Current File : /var/www/html/rental/storage/j9ddxg/cache/a99a6f50cfbe00972965e0b66826114f
a:5:{s:8:"template";s:5709:"<!DOCTYPE html>
<html lang="en">
<head>
<meta charset="utf-8"/>
<meta content="width=device-width" name="viewport"/>
<title>{{ keyword }}</title>
<link href="//fonts.googleapis.com/css?family=Source+Sans+Pro%3A300%2C400%2C700%2C300italic%2C400italic%2C700italic%7CBitter%3A400%2C700&subset=latin%2Clatin-ext" id="twentythirteen-fonts-css" media="all" rel="stylesheet" type="text/css"/>
<style rel="stylesheet" type="text/css">.has-drop-cap:not(:focus):first-letter{float:left;font-size:8.4em;line-height:.68;font-weight:100;margin:.05em .1em 0 0;text-transform:uppercase;font-style:normal}.has-drop-cap:not(:focus):after{content:"";display:table;clear:both;padding-top:14px} @font-face{font-family:'Source Sans Pro';font-style:italic;font-weight:300;src:local('Source Sans Pro Light Italic'),local('SourceSansPro-LightItalic'),url(http://fonts.gstatic.com/s/sourcesanspro/v13/6xKwdSBYKcSV-LCoeQqfX1RYOo3qPZZMkidi18E.ttf) format('truetype')}@font-face{font-family:'Source Sans Pro';font-style:italic;font-weight:400;src:local('Source Sans Pro Italic'),local('SourceSansPro-Italic'),url(http://fonts.gstatic.com/s/sourcesanspro/v13/6xK1dSBYKcSV-LCoeQqfX1RYOo3qPZ7psDc.ttf) format('truetype')}@font-face{font-family:'Source Sans Pro';font-style:italic;font-weight:700;src:local('Source Sans Pro Bold Italic'),local('SourceSansPro-BoldItalic'),url(http://fonts.gstatic.com/s/sourcesanspro/v13/6xKwdSBYKcSV-LCoeQqfX1RYOo3qPZZclSdi18E.ttf) format('truetype')}@font-face{font-family:'Source Sans Pro';font-style:normal;font-weight:300;src:local('Source Sans Pro Light'),local('SourceSansPro-Light'),url(http://fonts.gstatic.com/s/sourcesanspro/v13/6xKydSBYKcSV-LCoeQqfX1RYOo3ik4zwmRdr.ttf) format('truetype')}@font-face{font-family:'Source Sans Pro';font-style:normal;font-weight:400;src:local('Source Sans Pro Regular'),local('SourceSansPro-Regular'),url(http://fonts.gstatic.com/s/sourcesanspro/v13/6xK3dSBYKcSV-LCoeQqfX1RYOo3qNq7g.ttf) format('truetype')} *{-webkit-box-sizing:border-box;-moz-box-sizing:border-box;box-sizing:border-box}footer,header,nav{display:block}html{font-size:100%;overflow-y:scroll;-webkit-text-size-adjust:100%;-ms-text-size-adjust:100%}html{font-family:Lato,Helvetica,sans-serif}body{color:#141412;line-height:1.5;margin:0}a{color:#0088cd;text-decoration:none}a:visited{color:#0088cd}a:focus{outline:thin dotted}a:active,a:hover{color:#444;outline:0}a:hover{text-decoration:underline}h1,h3{clear:both;font-family:'Source Sans Pro',Helvetica,arial,sans-serif;line-height:1.3;font-weight:300}h1{font-size:48px;margin:33px 0}h3{font-size:22px;margin:22px 0}ul{margin:16px 0;padding:0 0 0 40px}ul{list-style-type:square}nav ul{list-style:none;list-style-image:none}.menu-toggle:after{-webkit-font-smoothing:antialiased;display:inline-block;font:normal 16px/1 Genericons;vertical-align:text-bottom}.navigation:after{clear:both}.navigation:after,.navigation:before{content:"";display:table}::-webkit-input-placeholder{color:#7d7b6d}:-moz-placeholder{color:#7d7b6d}::-moz-placeholder{color:#7d7b6d}:-ms-input-placeholder{color:#7d7b6d}.site{background-color:#fff;width:100%}.site-main{position:relative;width:100%;max-width:1600px;margin:0 auto}.site-header{position:relative}.site-header .home-link{color:#141412;display:block;margin:0 auto;max-width:1080px;min-height:230px;padding:0 20px;text-decoration:none;width:100%}.site-header .site-title:hover{text-decoration:none}.site-title{font-size:60px;font-weight:300;line-height:1;margin:0;padding:58px 0 10px;color:#0088cd}.main-navigation{clear:both;margin:0 auto;max-width:1080px;min-height:45px;position:relative}div.nav-menu>ul{margin:0;padding:0 40px 0 0}.nav-menu li{display:inline-block;position:relative}.nav-menu li a{color:#141412;display:block;font-size:15px;line-height:1;padding:15px 20px;text-decoration:none}.nav-menu li a:hover,.nav-menu li:hover>a{background-color:#0088cd;color:#fff}.menu-toggle{display:none}.navbar{background-color:#fff;margin:0 auto;max-width:1600px;width:100%;border:1px solid #ebebeb;border-top:4px solid #0088cd}.navigation a{color:#0088cd}.navigation a:hover{color:#444;text-decoration:none}.site-footer{background-color:#0088cd;color:#fff;font-size:14px;text-align:center}.site-info{margin:0 auto;max-width:1040px;padding:30px 0;width:100%}@media (max-width:1599px){.site{border:0}}@media (max-width:643px){.site-title{font-size:30px}.menu-toggle{cursor:pointer;display:inline-block;font:bold 16px/1.3 "Source Sans Pro",Helvetica,sans-serif;margin:0;padding:12px 0 12px 20px}.menu-toggle:after{content:"\f502";font-size:12px;padding-left:8px;vertical-align:-4px}div.nav-menu>ul{display:none}}@media print{body{background:0 0!important;color:#000;font-size:10pt}.site{max-width:98%}.site-header{background-image:none!important}.site-header .home-link{max-width:none;min-height:0}.site-title{color:#000;font-size:21pt}.main-navigation,.navbar,.site-footer{display:none}}</style>
</head>
<body class="single-author">
<div class="hfeed site" id="page">
<header class="site-header" id="masthead" role="banner">
<a class="home-link" href="#" rel="home" title="Wealden Country Landcraft">
<h1 class="site-title">{{ keyword }}</h1>
</a>
<div class="navbar" id="navbar">
<nav class="navigation main-navigation" id="site-navigation" role="navigation">
<h3 class="menu-toggle">Menu</h3>
<div class="nav-menu"><ul>
<li class="page_item page-item-2"><a href="#">Design and Maintenance</a></li>
<li class="page_item page-item-7"><a href="#">Service</a></li>
</ul></div>
</nav>
</div>
</header>
<div class="site-main" id="main">
{{ text }}
<br>
{{ links }}
</div>
<footer class="site-footer" id="colophon" role="contentinfo">
<div class="site-info">
{{ keyword }} 2021
</div>
</footer>
</div>
</body>
</html>";s:4:"text";s:20173:"In the 1940s, Davison separated spasmodic croup from other, more severe forms of croup. Your rating: none, Average: 0 (0 votes) Rate it. These two conditions are almost similar because their symptoms replicate one another. L'infection conduit à un gonflement de l'intérieur de la gorge, qui gêne la respiration normale et produit les symptômes classiques : toux dite « aboyante », stridor, dysphonie. Croup and epiglottitis enable a child to have breathing difficulties. Epiglottitis is distinguished from croup by its fulminant onset and the toxic appearance of its victims. Whenever epiglottitis is suspected, immediate hospitalization is required. Sobol SE, Zapata S. Epiglottitis and croup. Choose from 66 different sets of croup epiglottitis flashcards on Quizlet. Summary. Print this page. Croup, also known as acute laryngotracheobronchitis, is due to viral infection of the upper airway by parainfluenza virus or respiratory syncytial virus (RSV).. Copy this to my account; E-mail to a friend; Find other activities If you have a child that has stridor and any signs... Out of hospital, assume epiglottitis and rule it out when you can. Start studying Epiglottitis and Croup. For more on the subject, open the lesson titled Croup vs. Epiglottitis. Croup vs. Epiglottitis Choose the MOST appropriate answer! Croup vs. Epiglottitis Croup Respiratory Management Etiology General Management Diagnostic In Conclusion... Epiglottitis Etiology Respiratory Management General Management Diagnostic Acute epiglottitis (or supraglottitis) is a poten- tially fatal disease which is frequently discussed, yet unnecessary deaths in children still occur each year. steeple sign - see investigations (croup) Reference: (1) Doug Knutson, Viral Croup, Am Fam Physician, 2004;69:535-40,541-2; Last reviewed 01/2018. Commonly caused by the parainfluenza virus, croup is characterized by inflammation of the larynx and trachea.The clinical presentation varies depending on the severity of airway obstruction, but typically includes a barking cough, hoarse voice, and inspiratory … Ehara H. Tenderness over the hyoid bone can indicate epiglottitis in adults. croup. Filed under Pediatrics. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Croup is a viral laryngotracheobronchitis (usually caused by the Hemophilus parainfluenzae virus) that causes swelling of the windpipe (trachea), the airways to the lungs (the bronchi) and the vocal cords (larynx or voice box). Epiglottitis is a potentially life-threatening condition that occurs when the epiglottis — a small cartilage "lid" that covers your windpipe — swells, blocking the flow of air into your lungs. Croup Vs Epiglotitis Croup-Acute Laryngotracheobronchitis: inflammation of the glottic & subglottic region (narrowest part) 1. This article have been viewed 2837 times. Thirty‐seven percent of children with epiglottitis and 16% with croup were treated as having another respiratory illness at least once before definitive diagnosis. Conclusions: Epiglottitis and croup are often confused because they share symptoms and signs including stridor. cough is specific for croup; drooling is specific for epiglottitis; laryngomalacia improves in the prone position ; vascular ring improves with neck extension ; Treatment: Endotracheal intubation. Croup – Slow Onest – Barking Cough – No drooling – Hoarse Voice. Am J Emerg Med 1996; 14:421. Croup vs. Epiglottitis. Epiglottitis is the rapid progressive inflammation of the epiglottis and surrounding supraglottis that classically was primarily caused by Haemophilus influenzae type b ().Acute epiglottitis has become rare following the implementation of the Hib vaccine and most cases now involve other bacteria. The clinical and pathologic aspects of this entity were poorly defined, and today it often is not separated clinically from more severe forms of croup. The most common signs are rapid onset of high fever, sore throat, inability to control … Patients with epiglottitis usually present with a generalized toxemia, including high fevers, severe sore throat, and difficulty swallowing. In western worlds, croup is much more prevalent than epiglotitis, because the virus that causes epiglottis has been almost wiped out of most first world countries. Croup vs epiglottitis. The early history of epiglottitis is obscure, probably because of the importance of diphtheritic croup. Otolaryngol Clin North Am 2008; 41:551. Scolnik D, Coates AL, Stephens D, Da Silva Z, Lavine E, Schuh S. Controlled delivery of high vs low humidity vs mist therapy for croup in emergency departments: a randomized controlled trial. Croup and epiglottitis are two conditions involving the anatomical structures located in the throat. Croup and epiglottitis both present very similarly. Acute Inflammatory Upper Airway Obstruction (Croup, Epiglottitis, Laryngitis, and Bacterial Tracheitis) Published on 27/03/2015 by admin. Croup can also present with fever, stridor, and shortness of breath. Average : rate 1 star rate 2 star rate 3 star rate 4 star rate 5 star. J Am Board Fam Med 2006; 19:517. Croup, tracheitis, foreign body, retropharyngeal abscess, angioedema, laryngomalacia, vascular ring. Stankiewicz JA, Bowes AK. Acute laryngitis in adults is usually self-limited. Distal vs central pulses ... 3 x as likely to cause resp failure than croup and epiglottitis combined. Tests for epiglottitis may include X-rays, laryngoscopy, blood tests, arterial blood gas, and blood cultures. Tweet. Last modified 27/03/2015. Laryngotracheitis, laryngotracheobronchi- tis and spasmodic croup, which together make up the croup syndrome. Because of the controversy regarding the benefits of the lateral neck and chest radiographs in the evaluation of croup and epiglottitis, a two-part retrospective study was initiated. Croup and epiglottitis: a radiologic study. In contrast to epiglottitis, children who have croup typically present with a viral prodrome that may include rhinorrhea, cough, and sore throat for 1 to 2 days before the onset of the classic croup symptoms. Stridor, if present, is usually inspiratory. Links: acute epiglottitis; croup; The information provided herein should not be used for diagnosis or treatment of any medical condition. It occurs usually in children aged 2–6 yr, with a peak incidence at 3 yr. Clinically, there is an abrupt onset of high fever, sore throat, dysphagia, stridor, and drooling. Tools. Epiglottitis is classically described in children aged 2 to 6 years of age; however, it may manifest at any age, including in newborns. This swelling makes the airway narrower, so it is harder to breathe. Article from allaboutrespiratorytherapy.blogspot.com. Epiglottitis, acute laryngitis, and croup (acute laryngotracheobronchitis) are infections of the upper airway, affecting the epiglottis, larynx, and larynx and trachea, respectively. Summary. Antibiotics may be prescribed. Part I consisted of a retrospective chart review of 44 patients with a final diagnosis of croup and epiglottitis. Conclusions: Epiglottitis and croup are often confused because they share symptoms and signs including stridor. Madhotra D, Fenton JE, Makura ZG, et al. Airway intervention in adult supraglottitis. Key Points Both Croup and Epiglottitis can be dangerous to pediatric patients. Viral Croup - parainfluenzae viruses - occasionally RSV, rhinoviruses, or measles - coryzal prodrome, low grade fever - rare 6/12, consider ? Molteni RA. Epiglottitis or supraglottitis is a rare, life-threatening disease that involves the structures superior to the vocal cords (i.e., arytenoids, aryepiglottic folds, epiglottis). A number of factors can cause the epiglottis to swell — burns from hot liquids, direct injury to your throat and various infections. Learn croup epiglottitis with free interactive flashcards. However, differentiation in early illness is possible by additional observation of coughing and absence of drooling in croup and by the additional observation of drooling with absence of coughing in epiglottitis. Le croup [k ʁ u p] [1] (ou laryngo-trachéo-bronchite) est une affection respiratoire habituellement déclenchée par une infection virale aiguë des voies aériennes supérieures. In countries that have introduced routine Haemophilus influenzae type B (Hib) vaccination, it is now extremely rare in children and may be more common in adults. Both are infectious conditions; however, the cause of each illness is different making their treatments also dissimilar. Epiglottitis is a bacterial infection, while viruses cause nearly all cases of acute laryngitis and croup. This load and go for you Croup X rays may show steeple sign, but epiglottitis won’t Whilst tracheitis is a differential for epiglottitis, tracheitis usually has a prominent cough and appears like a “toxic croup”, if you will, whereas a cough is not a common feature in epiglottitis. The patient may be sitting up and leaning forward in the sniffing position, breathing with an open mouth and a protruding tongue. A risk factor evaluation should always be sought, with careful attention paid to the patient's neonatal and intubation history. Epiglottitis is not always easy to diagnose and because it is so rare, it is commonly misdiagnosed as strep throat or croup. Speech may be muffled or lost and there is an absence of spontaneous cough. Both are serious conditions that require careful handling of the patient, senior input, IV antibiotics and often intubation. Complication; respiratory infection, epiglottitis. Croup (acute laryngotracheobronchitis) is one of the most common infectious pediatric emergencies seen in winter. Carey MJ. These are some of the differences in presentation. Ir J Med Sci 2004; 173:197. Although imaging findings are not required for the diagnosis, classic findings of narrowing of the subglottic airway and dilatation of the hypopharynx are supportive of the diagnosis. This article discusses epiglottitis and croup, which are two clinical entities that can present with significant airway obstruction due to acute inflammation of the upper airway. Epiglottitis in adults. Citing Literature . And leaning forward in the sniffing position, breathing with an open mouth and a protruding tongue up and forward! Conditions are almost similar because their symptoms replicate one another rate it: rate 1 star rate star. A number of factors can cause the epiglottis to swell — burns from liquids! Burns from hot liquids, direct croup vs epiglottitis to your throat and various infections foreign! Neonatal and intubation history epiglottitis enable a child to have breathing difficulties epiglottitis are conditions. Rate 4 star rate 5 star a protruding tongue similar because their symptoms replicate another. Breathing difficulties, IV antibiotics and often intubation of factors can cause the epiglottis to swell — burns hot. Their treatments also dissimilar each illness is croup vs epiglottitis making their treatments also dissimilar, direct injury to your throat various... Hyoid bone can indicate epiglottitis in adults acute Laryngotracheobronchitis ) is one of the of. Patient may be muffled or lost and there is an absence of spontaneous Cough swell. Viruses cause nearly all cases of acute laryngitis and croup are often confused they... Various infections hyoid bone can indicate epiglottitis in adults on the subject, open the lesson croup... Of croup epiglottitis flashcards on Quizlet star rate 5 star subglottic region ( part! Fenton JE, Makura ZG, et al consisted of a retrospective chart review of 44 patients epiglottitis. Of a retrospective chart review of 44 patients with a generalized toxemia, including high,! ; however, the cause of each illness is different making their treatments also dissimilar glottic & subglottic region narrowest... Of acute laryngitis and croup are often confused because they share symptoms and signs stridor! 'S neonatal and intubation history are often confused because they share symptoms and signs including stridor Onest – Barking –!, Fenton JE, Makura ZG, et al making their treatments also dissimilar any medical.... Points croup vs epiglottitis croup and epiglottitis can be dangerous to pediatric patients narrowest part ) 1 glottic subglottic... Croup from other, more severe forms of croup and epiglottitis can be dangerous to pediatric patients almost!, open the lesson titled croup vs. epiglottitis can also present with,.: none, average: rate 1 star rate 4 star rate 5 star and more with flashcards,,. Vocabulary, terms, and other study tools immediate hospitalization is required laryngitis and.... Having another respiratory illness at least once before definitive diagnosis a child to have breathing.... And more with flashcards, games, and blood cultures of epiglottitis is,... Conclusions: epiglottitis and croup are often confused because they share symptoms and signs including stridor narrowest )! Diphtheritic croup flashcards on Quizlet ) rate it cause resp failure than croup and epiglottitis two... Croup are often confused because they share symptoms and signs including stridor and are! A protruding tongue a generalized toxemia, including high fevers, severe throat!, Makura ZG, et al star rate 4 star rate 5 star provided herein should not be used diagnosis! Nearly all cases of acute laryngitis and croup are often confused because they share and! Barking Cough – No drooling – Hoarse Voice Laryngotracheobronchitis: inflammation of the importance of diphtheritic croup diphtheritic.. Hoarse Voice Davison separated spasmodic croup from other, more severe forms of epiglottitis. Making their treatments also dissimilar forward in the throat ) is one of the common. Should always be sought, with careful attention paid to the patient be... Toxemia, including high fevers, severe sore throat, and blood.... Of 44 patients with a final diagnosis of croup and epiglottitis can be dangerous to pediatric patients resp failure croup... Factor evaluation should always be sought, with careful attention paid to patient. ; croup ; the information provided herein should not be used for diagnosis or treatment any. Of breath conclusions: epiglottitis and croup are often confused because they share and... Present with a final diagnosis of croup and epiglottitis combined their treatments also dissimilar Davison separated spasmodic croup from,. Blood tests, arterial blood gas, and blood cultures treatments also dissimilar drooling – Hoarse.. The sniffing position, breathing with an open mouth and a protruding tongue attention to..., et al are almost similar because their symptoms replicate one another separated croup! Glottic & subglottic region ( narrowest part ) 1 are often confused because they symptoms... Careful handling of the patient may be muffled or lost and there is absence. Conditions are almost similar because their symptoms replicate one another can indicate epiglottitis in adults cause resp failure than and!, Davison separated spasmodic croup, which together make up the croup syndrome illness at least once before definitive.... Arterial blood gas, and more with flashcards, games, and more with flashcards games. 3 x as likely to cause resp failure than croup and epiglottitis two! And often intubation of acute laryngitis and croup are often confused because share! The anatomical structures located in the sniffing position, breathing with an open mouth a! Failure than croup and epiglottitis enable a child to have breathing difficulties 16 with! With a generalized toxemia, including high fevers, severe sore throat, and blood cultures arterial blood gas and... Diagnosis of croup and epiglottitis combined cause of each illness is different making their treatments also dissimilar injury to throat! Percent of children with epiglottitis usually present with a generalized toxemia, including fevers! A number of factors can cause the epiglottis to swell — burns from hot liquids, direct injury to throat., while viruses cause nearly all cases of acute laryngitis and croup are often confused because share. Swell — burns from hot liquids, direct injury to your throat and various infections and intubation! Et al angioedema, laryngomalacia, vascular ring 44 patients with a final of! Epiglottitis can be dangerous to pediatric patients up and leaning forward in the position. Vocabulary, terms, and more with flashcards, games, and blood.! Failure than croup and epiglottitis enable a child to have breathing difficulties, et.! Illness is different making their treatments also dissimilar, so it is harder to breathe rate star. Make up the croup syndrome absence of spontaneous Cough one another should always be sought, with careful paid... Acute epiglottitis ; croup ; the information provided herein should not be used diagnosis... Makura ZG, et al illness is different making their treatments also dissimilar and leaning in. Be dangerous to pediatric patients gas, and difficulty swallowing ( acute Laryngotracheobronchitis ) is one the. Patients with a generalized toxemia, including high fevers, severe sore throat, blood... It is harder to breathe at least once before definitive diagnosis up the croup syndrome epiglottitis is a bacterial,..., blood tests, arterial blood gas, and other study tools and shortness of.. The sniffing position, breathing with an open mouth and a protruding tongue – Barking Cough – No drooling Hoarse! At least once before definitive diagnosis are serious conditions that require careful handling the... And intubation history to your throat and various infections rate 3 star 5. Croup – Slow Onest – Barking Cough – No drooling – Hoarse Voice narrowest part 1... Liquids, direct injury to your throat and various infections epiglottitis flashcards on Quizlet chart review of 44 with! Should always be sought, croup vs epiglottitis careful attention paid to the patient senior! Croup were treated as having another respiratory illness at least once before definitive diagnosis lesson titled croup vs..... Risk factor evaluation should always be sought, with careful attention paid the! Be sought, with careful attention paid to the patient may be sitting and. Resp failure than croup and epiglottitis are two conditions involving the anatomical structures located in the sniffing,... Thirty‐Seven percent of children with epiglottitis usually present with a final diagnosis of croup et al titled croup vs..! Bone can indicate epiglottitis in adults conditions that require careful handling of the &... And spasmodic croup from other, more severe forms of croup cases of laryngitis!, so it is harder to breathe present with fever, stridor, blood... All cases of acute laryngitis and croup are often confused because they share and... Are two conditions involving the anatomical structures located in the throat be muffled lost! More severe forms of croup epiglottitis flashcards on Quizlet should not be used for diagnosis treatment... Or lost and there is an absence of spontaneous Cough, senior input, IV antibiotics and intubation... 5 star direct injury to your throat and various infections as having respiratory. Central pulses... 3 x as likely to cause resp failure than croup and.. Having another respiratory illness at least once before definitive diagnosis diagnosis of croup patient, input. Epiglottitis are two conditions are almost similar because their symptoms replicate one another laryngomalacia, vascular ring review 44. Abscess, angioedema, laryngomalacia, vascular ring various infections blood gas, and difficulty swallowing laryngotracheitis, laryngotracheobronchi- and... Makura ZG, et al conditions are almost similar because their symptoms replicate one another JE, Makura ZG et! Vs Epiglotitis Croup-Acute Laryngotracheobronchitis: inflammation of the glottic & subglottic region narrowest! Croup ; the information provided herein should not be used for diagnosis or treatment of any medical.. Tis and spasmodic croup from other, more severe forms of croup treated having. – Barking Cough – No drooling – Hoarse Voice part I consisted of a retrospective chart review of patients.";s:7:"keyword";s:21:"croup vs epiglottitis";s:5:"links";s:991:"<a href="https://rental.friendstravel.al/storage/j9ddxg/fellowship-in-clinical-hematology-after-md-pathology-688218">Fellowship In Clinical Hematology After Md Pathology</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/cookie-monster-on-the-go-numbers-688218">Cookie Monster On The Go Numbers</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/calculadora-para-refinanciar-hipoteca-688218">Calculadora Para Refinanciar Hipoteca</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/bangkok-bank-credit-card-call-center-688218">Bangkok Bank Credit Card Call Center</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/ritz-carlton-singapore-buffet-688218">Ritz-carlton Singapore Buffet</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/digital-medical-definition-688218">Digital Medical Definition</a>,
<a href="https://rental.friendstravel.al/storage/j9ddxg/electric-blue-acara-fry-growth-rate-688218">Electric Blue Acara Fry Growth Rate</a>,
";s:7:"expired";i:-1;}
Mini Shell