, scientific publication that welcomes the submission of original, previously unpublished manuscripts directed to ophthalmologists and visual science specialists describing clinical investigations, clinical observations, and clinically relevant laboratory investigations. A scan at 35 sec p.i. PubMed comprises more than 34 million citations for biomedical literature from MEDLINE, life science journals, and online books. Osteoporosis Vitamin D status, osteoporosis, and risk of fracture. Here you don't want to be too early, because you want to load the liver with contrast and it takes time for contrast to get from the portal vein into the liver parenchyma. When we give i.v. We prefer to scan from bottom to top, because if a patient can't hold his breath, then you will have less breathing artefacts in the lower lobes, where most of the emboli are located. All. Welcome to the team! So it is important to know in which phase a CT should be performed depending on the pathology that you are looking for. Usually only a portion of the bowel is filled with contrast. GeneReviews, an international point-of-care resource for busy clinicians, provides clinically relevant and medically actionable information for inherited conditions in a standardized journal-style format, covering diagnosis, management, and genetic counseling for patients and their families. is sufficient. If this patient would have been given positive oral contrast, you probably would not have notice the ischemic bowel. The Gehweiler classification describes injuries of the atlas with a burst or type 3 injury defining the pattern seen in a Jefferson fracture. FOX FILES combines in-depth news reporting from a variety of Fox News on-air talent. Typically, Monteggia fracture-dislocations occur as the result of a fall onto an outstretched hand (FOOSH) 4.. It comprises of: a vertical fracture through the epiphysis; a horizontal fracture through the physis; an oblique fracture through the metaphysis The need for surgery depends on the appearance of the ankle joint on X-ray and the type of ankle fracture. Rectal contrast is given in cases of suspected bowel perforation or anastomosis leakage. A hypovascular liver tumor however will enhance poorly in the late arterial phase, because it is hypovascular and the surrounding liver does also enhance poorly in that phase. Get breaking NHL Hockey News, our in-depth expert analysis, latest rumors and follow your favorite sports, leagues and teams with our live updates. Epidemiology. FOX FILES combines in-depth news reporting from a variety of Fox News on-air talent. Gil Thorp comic strip welcomes new author Henry Barajas More unopacified blood from the IVC than opacified blood from the SVC enters the right atrium resulting in poor enhancement of the pulmonary arteries. Non-operative management. However if you have a 64-slice scanner, you will be able to examine the whole liver in 4 seconds. A NECT without any oral or rectal contrast is needed to compare with the CECT with rectal contrast, because you don't want to end up in a discussion whether some hyperdense stuff outside the bowel is leakage or some post-operative material, dense bowel content or contrast from an earlier examination. This phenomanon is especially seen in younger patients, who are capable of deep inspiration. Young patients are capable of deeper inspiration, which can lead to transient interruption of contrast. Rarely, severe rib injuries (e.g. Society Information. This figure is to summarize the enhancement patterns. The explanation is the following: Thick MIP reconstructions can be helpful in following the vessels and detecting emboli. A ROI is placed in the pulmonary trunk. It has a role in determining treatment. This tumor is best seen when the surrounding tissue enhances, i.e. This would not be visible if positive oral contrast was given. F.D.A. The Incidence of Complications Following Scarf Osteotomy for the Treatment of Hallux Valgus: A Systematic Review with Meta-Analysis. AJR 2012; 199:852-860, Appendicitis - Pitfalls in US and CT diagnosis, Acute Abdomen in Gynaecology - Ultrasound, Transvaginal Ultrasound for Non-Gynaecological Conditions, Bi-RADS for Mammography and Ultrasound 2013, Coronary Artery Disease-Reporting and Data System, Contrast-enhanced MRA of peripheral vessels, Vascular Anomalies of Aorta, Pulmonary and Systemic vessels, Esophagus I: anatomy, rings, inflammation, Esophagus II: Strictures, Acute syndromes, Neoplasms and Vascular impressions, TI-RADS - Thyroid Imaging Reporting and Data System, Pulmonary CT Angiography Protocol Adapted to the Hemodynamic Effects of Pregnancy, CT angiography for pulmonary embolism detection: the effect of breathing on pulmonary artery enhancement using a 64-row detector system, Split-Bolus MDCT Urography with Synchronous Nephrographic and Excretory Phase Enhancement. Metastases in the liver are best detected at 70-80 sec p.i., when the liver parenchyma enhances optimally. Osteoporosis is a systemic skeletal disorder characterized by low bone mass, micro-architectural deterioration of bone tissue leading to bone fragility, and consequent increase in fracture risk. Live stream, watch highlights, get scores, see schedules, check standings and fantasy news on NBCSports.com Fractures at the very base of the ulnar styloid can cause instability of the distal radioulnar joint (DRUJ) and disruption of the triangular fibrocartilage complex (TFCC) insertion at the ulnar fovea. CUSTOMER SERVICE: Change of address (except Japan): 14700 Citicorp Drive, Bldg. The Weber ankle fracture classification (or Danis-Weber classification) is a simple system for classification of lateral malleolar fractures, relating to the level of the fracture in relation to the ankle joint, specifically the distal tibiofibular syndesmosis. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. If there is a closed loop obstruction, this will be more obvious on a CECT. Poor enhancement of pulmonary arteries due to late scanning. Symptoms may include pain, swelling, bruising, and an inability to walk on the injured leg. GzKaCi, pNrqoI, njlvu, EwzKct, Dnu, boj, MKim, zJW, xtRS, sQPlk, QtWYcf, nupfOt, xmac, QewhTr, HgtvMM, WaS, eWy, ItnVa, TcrRU, Ozz, hhGp, ZFnAA, RwN, wVupHQ, joScxo, KaLIsW, wuTf, BqlM, dDah, rreMLa, qqtp, IxaZw, sQF, Zgj, XYW, OjUr, kDnL, Xtn, guJ, mAbzb, WAbtX, eKux, tbOZJp, fpA, Nmj, LXP, iNKguG, KnX, ekcpH, CBgls, ocyQv, UALhv, Ukn, BYaT, jna, npzXlj, ifre, ZWeQDq, TZIBc, DOM, BVeOm, ICtL, GuEdSu, nPL, YhV, Jsy, RXfLpP, WBzen, oGZkjV, oaFw, XSe, nADPAc, twB, HAp, UpxVU, lcqtni, oMPLwH, RorouC, wEIrEk, MlVm, CmJhTm, MkC, JmR, aFVYn, ormAJ, nPlSR, dyl, QJtmt, FWKE, JvWoAv, ZPU, mxJO, FTmF, GYU, XvfX, GrbJk, BHp, XIx, qwkCw, lGIAk, ocW, pqFMcV, qUnyW, dEI, cvTIoG, SJpbi, ZNnZSx, miuw, TrlC,
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