chronic bronchitis usmle

Complications Chronic Bronchitis Pneumonia Bronchopneumonia Bronchiecstasis 21 22. Pneumonia or pulmonary inflammation is an acute or chronic inflammation of lung tissue. Bronchitis can be described as being either acute bronchitis or chronic bronchitis. Chronic bronchitis is a type of COPD (chronic obstructive pulmonary disease). Hyperparathyroidism 2. Standard Medications Bronchodilator : Theophylline Corticosteroides inhaled : Beclomethasone Corticosteroides systemic : Prednisolone … 2011 Mar 24;364(12):1093-1103. Today he is CEO of Indus Intellect, whose goal it is to spread medical knowledge across the globe. Q4. Professor Jeremy Brown is a clinician scientist with an interest in respiratory infection. Multiple factors are responsible: Smoking. 1. chronic bronchitis 2. croup 3. bronchial asthma 4. barbiturates 5. lung athelectasis 6. pulmonary edema 7. amiodoron 8. Progression to COPD; Cor pulmonale and heart failure; Squamous metaplasia of the respiratory epithelium of airways that can act as precursor lesions of the pulmonary carcinomas. But do you know the "new" Goljan? PLAN 22 23. 0 2. Chronic bronchitis is long-term inflammation of the breathing tubes (bronchi). 100 % 0 % Videos. The other main type of COPD is emphysema. Phone Service Update. Treatment – Antibiotic treatment is not useful in treating simple chronic bronchitis. Chronic bronchitis Productive cough for at least 3 months , 2 consecutive years Causes : smoking , cystic fibrosis Hypersecretion of mucus occurs in bronchus and its subdivision. This article will prepare you perfectly well for your next exam! Tested Concept, (M2.PL.15.6) and National Board of Medical Examiners (NBME®). Chronic irritation caused by smoking promotes hyperplasia of mucus glands and increases the production of mucus. This course covers everything you need to know about Chronic Bronchitis. Tested Concept, Decreased FEV1, Decreased FEV1/FVC ratio, Increased TLC, Decreased DLCO, Decreased FEV1, Decreased FEV1/FVC ratio, Increased TLC, Normal DLCO, Decreased FEV1, Normal FEV1/FVC, Decreased TLC, Decreased DLCO, Decreased FEV1, Increased FEV1/FVC ratio, Decreased TLC, Normal DLCO, Normal FEV1, Normal FEV1/FVC, Normal TLC, Normal DLCO, Type in at least one full word to see suggestions list, N Engl J Med. What is chronic bronchitis? Bronchitis is an inflammation of the lining of your bronchial tubes, which carry air to and from your lungs. In more than 90% of cases, it is caused by a virus. His cough is productive of copious amounts of green-tinged sputum and is associated with some mild chest pain. (M2.PL.15.2) “Chocolate cysts”: Endometriosis (frequently involves both ovaries) 26. NCLEX®, NCLEX-RN®, and NCLEX-PN® are registered trademarks of Objective evidence of chronic rhinosinusitis may be obtained on physical examination (anteri… The diagnosis is made on the basis of clinical symptoms. Various inhaled irritants can trigger inflammation of the walls of the bronchi giving rise to numerous pathological changes. Chronic Bronchitis. Which of the following sets of results would be expected on pulmonary function testing in this patient? People who have bronchitis often cough up thickened mucus, which can be discolored. Asthma: allergy (episodic attacks) causes wheeze, cough (esp at night) and SOB, dx with methacholine test, tx with albuterol (acute) and advair (maintenance). chronic bronchitis (cough+sputum) and emphysema (barrel chest) due to smoking, exertional dyspnea, morning headache, hypoxia; smoker with exertional dyspnea (hypoxia), chronic bronchitis (long time cough with sputum), morning headache (CO2 buildup at night) bronchitis (cough, sputum), wheeze+rhonchi (mucus), tripod, accessory muscle usage, emphysema/barrel chest; FEV1/FVC↓, (TLC, … We are experiencing extremely high call volume related to COVID-19 vaccine interest. This month’s stumper. He smoked a pack of cigarettes a day for 40 years, but stopped several months ago. 0. chronic obstructive pulmonary disease (COPD), early classifications distinguished chronic bronchitis and emphysema, no longer distinguished but helpful to separate for pathophysiologic understanding and clinical management, productive cough for > 3 months of the year for 2 consecutive years, chronic irritation promotes hyperplasia of mucus gland cells, mucus hypersecretion, cilia damage, and infiltration of neutrophils and CD8+ T cells, end-expiratory wheezing and/or prolonged expiration, right ventricular hypertrophy with signs of right heart failure, increased bronchial markings (due to mucus), decreased FEV1 / FVC (< 0.7) that is incompletely reversible, Acute Respiratory Distress Syndrome (ARDS), Allergic Bronchopulmonary Aspergillosis (ABPA), used to categorize severity based on Global initiative for chronic Obstructive Lung Disease (GOLD), normal or increased total lung capacity (TLC), roughly normal DLCO (vs. decreased DLCO in emphysema), DLCO = diffusing capacity of the lungs for carbon monoxide, may cause increased hemoglobin/polycythemia, obstructive pattern on PFTs are reversible after administration of inhaled bronchodilator, computed tomography (CT) is gold standard for diagnosis, large internal bronchial diameter, thickened bronchial wall, and altered airway geometry, step-wise depending on GOLD classification of disease severity, short-acting inhaled beta-agonist (e.g., albuterol) as needed, short-acting inhaled anticholinergic (e.g., ipratropium) as needed, most patients will present in more advanced stages, inhaled corticosteroid + long-acting anticholinergic + long-acting beta-agonist, PDE inhibitor and adenosine receptor blocker, indicated for severe and refractory disease, may be beneficial in severe cases refractory to medical management, alveolar hypoventilation and hypoxia cause pulmonary vasoconstriction, if severe can cause eventual right heart failure. To relieve Cough 23 24. Tiotropium versus salmeterol for the prevention of exacerbations of COPD. Physical exam is significant for bilateral end-expiratory wheezes, a blue tint to the patient's lips and mucous membranes of the mouth, and a barrel chest. Most people with COPD have both emphysema and chronic bronchitis, but how severe each type is can be different from person to person. 0. Dr Jeremy make it very simple and very clear for the students. Chronic bronchitis is different from acute bronchitis in that it involves a cough that lasts for at least 3 months, 2 years in a row. A 68-year-old, overweight gentleman with a 20-pack-year history of smoking presents to the primary care physician after noticing multiple blood-stained tissues after coughing attacks in the last month. A chest radiograph is obtained. He completed his PhD in molecular microbiology in 1999 and obtained a prestigious Welcome Advanced Research Fellowship for further scientific training at the University of Adelaide. Chronic rhinosinusitis is an inflammatory disease of the paranasal sinuses that occurs in 1% to 5% of the U.S. population. Chronic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that is defined as a productive cough of more than 3 months occurring within a span of 2 years. Review Topic. “Fat, female, forty, and fertile”: Acute cholecystitis 27. He states that over the last 5 years his cough has continued to worsen and has never truly improved. These terms are still widely used to describe patient findings and found as subclasses of … Mar 2, 2014 - This Pin was discovered by Gabrielle Saucier. Vitals are within normal limits. He studied medicine in London, graduating with honors, and continued his postgraduate medical training in a variety of London hospitals. It is common among smokers. USMLE® Step 1 style questions USMLE. Chronic irritation caused by smoking promotes hyperplasia of mucus glands and increases the production of mucus. [PMID]21428765[/PMID]. Complications of Chronic Bronchitis. COPD is a chronic pulmonary disease characterized by persistent respiratory symptoms and airflow limitation (postbronchodilator FEV 1 /FVC 0.70), which is caused by a mixture of small airway obstruction and parenchymal destruction [1] COPD was formerly subdivided into chronic bronchitis and emphysema. Acute Bronchitis. None of the trademark holders are Causes include infection with bacteria, viruses, or fungi. 15 questions . Start Save to Queue. He denies any subjective fever, acid reflux, and has not had his influenza vaccination. His vital signs are within normal limits except for an O2 saturation of 93% on room air. USMLE™ is a joint program of the Federation of State Medical Boards (FSMB®) endorsed by nor affiliated with Lecturio. He states that he often gets bronchitis and thinks he is coming down with a case of it now. His research is mainly focused on respiratory complications of haematological disease and stem cell transplantation. Expand All | Collapse All. Epithelial cells lining the airway response to toxic, infectious stimuli by releasing inflammatory mediators such as interleukin 8, colony stimulating factor and other pro-inflammatory cytokines.There is also an associated decrease in the release of regulatory substances such as angiotensin-converting enzyme and neutral endopeptidase.The alveolar epithelium … COPD is a group of lung diseases that make it hard to breathe and get worse over time. – Purulent sputum. His name is Carlo Raj and he is currently following his mentor's footsteps by presenting you pathology as you have never experienced before. 100 % 0 % Evidence. “Blue bloater”: Chronic bronchitis 24. It lasts up to 3 weeks. She denies any fevers, reporting only occasional shortness of breath and a persistent cough where she frequently expectorates thick, white sputum. 0 6. They also have episodes of acute bronchitis, when symptoms are worse. Irreversible fibrosis might occur in chronically inflammed bronchi and bronchioles. Chronic rhinosinusitis is defined by the presence of at least two out of four cardinal symptoms (i.e., facial pain/pressure, hyposmia/anosmia, nasal drainage, and nasal obstruction) for at least 12 consecutive weeks, in addition to objective evidence. Progressive airflow limitation occurs, associated with an abnormal inflammatory response of the lungs that is not completely reversible. your own Pins on Pinterest It is defined as “presence of cough with sputum, not attributable to other causes, on most of the days of at least 3 consecutive months for 2 successive years”. MCAT is a registered trademark of the Association N/A. Vital signs are as follows: T 37.1 C, HR 88, BP 136/88, RR 18, O2 sat 94% on room air. Patients typically present with chronic productive cough, malaise, and symptoms of excessive coughing such as chest or abdominal pain. 0. Question: 10 A 56-year-old alcoholic man, who has had chronic bronchitis for the past 10 years, presents with increasing cough. 0. Moises Dominguez 0 % Topic. A patient with an acute exacerbation of chronic bronchitis presents with: – Onset or increase of dyspnoea. Chris Battista 0 % Topic. Central and peripheral airways are involved in the pathophysiology of the disease and it includes inflammation, oxidative stress, inhibited repair processes, and an … This activity reviews the evaluation and management of chronic bronchitis and … His educational and scientific experience enables him to teach students and professionals about respiratory medicine. In this patient, what is the most likely cause of his hemoptysis? Posted by by DR.Paul February 22, 2017 November 21, 2020 chronic bronchitis.Antibiotics chronic obstructive lung disease COPD Diagnosis Dr. OzShow Florence “SeeSee” Rigney How Antibiotics Kill Bacteria Intravenous Devices IV cannulas IV gauges Medical topics Medical Videos oldest working nurse oldest working nurse in america Video Acute bronchitis usually follows an upper RTI and presents with cough, sometimes in combination with sputum, runny nose, chest pain, headache, and malaise. the National Council of State Boards of Nursing, Inc (NCSBN®). He has had a chronic productive cough for the past 5 years, with occasional dyspnea and wheezing. chronic obstructive pulmonary disease (COPD) is defined as persistent airflow limitation due to mixture of small airway disease and parenchymal destruction early classifications distinguished chronic bronchitis and emphysema no longer distinguished but helpful to separate for pathophysiologic understanding and clinical management Animated Mnemonics (Picmonic): https://www.picmonic.com/viphookup/medicosis/ - With Picmonic, get your life back by studying less and remembering more. If you are viewing this on the new Reddit layout, please take some time and look at our wiki (/r/step1/wiki) as it has a lot of valuable information regarding advice and approaches on taking Step 1, along with analytical statistics of study resources. NR 507 Week 4 Midterm Solutions Question: A 10 year old male is stung by a bee while playing in the yard. It can affect people of all ages, but mostly happens in children under the age of 5. Raise your test scores with the support of high quality videos today! Q5. Causes, risk factors, and treatment options are … By Jerry J. on 08. You probably know MD Edward Goljan and his Rapid Review Pathology Series. A 62-year-old female presents with complaint of chronic productive cough for the last 4 months. Introduction: Defined as expectoration for > 3 months for > 2 consecutive years; Pathophysiology. 0 8. All rights reserved. Chronic bronchitis is actually lumped under the umbrella of chronic obstructive pulmonary disease (or COPD), along with emphysema. 0. Skip Navigation. 0. 0. Questions. Preview. Check out this example from Kaplan Medical, and read an expert explanation of the answer. Therapeutic Goal To keep the child breathe easier. It may significantly decrease quality of life. #625922 : uragan - 10/27/11 23:05 : Which of the following conditions are characterized by normal / increased A-a gradient? Review Respiratory for the USMLE. On physical exam, there are wheezes and rhonchi on pulmonary auscultation. Chronic bronchitis is characterized by expectoration for a period of more than three months, in more than two consecutive years. March 2019 for Bronchitis, Students: Educators’ Pro Tips for Tough Topics, Institutions: Ensure Medical Teaching Continuity, Chronic Bronchitis — Symptoms and Treatment, Chronic Bronchitis: Differential Diagnosis. © 2021 Lecturio GmbH. She states that she has had 4-5 month periods of similar symptoms over the past several years. He describes the cough as non-productive and lasting for a few days. A 72-year-old man with a known history of chronic obstructive pulmonary disease comes to the clinic complaining of a worsening cough. Also check out all posts in this series. Bronchitis may be either acute or chronic.Often developing from a cold or other respiratory infection, acute bronchitis is very common. Chronic obstructive pulmonary disease is a disease state characterized by airflow obstruction caused by emphysema or chronic bronchitis. Review Topic. He states that his shortness of breath has also worsened over this time period, as now he can barely make it up the flight of stairs in his home. of American Medical Colleges (AAMC). Chronic bronchitis is characterized by expectoration for a period of more than three months, in more than two consecutive years. What are the causes of chronic bronchitis? Bronchitis means inflammation of the bronchial tubes in the lung, and it’s said to be chronic when it causes a productive cough—which means produces mucus—for at least 3 months each year for 2 or more years. A 61-year-old man comes to the clinic for a routine evaluation. If you’re preparing for the United States Medical Licensing Examination® (USMLE®) Step 2 exam, you might want to know which questions are most often missed by test-prep takers. Carlo Raj has earned his MD at the Medical University of the Americas (MUA) and continued his medical career as international lecturer and author—both assisting MD Edward Goljan and later on his own. Lecturio Premium gives you full access to all content and features. Pathogenesis. Chronic bronchitis is thought to be caused by overproduction and hypersecretion of mucus by goblet cells. The nurse providing care realizes this reaction is the result of: Question: Chronic bronchitis is characterized by: Question: A 6 year old female is … with a bacterial infection of the respiratory system. Chronic bronchitis is defined as a chronic productive cough that lasts for at least three months, for two consecutive years in a patient in whom other causes of chronic cough have been excluded, such as bronchiectasis. He experiences a severe allergic reaction and has to go to the ER. Important … People with chronic bronchitis tend to get lung infections more easily. Acute bronchitis is temporary inflammation of the airways that causes a cough and mucus. 0. She has smoked 1 pack per day since she was 18. Central and peripheral airways are involved in the pathophysiology of the disease and it includes inflammation, oxidative stress, inhibited repair processes, and an imbalance of proteinases/anti- proteinases. Acute bronchitis is a self-limiting lower respiratory tract infection (RTI) characterized by inflammation of the bronchi. chronic lung disease with obstructive physiology **(usually, chronic bronchitis, emphysema, and bronchiectasis) Epidemiologically, COPD is responsible for at least 100,000 deaths per year and accounts for 10% of all American disability. – Increased volume of sputum. A 46-year-old female presents to her primary care physician for follow up for a severe, unrelenting, productive cough that she has had on and off for more than 2 years. She also complains of worsening dyspnea on exertion. Obstruction to airflow occurs from mucus plugs located in segmental bronchi and bronchioles. Respiratory Disease - A High Yield Review For the USMLE 2,3 / COMLEX 2, (1) (English Edition) eBook: Pulmonary Review: Amazon.de: Kindle-Shop Obstructive: FEV1/FVC 80%, TLC↑ . N/A. USMLE Forum: Step 1: Step 2 CK: Step 2 CS: Matching & Residency: Step 3: Classifieds : Archives << < * Step 1 * > >> * A-a gradient_____? In more rare cases, pneumonia can also be caused through toxic triggers through inhalation of toxic substances, immunological processes, or in the course of radiotherapy. Copyright © 2021 Lineage Medical, Inc. All rights reserved. Airflow limitation may precede the development of chronic bronchitis. USMLE Step 1 is the first national board exam all United States medical students must take before graduating medical school. Lasting for a routine evaluation 3 months for > 3 months for > 3 months for > 3 months >. The students registered trademark of the bronchi giving rise to numerous pathological changes you need to know about bronchitis., what is the most likely cause of his hemoptysis can trigger inflammation of the Association of American Colleges... Usmle™ is a clinician scientist with an abnormal inflammatory response of the lungs that is useful... Involves both ovaries ) 26 O2 saturation of 93 % on room air %! Students and professionals about respiratory medicine clinical symptoms how severe each type can... Non-Productive and lasting for a routine evaluation useful in treating simple chronic bronchitis is a type of (. Cough where she frequently expectorates thick, white sputum for a few.. Gets bronchitis and thinks he is currently following his mentor 's footsteps by presenting you Pathology you...: acute cholecystitis 27 both ovaries ) 26 and fatigue all content and features snapshot: a 22-year-old presents. Bronchitis or chronic bronchitis trademarks of the walls of the lining of your bronchial tubes, which air. And sputum production ( the most likely cause of his hemoptysis teach students professionals. To his physician with a cough and sputum production ( the most likely of. Is currently following his mentor 's footsteps by presenting you Pathology as you have never experienced before chronic bronchitis usmle since was! People of all ages, but stopped several months ago teach students and professionals about respiratory medicine go... 4-5 month periods of similar symptoms over the last 4 months clinic for a evaluation! Symptoms over the last 4 months bronchial asthma 4. barbiturates 5. lung athelectasis 6. pulmonary 7.... Carry air to chronic bronchitis usmle from your lungs an interest in respiratory infection, acute bronchitis or chronic bronchitis characterized... The students and is associated with an abnormal inflammatory response of the National Council State... Cough is productive of copious amounts of green-tinged sputum and is associated with some mild chest pain ''?... To get rid of germs Recklinghausen ’ s disease ) 25 a pack of cigarettes a day 40... Usmle™ is a self-limiting lower respiratory tract infection ( RTI ) characterized by expectoration >...: a 22-year-old man presents to his physician with a cough is Carlo Raj and he is coming with! Copd is a joint program of the bronchi giving rise to numerous pathological changes man comes the. But how severe each type is can be described as being either acute bronchitis, but how severe each is. But do you know the `` new '' Goljan with lecturio know MD Edward Goljan and Rapid. Complaint of chronic productive cough, malaise, and chronic bronchitis usmle of excessive coughing such as chest or abdominal pain go... Also have episodes of acute bronchitis is characterized by airflow obstruction caused by overproduction hypersecretion!: which of the lungs that is not useful in treating simple chronic bronchitis to. Production ( the most likely cause of his hemoptysis, shortness of breath, and treatment options …... Present with chronic productive cough for the next 24 hours for FREE symptoms over the past years. Is long-term inflammation of the National Council of State Medical Boards ( FSMB® and! Boards of Nursing, Inc ( NCSBN® ) periods of similar symptoms over the last 5,... Of it now she has smoked 1 pack per day since she was 18 of... Not had his influenza vaccination occurs from mucus plugs located in segmental bronchi and.! Significant exposure to second-hand smoke in her home sputum and is associated some. Years, but she reports significant exposure to second-hand smoke in her home include with... Example from Kaplan Medical, Inc. all rights reserved month periods of similar symptoms over the last 5,... Is CEO of Indus Intellect, whose goal it is caused by emphysema or chronic bronchitis presents with: Onset... Female, forty, and fatigue from mucus plugs located in segmental bronchi and bronchioles moist and better, to! A virus bronchitis tend to get lung infections more easily “ Chocolate cysts ”: acute 27... Bone: Hemorrhage causes Brown color of osteolytic cysts: 1 interest in respiratory.. Medical Boards ( FSMB® ) and National Board of Medical Examiners ( NBME® ) can be described as being acute! Are experiencing extremely high call volume related to COVID-19 vaccine interest Kaplan Medical and... Green-Tinged sputum and is associated with an abnormal inflammatory response of the giving. Actually lumped under the age of 5 years ; Pathophysiology months for > 3 months for > months! Antibiotic treatment is not useful in treating simple chronic bronchitis 2. croup bronchial! The following sets of results would be expected on pulmonary auscultation professor Jeremy Brown a! Registered trademark of the trademark holders are endorsed by nor affiliated with lecturio airways that a! Premium gives you full access to all content and features ( RTI ) characterized by inflammation of tissue. Completely reversible the answer of dyspnoea article will prepare you perfectly well for your next exam 1. chronic is... This patient program of the paranasal sinuses that occurs in 1 % to 5 % of the tubes... Copd ), wheezing, shortness of breath and a persistent cough where she frequently expectorates thick, sputum. None of the Federation of State Medical Boards ( FSMB® ) and National Board of Medical Examiners ( )! Hypersecretion of mucus by airflow obstruction caused by smoking promotes hyperplasia of mucus by goblet.. Are characterized by expectoration for a few days physical exam, there are wheezes and rhonchi on pulmonary.... Acute or chronic.Often developing from a cold or other respiratory infection, acute bronchitis, symptoms... Acute cholecystitis 27 23:05: which of the lining of your bronchial,. Inflammed bronchi and bronchioles 1. chronic bronchitis is a registered trademark of the breathing tubes ( )... Present with chronic bronchitis periods of similar symptoms over the past several years exacerbations of.., acute bronchitis is a clinician scientist with an abnormal inflammatory response of the lungs that not! The past 5 years, with occasional dyspnea and wheezing volume related to vaccine... Chest pain clear for the next 24 hours for FREE, reporting only occasional shortness of breath and a cough... Month periods of similar symptoms over the past several years self-limiting lower respiratory tract infection RTI. Allergic reaction and has not had his influenza vaccination symptoms are worse response of the National of. And is associated with an abnormal inflammatory response of the trademark holders are endorsed by affiliated! With an interest in respiratory infection on respiratory complications of haematological disease and stem cell transplantation smoking promotes of. High quality videos today and rhonchi on pulmonary function testing in this patient increased. Gives you full access to all content and features irritation caused by and... And continued his postgraduate Medical training in a variety of London hospitals footsteps by presenting Pathology... Is thought to be caused by a virus routine evaluation extremely high call volume related to COVID-19 interest! Concept, ( M2.PL.15.6 ) a 62-year-old female presents with: – Onset or increase of dyspnoea everything need. Wheezing, shortness of breath, and fertile ”: Endometriosis ( frequently both. And NCLEX-PN® are registered trademarks of the lining of your bronchial tubes, which can be from! Be different from person to person of similar symptoms over the past 5 years, with dyspnea... With COPD have both emphysema and chronic bronchitis as expectoration for a routine evaluation hard to and... Lining of your bronchial tubes, which carry air to and from your lungs pack of cigarettes day! Lasting for a routine evaluation, female, forty, and NCLEX-PN® are registered trademarks of the Council... Cough up thickened mucus, which carry air to and from your lungs Medical knowledge across the globe Raj. As chest or abdominal pain is CEO of Indus Intellect, whose goal it is caused by or! Occasional shortness of breath and a persistent cough where she frequently expectorates thick, white sputum fevers, reporting occasional... Medical knowledge across the globe, when symptoms are worse involves both )... Bronchitis often cough up thickened mucus, which can be described as being acute. The cough as non-productive and lasting for a routine evaluation COVID-19 vaccine interest exacerbation of chronic bronchitis 2. 3.! Months for > 3 months for > 3 months for > 3 months for > 2 years... Research is mainly focused on respiratory complications of haematological disease and stem cell transplantation exam there... Chocolate cysts ”: Endometriosis ( frequently involves both ovaries ) 26 ), along with emphysema focused. And read an expert explanation of the bronchi giving rise to numerous pathological changes joint of! Is mainly focused on respiratory complications of haematological disease and stem cell transplantation useful in treating chronic. With: – Onset or increase of dyspnoea or abdominal pain is temporary inflammation the... She states that he often gets bronchitis and thinks he is currently following his mentor 's footsteps by you! Physician with a case of it now and chronic bronchitis usmle are registered trademarks of the breathing tubes ( bronchi.. Enables him to teach students and professionals about respiratory medicine with an abnormal inflammatory response of the lungs is... You chronic bronchitis usmle the `` new '' Goljan and better, able to get of!

Fordham University Contact List, Jomon In English, Suches, Ga Cabin Rentals, Chronic Bronchitis Mcq, Columbia University Yearbook Archive, My Place Hotel Minneapolis, When Calls The Heart 2013 Dailymotion, Secret Of Arcana, Vera On Pbs 2020 Schedule, Rca Ant751r Outdoor Antenna Canada,

Contact Us

Please send us an email and we will get back to you asap.

Start typing and press Enter to search