Gout

Рет қаралды 124,351

4 жыл бұрын

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Gout is an inflammatory, crystalline arthritis characterized by the deposition of monosodium urate crystals in the first metatarsophalangeal joint (MTP)...The Crystals are needle-shaped, and negatively birefringent.
Gout and hyperuricemia are not exactly the same thing.
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Пікірлер: 263

@Anaranjado Жыл бұрын

I much prefer watching a detailed, energized, and colorful summary of disease processes than falling asleep to a 10 minute video of someone reciting the first aid book. Thank you for these videos 👍

@MedicosisPerfectionalis Жыл бұрын

Wow 🤩 I am honored!

@6uooofalzahrani1 2 жыл бұрын

I love your energy!!! Felt like I’m studying with one of my friends. Thank youu

@MedicosisPerfectionalis 2 жыл бұрын

My pleasure 😇

@nisargaspatil6048 4 жыл бұрын

THE ENERGY IN THIS FREAKING VIDEO IS OVER THE ROOF!!! IM IN LOVE!❤ IM GONNA BINGE WATCH UR ENTIRE CHANNEL...

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@joemcmillan2089 3 жыл бұрын

Very informative, humorous - I enjoyed thoroughly. I'm a 71 YO with a 30 year gout history. For first several years I followed MD's orders, took prescribed drugs, stayed away from numerous foods/drinks. The results were not good so I stopped the MD and the prescription drugs. Began regimen of natural items: Started w/dark cherry juice and ACV. Over time added turmeric, fresh lemon juice/pulp. cinnamon. black pepper, celery seed extract, garlic along with staying away from high purine foods/drinks. Results better than MD and pharma drugs but still had attacks. Finally went to lowcarb/highfat and keto diet. Results have been excellent - pain and swelling gone first week. Although not fat or hypertension, weight has dropped several pounds and blood pressure reduced. Sleep is better. I believe that SUGAR was the bad guy BUT, I enjoy the lowcarb/highfat keto diet so I will continue on. I also dislike any type of drugs so I am happy to be away from them.

@mustanggt5713 Жыл бұрын

How are your Uric acid levels now ? You don’t take any drugs like allopurinol at all ?

@joemcmillan2089 Жыл бұрын

@@mustanggt5713 I have no idea what my uric acid levels are - I do not go to doctors for over 10 years now. Gout attacks have been gone for 2-1/2 years since going to low carb diet. Blood pressure and weight have both decreased. I take no drugs other than an occasional ibuprofen for various pain.

@d_2344 Жыл бұрын

8:48 😂😂😂😭😭 I won’t forget septic arthritis ever , really great explanation ❤️‍🔥

@MedicosisPerfectionalis Жыл бұрын

Thank you ☺️

@majdmuhannad7254 3 жыл бұрын

"I didn't go to medical school for many years in order just to say kidney stone. I'm an elite sophisticate" HAHAHAHAHAH

@alexobispo4059 4 жыл бұрын

You are really doing a great job in teaching! Please keep it up and I hope we still get to access most of your videos for free because they're just all so helpful. You integrate important concepts well with your style in teaching/learning. Thank you so much for this, you're one of the best out there!

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊 I really appreciate it! Most of my videos will always be free!

@safa5678 4 жыл бұрын

Measure 24 hours urinary excretion of Uric acid. It's ranges (250-750 mg)/24 hours. >750 with symptoms meaning- Increase intake by food or overproduction, kidney function well. 250-750 with symptoms meaning- Underexcretion. Please corrected if I wrong. Thank you very much for your video.

@abbybluemusic 4 жыл бұрын

can i just say that i love you question mark? these videos make me feel more alive than ever, like every day i just cannot stop watching them, they're so cool thanks man

@MedicosisPerfectionalis 4 жыл бұрын

Thanks a million! I really appreciate you! Thank you so much for watching my videos 😍

@abbybluemusic 4 жыл бұрын

@@MedicosisPerfectionalis senpai noticed me omg 🙈

@MedicosisPerfectionalis 4 жыл бұрын

Don’t mention it ☺️😊😊

@anonymous-mg8bo 4 жыл бұрын

Every medico needs this channel . Thank you so much . God bless you with every happiness 🙏❤️

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@Oliver-cx9mx 3 жыл бұрын

"Your Textbook is written by an old dinosaur"🦕 😂😂😂👍

@MedicosisPerfectionalis 3 жыл бұрын

Haha 😂

@darlahe4841 2 жыл бұрын

laughed

@sarayounis9776 Ай бұрын

everything about your videos is so well thought and meticulous, I get everything I'm looking for just from the definition, amazing work medicosis thank you always

@MedicosisPerfectionalis Ай бұрын

You're always welcome!

@cherine7367 2 жыл бұрын

You are freakin' AMAZING.. your videos are so helpful.. Thank youuuu for this " i can't find a suitable word to describe how your content is not like any of the others " keep the marvelous work ♥️

@mc-eo1wh 4 жыл бұрын

Binge watching your videos before exam is my idea of revision

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊 Good luck 🍀

@aimenabbas1740 4 жыл бұрын

Now a days I am studying medicine and your videos are helpful...Thanks a lot♥️♥️

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@hannahmushtaq6362 3 ай бұрын

You getting me through my med school! Thank you so much 🥳

@MedicosisPerfectionalis Ай бұрын

My pleasure!

@SakshiRanematriks 3 жыл бұрын

This channel is freaking amazing, you can literally binge watch 👏🏻

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@misbah2905 3 жыл бұрын

The best way of learning and get the bigger picture of a concept at a single go. God bless you!

@MedicosisPerfectionalis 3 жыл бұрын

Thank you! God bless you too!

@kainat3474 3 жыл бұрын

I m in love with uur way of teaching

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏 It means a lot!

@shaleen25 4 жыл бұрын

Learning from this was SO MUCH FUN. Thank you so much !

@Andrew-pd6ey 3 жыл бұрын

Not a training doctor, I barely understand what you're talking about but if your videos can get an uneducated idiot like me to get all answers about Homer Simpson's questions right just from the info you provided then this stuff must be gold to the people who need it.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much for watching! It means a lot to me!

@TheAkaaChan 2 жыл бұрын

Haha I'm German and had to laugh when you talked about beer as a risc factor, love your humour

@MedicosisPerfectionalis 2 жыл бұрын

Thank you ☺️ You’re so kind!

@melav9951 3 жыл бұрын

By estimation of uric acid in urine, if the test was positive then the patient is overproducer. if negative; he is under-excretor. Not sure tho

@Roon864 4 жыл бұрын

Make more videos plz ; u dont know how amazing u r ! ,very very helpful

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@darrenrodrigues5962 4 жыл бұрын

If the pain is patient has Gout and the pain is 9/10 is it ok to do a joint fluid aspirate. That patient wouldnt even want you touch that toe let alone put a needle in there.

@MedicosisPerfectionalis 4 жыл бұрын

You have to rule out septic arthritis first. If this is a patient with a known medical history of gout, and today presents with severe pain in the big toe, the odds are overwhelming that this is gout...In this case, I might go with the doctor judgement. The same concept applies in a completely different case (anal fissure)...The doctor must perform a physical exam first, even though the patient won’t let you touch it. The solution is to perform the physical exam under anesthesia. But you gotta diagnose first before you can treat.

@darrenrodrigues5962 4 жыл бұрын

@@MedicosisPerfectionalis Thanks a lot for clearing the doubt. Please keep posting more videos they are really helpful. 👍

@hanniequoka 2 жыл бұрын

I love your lectures so much thank you sm it makes studying so much easier ✨

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 😊

@levocetirizine4910 4 жыл бұрын

A possible mistake in the vignette is that u cannot do a joint aspiration in a patient with acute gouty attack with pain 9/10. We try to diagnose it with colchicine. Either wait till pain resolves or side effects like diarrhoea start.

@MedicosisPerfectionalis 4 жыл бұрын

You’re right. It’s just an exam question, not an actual patient. But, fair enough! You’re sharp!

@levocetirizine4910 4 жыл бұрын

@@MedicosisPerfectionalis I'm just following my text and your text must be inline with the American standards. Me and my friends love your videos! Stay safe and keep going!♥️

@melav9951 3 жыл бұрын

"Joint aspiration can give pain relief in acute gout " Davidson 23rd edition

@Dr.KMaryamA 11 ай бұрын

Just causally started your video and God damn this shit is so hott gotta grab my pen and journal cant miss it out

@MedicosisPerfectionalis 11 ай бұрын

I am so delighted to hear this! Thank you for watching!

@barthinaghabrial34 Жыл бұрын

What the heck was i doing before finding yohe videos You're the best out there .. THANK YOU ❤❤❤❤❤

@MedicosisPerfectionalis Жыл бұрын

Thank you so much, Barthina! I appreciate you! Would you please help me by sharing?

@barthinaghabrial34 Жыл бұрын

Done ❤

@amanathun8794 Жыл бұрын

I really like your replying back kinda gesture... Unlike others Namaskaram🙏🙏😊

@MedicosisPerfectionalis Жыл бұрын

Thank you!

@dream_catcher430 3 жыл бұрын

Thank you for the amazing video! Super helpful and thorough, funny as well I love it 😄

@ken355555 Жыл бұрын

Thank you now you have explained why I have gout in my knee because I was in the middle of the fast it was almost like starvation and it was definitely dehydration so my knee flared out with a gout attack thank you for pointing that out I was wondering how the hell that happened in the middle of a fast 😀

@MedicosisPerfectionalis Жыл бұрын

I wish you all the best!

@user-hd9gu6iw6l 4 ай бұрын

Diabetes Mellitus is frequently associated with hyperuricacidemia. Is there any corelation?

@medabd8133 2 жыл бұрын

Ans- By 24 hr urine examination... If urine uric acid excretion is greater than 800mg/dl👍

@medabd8133 2 жыл бұрын

Overproducer*

@ahmedosama5279 4 жыл бұрын

Great great lecture.. the best rheumatology course ever. very nice man

@notsofiltered.3222 2 жыл бұрын

I freaking love your styleeeeee.....

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@vishalvermaphysio 4 жыл бұрын

sir not able to find your video on treatment of gout thanks and regards

@kotiyaswanthchowdary5745 4 жыл бұрын

I am confused high level of niacin helps in recovering or it worsen the condition ?

@cjodyssey 4 жыл бұрын

niacin competes with uric acid for secretion by kidney tubules and raises serum uric acid levels by 5%-15%

@kotiyaswanthchowdary5745 4 жыл бұрын

@@cjodyssey tq

@Vinaykumar-ug4gm 3 жыл бұрын

nice video gout ke problem k liyey agar hum planet ayurveda k gioly capsules use karty hain toh hum apni problem ko bhout jldi bilkul thek kr skty hain without side effcet k

@user-tq5zu9em9v 16 күн бұрын

Why you will do Arthrocentesis& joint fluid analysis at 1st even before giving NSAIDs or Allopurinol, Guy? 1.To rule out septic arthritis 2.To rule out septic arthritis 3.To rule out septic arthritis It is an emergency case! 4.To confirm Diagnosis...

@shalinibhandari4904 4 жыл бұрын

It's absolutely amazing.. hope can have more lessons

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏 More lessons are coming!

@yasserayman7773 2 жыл бұрын

Look I am so surprised that you are an Egyptian ya habibi all the best 😂😂😂😂😂😂😂😂❤️

@MedicosisPerfectionalis 2 жыл бұрын

Thank you ☺️

@anik382 3 жыл бұрын

Thank you so much for sharing it for free

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@natarajanmanickam5119 Ай бұрын

Thank u it was very helpful

@MedicosisPerfectionalis Ай бұрын

Glad it helped!

@777WOY 4 жыл бұрын

Thanks for the information I look on your page for anyting for restoring blood vessels from neuropathy I've been free from alcohol HalleluYahuah for going on four years for the past year has gotten better but my feet were hurting with Titans and someone said it might be neuropathy I don't receive any of it I believe that I can be healed in Yahusha and my body will restore itself but I have to do my part follow instructions and eat right and drink lots of freshwater just wondering if you did any teaching on healing of blood vessels in the feet?

@misbah2905 3 жыл бұрын

WOW!!!!! It is too good. I love your videos.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@leymer13 4 жыл бұрын

Thanks for this video Medicosis

@MedicosisPerfectionalis 4 жыл бұрын

You're very welcome 😊

@khanduwangchuk5362 4 жыл бұрын

Looks like my teachers are Dinosaurs! 🤣

@MedicosisPerfectionalis 4 жыл бұрын

Haha 😂

@mahnoorchaudhry4488 3 жыл бұрын

you are awesome , cant get enough of these videos

@MedicosisPerfectionalis 3 жыл бұрын

Thank you so much 😊

@BushraAliKhanB 6 ай бұрын

Love this video!! Thank you, Just a question isnt Apirin a Risk Factor buy in High doses not in low doses, we can safely give pt low dose Apirin for anti platelet effect. Please do confirm

@cedricmusangu4370 Жыл бұрын

Why havn't i already smoked your variety? nice ellustration

@abhikhare3144 19 күн бұрын

Love it

@MedicosisPerfectionalis 19 күн бұрын

Thank you!

@FD8NI 4 жыл бұрын

just on perfect time!

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 😊

@moonlightegypt750 4 ай бұрын

ماهو الفريكن...what is freaken meaning?.❤❤❤

@sarahmina1442 4 жыл бұрын

Thank you. Your videos are very helpful. 🤗🤩

@user-wv7se3ko9x 2 жыл бұрын

The holy medicosis Thank you ❤️

@nargizsafarova6595 Жыл бұрын

thank you

@MedicosisPerfectionalis Жыл бұрын

My pleasure 😇

@mikepoteet1443 Жыл бұрын

I am suffering from gout right now and it sucks! It is super painful and I haven't been able to all week long.

@rahmahl5762 4 жыл бұрын

Hey hey hey the best notification to start a day GOOD MORNINGGG♥️ Like & comment before watching😂🤍

@MedicosisPerfectionalis 4 жыл бұрын

Good morning ☀️ Thank you so much 😊

@muhadninmhanafi9694 4 жыл бұрын

My HEROOOOOOOOO

@hossamodibat5245 2 жыл бұрын

Thank you and hello from Jordan 🌹

@MedicosisPerfectionalis 2 жыл бұрын

👋

@rekhakadam6393 4 жыл бұрын

Impressed...!! 👏🏼. Covered the entire topic with the freaking details of it..!!! 😅

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much ☺️

@kathryndoh5773 Жыл бұрын

Can this uric acid cause symptoms of uti

@kathryndoh5773 Жыл бұрын

I do have hematomicrosis

@DoctorClips. 3 жыл бұрын

I have been trying to get to the Rheumatology Playlist but l can’t find it on your channel ..... May l have the link anyone ???

@MedicosisPerfectionalis 3 жыл бұрын

Hey 👋 Tafadzwa, How are you doing? Here’s the link to my rheumatology playlist: goo.gl/xfJKL1/ Anytime you want to reach any playlist: type in these words in the KZfaq search bar: “Medicosis + Playlist + Rheumatology”. Good luck 🍀

@DoctorClips. 3 жыл бұрын

@@MedicosisPerfectionalis thanks sooo much !

@desertedham37 4 жыл бұрын

your videos are so great!

@themuleify Жыл бұрын

While the information is great and thank you for this and other videos, the causes of gout as you explain are so frikin' confusing. All sources point to excessive uric acid (either over production or under secretion), but not always as Hyperuricemia is not Gout, right. So if gout attacks can occur while uric acid level is LOWWWW lol:) then why do we need to prescribe Allopurinol to lower it even more? And when reduced, does that guarantee no gout attacks again? And if I get another attack while taking Allopurinol and uric acid level is low, then what is to blame? (Of course while making all dietary changes as well). Just trying to understand the rational here.

@KittysAreCute Жыл бұрын

I was wondering that too. Maybe uric acid levels in the blood during an attack might be normal or low because instead of the uric acid circulating freely throughout the body’s blood, it is concentrated as crystals in a joint?

@themuleify Жыл бұрын

@@KittysAreCute In extreme cases I guess it could be possible. But it would be a large amount deposited in the joints. Let's say the normal level for gout is 6mg/dL. That means the total 8n the blood is around 300mg (based on 5 liter of blood for adults). So if the level at the time of the attack say was 7.4mg/dL, but when tested it was under 6, it means the total fluids in the joints would have to be about 70mg. What my Dr was able to draw from my toe was about 2mg.

@KittysAreCute Жыл бұрын

@@themuleify Good point. I was bewildered and more intrigued. I googled "why normal uric acid during gout attack" and found Bădulescu M, Macovei L, Rezuş E. Acute gout attack with normal serum uric acid levels. Rev Med Chir Soc Med Nat Iasi. 2014 Oct-Dec;118(4):942-5. PMID: 25581951. "Results: Normal serum uric acid levels were found in 63.3% of the patients with acute gout attack. The inflammatory syndrome was detected in 76.6% of patients with high erythrocyte sedimentation rate (ESR) levels and in 30% of patients who had elevated C-reactive protein levels. The urinary excretion of uric acid was measured in 11 patients and it was found increased in 55% of them. "Conclusions: The diagnosis of acute gout attack should not be excluded in the presence of normal serum uric acid levels if the clinical manifestations or the positive response at colchicine are suggestive of gout. The low uric acid level is correlated with increased inflammatory factors and urinary excretion of uric acid."

@user-hd9gu6iw6l 4 ай бұрын

IL6 generated at the inflamed joint has uricosuric action.

@user-hd9gu6iw6l 4 ай бұрын

Similar example:Many cases of myocardial infraction occur even when LDL level is normal. Probably endothelial damage invites cholesterol to get deposited there.

@WVgrl59 Жыл бұрын

Toes, knees, feet...it affects many joints.

@michaelchen2638 2 жыл бұрын

hi, just have a question. Wouldn't foods such as red meat, seafood and beer cause an overproduction of uric acid as opposed to under excretion of uric acid since there is more purine to metabolise in the body. I am not quite sure about this, hope you can help with my confusion

@MedicosisPerfectionalis 2 жыл бұрын

Yes! I made a mistake in the illustration.

@BedeliaMikk 10 ай бұрын

Is ankylosing spondylitis an oligoarthritis, or poly?

@BedeliaMikk 9 ай бұрын

@@bobby-my7uc thank you!

@nightjadeOR 2 ай бұрын

I thought primary gout was more common than secondary?

@yadavratna 3 жыл бұрын

Loved it 🤟🏻

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@BieberGirl474 Жыл бұрын

Did you make a video on the seronegative spondyloaritis? I can’t find it anywhere

@MedicosisPerfectionalis Жыл бұрын

It’s here: www.medicosisperfectionalis.com/products/p/ankylosing-spondylitis-1/

@ramyabachu9900 3 жыл бұрын

Pleasure make a video on SLE in detail like RA. Thank you. I am a rheumatology aspirant.

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏 I will try my best!

@rockycycle2682 4 жыл бұрын

I'm trying to like all the videos that I watch. Thank you so much, if I were the type to pay for free stuff I'd definitely pay, but I'm too stingy I suppose. One day isA 😭

@MedicosisPerfectionalis 4 жыл бұрын

No worries, my friend! Thank you so much 😊

@mynameisalexanderhamilton2862 3 жыл бұрын

Thanks! Love from PH 🥰

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@laasyagogula4565 Жыл бұрын

could you talk about cholinergic urticaria?

@judith4096 2 жыл бұрын

you are incredible

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 😊

@mah5688 4 жыл бұрын

i love u man thanks

@MedicosisPerfectionalis 4 жыл бұрын

My pleasure 😇

@gashawfiseha3824 4 жыл бұрын

he is 100% perfect, i like you

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@joymutheu7737 Жыл бұрын

😂😂😂😂ooh lord am enjoying this

@MedicosisPerfectionalis Жыл бұрын

I am so glad! Would you please help me by sharing?

@TUM3541 2 жыл бұрын

why does gout hurt more at night?

@MedicosisPerfectionalis 2 жыл бұрын

At the end of the day, there is more pressure on the weight-bearing joints (remember the flask experiments and the crystals).

@TUM3541 2 жыл бұрын

@@MedicosisPerfectionalis Thank you, Doctor 💟

@drh.hassan93 Ай бұрын

The answer to your last question is : Through taking history 🕵️

@sayedelboghdady5436 4 жыл бұрын

perfect

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@atchayad842 5 ай бұрын

Why is the pl-ease giving dr.cox vibes ?

@newmedicoscience2355 2 жыл бұрын

Haemolytic anemia how can increase the uric acid bz RBCs dont have nucleus ?Can u explain me please 🙏

@MedicosisPerfectionalis 2 жыл бұрын

Don’t ignore the nucleated RBC precursors (e.g., proerythroblasts, erythroblasts,…etc)…In response to hemolytic destruction, the bone marrow will make more of these cells, which will eventually die.

@miraq3261 4 жыл бұрын

Legend

@MedicosisPerfectionalis 4 жыл бұрын

Thanks 🙏

@MrSaloha 4 жыл бұрын

Good morning 🌞

@user-zt2by4cn6m Жыл бұрын

Really i liked But You saying: “oh shut up “ soooo much 😂🥸 Thank u. ♡

@MedicosisPerfectionalis Жыл бұрын

Thank you for your honest feedback!

@maryamalrawi6645 3 жыл бұрын

Woow woow woow 🤩

@MedicosisPerfectionalis 3 жыл бұрын

Thank you 🙏

@merowaell Жыл бұрын

awesome💜💜💜💜

@MedicosisPerfectionalis Жыл бұрын

My pleasure 😇

@aryan2065 Жыл бұрын

Very very thankful. ❤️ and 🙏

@MedicosisPerfectionalis Жыл бұрын

Thank you 😊

@Wise_fool1704 2 жыл бұрын

U teach freaking good 😊

@MedicosisPerfectionalis 2 жыл бұрын

Thank you 🙏

@alaawy25 4 жыл бұрын

waiting for part 3 0f COVID-19series ....

@MedicosisPerfectionalis 4 жыл бұрын

Thanks for letting me know! I will try

@babinasab1039 4 жыл бұрын

I really like your vidéo you are an imaizing pr

@MedicosisPerfectionalis 4 жыл бұрын

Thank you so much 😊

@sanatantawi8205 3 жыл бұрын

amazingggggg explanation thanks

@MedicosisPerfectionalis 3 жыл бұрын

My pleasure 😇

@narandetagenblirtillluft1419 4 жыл бұрын

Amazing 🌷🌷🌷🌷

@baselsharan9912 5 ай бұрын

16:51

@juliakim87 4 жыл бұрын

How is everything hahaha, it has hit the mainstream

@MedicosisPerfectionalis 4 жыл бұрын

😊😊😊😊

@tamilpandiyanbalachandran2438 4 жыл бұрын

Do i get premium videos by joining membership to your channel?

@MedicosisPerfectionalis 4 жыл бұрын

Yes, You get some of them. For more details, please send me an email at medicosisperfectionalis@gmail.com

@newmedicoscience2355 2 жыл бұрын

By measuring of 24 hrs urine uric acid level

@suryakala3436 4 жыл бұрын

Hello, please make videos on female genital tract pathology or I would like to ask to make videos on all pathology topics. Thnq

@MedicosisPerfectionalis 4 жыл бұрын

I will try my best!