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Download MBBS 1st Year Physiology Reproductive System Physiology Notes Notes

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 1st Year (First Year) Physiology Reproductive System Physiology Notes Handwritten Notes

This post was last modified on 11 August 2021

MBBS Lecture Notes for all subjects (updated for 2021 syllabus) - All universities


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Pre-optre Nuchus

HYPOINALANVI

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Armale numus

WARM

Gonadotropes

FSH

SPERMATOGENESIS

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Brain Testicular Axis

&

dyaa ayed.

P

& B

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Turad

LEYDIG/

INTERSTITIAL

CELLS

8 ?

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Tiesto stirone

SERTOLIUM

Sustentaculor

?

Nurse us.

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Enzyme

Testosterone

Adhuwring junu

ABP

SPERMATOGENESIS

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ABP

ET

Miton

ARN

INHIBIN

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Basal lamming

20 SPERMATOGONDA

TIGHT JUNCTION

ISPERMATOCYTE

MEIOSIS-I

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(n)

2° SPERMATOCYTE

MEIOSIS-IL

SPERMATIAS

ff & PIEPERMIOGENE

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SPERMATO204

TESTOSTERONE

Other ?

INHIBIN

SERTOLI

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CELLS

[Spermania)

Acrosome

Einse sperm lever

'when sperm level of

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Head

Mid

piece

Tall

spm

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flaque

see

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uler Axis

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esal lamming

V

CYTE

STAGES OF SPERMATOGENESIS -

Proliferation.

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22 pairs- Autosoma.

? spermatogonium (23 pairs)

MITOSIS

Pun 10 spermatocytes (23 pairs)

23

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Paternal

1 pair-sex chromosome we paimass

? Growth.

? STAGE OF MATURATION

2 phases.

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In phase

MEIOSISI

2nd phase

23

?

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•"shermarocyte groves

into a large we

MEIOSISIY

MAT MATURATION DEVISION

spermatocyter

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(23)

22

221.

chroncowme.

MEIOSISI (X/?)

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MEIOSISII

2

USPERMATIAS (n)

? LTAGE OF TRANSFORMATION

• SPERMEOGENESIS: prouss by which spermaticas

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are ransformed into spermatozuG.

- Formation of Acronome

@mitochondrial spiral filament, 2

i tall structures.

removal of extra volume of non essential

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cytoplasm.

condensation of nuchar metarias.

Serial SPERMIATION: process of release of matere sperm

?.

from servei wes into the lumen of

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seminiferous tulenter.

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SERTOLI CELLS 102012

? supporting cells tor spermatogenic cells in

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seminiferous tuuler. These cells are called

SUSTENTACULAR CELLS / NURSE CELLS.

• Large & irregular calumnes cells.

extend rom basement membrane to lumen of

Reminiferous tubule.

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FUNCTIONS:

? support & nourish spermanegenic calls tile

spermatozoa are released from them CSPERMIATION).

? secrete INHIBIN FSH release son ant pituitory.

II secrets, ABP (Androgen leinding pr.) - samtial for

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LER ERP (Estrogen ") essential Testosterone activity

?. secrete mullerian regressing factor (MRF) in

fetas HSHIS HRF- regress mullerian duct

during sex derumination in fetus.

release sperms into the lumen of semenitorem

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tulul (SPERMIATION).

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la

70 MON).

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ory.

ty

.

BLOOD-TECTES BARRIER

mechanical barriu that peruates the wood

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from ceminit erous & wewes of the tester.

un

It is formed by tight puncions vervin adjacent

perrou wis ( wules

near learas memerane as seminiferous

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FUNCTIONS:

? Protection of seminiferous tuules: prevents the

entry of toxic substances from wood & fund of

surrounding tissue into the lumen of seminiferous

tubules It permits suistances essential for spermatogenn

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The fluid in women of semiferous tuleles is quite

different from that of plasme.

?It contains very little protein & Glucose,

? rich in Androgus, Estrogen, kt, inositol, Glutamic

Acid & Aspartic Acid It is maintained by. B-1 Bentu

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um wes from lecaod-come noxious

? et protects gpirm agents.

? at prevents auroimmune disorders: It prevents the

moreurent of antigenic products of spumaragenesis,

from testis into lusod.

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@at helps to estauerca an osmatic gradient, that

42

2

facilitate the movement of fluid into tuluuler lumen.

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DE?2019

Wed

•FACTORE AFFECTING SPERMATOGENESIS

@serisu l

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• HORMONAL CONTROL OF SPERMATOGENEI?

HYPOTHALAMU CoreOptic &

e

Acwats nucleus)

GARH

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(Ant pituitary)

FSH

LH

-responsible tes

initiation of sperma

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-togenesis. Leydig cells

Sertoli wes

EBP

• regulates

spermatogenesis

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•mnibik the release

of FSH fra Ap

& release of GURH

from H

? FSH sernali.

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?.

?

inhil

rate of spermatogenesi?.

4

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? ? ?

Je

Ant. pituitary

10.

FSK recretion

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Estrogen

trats of spermatogenesi

GH

Cissential for

general metalbo

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processes in

tesns.

Testosterone

maintaim

spermatogenesis

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12

Alivin

formed prom

Yestosterone in

opposite action of

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Inhilein

necessary for

Tses fsn secretion.

spermiogenesis sperm arogenisa

accelerates

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TOGENELIS

19

JY

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190

?

for

taboki

wabu

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METABOLISM OC TESTOSTERONIE.

Testis.

estosterone

Testosterone)

•CHT toma

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AIH. amplily the avion

of Testosterone in

target ossues.

most active androgen

Jestesterone!

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52. Reductase

AHT

Dihydrotestosterone

Clunar to rame intro

mrareceptor es

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~ 10% of Yurosterone,

levu.

OHT-

receptor wamplex

Mesrocherone

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recuptor

complex - less it alle than it

receptor wmplea.

in target Ulls.

> I responsible for

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K

enlargement of prostrata is maturation of

and probably of perres

at the time of pulberry

Waltion duct strucheres &

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fis ise in muscle mass Moll genitalia during

formu of of unteurel

f

iis developement of of

07/

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M

sex drive & dileido

developement.

ii) form of external genitalian

iiis sexual matuwanion at puberty.

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wea

• CHANGES IN PUBERTY IN O

• OF SECONDARY SEX CHARACTERISTICS

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EXTERNAL GENITALIA: Penis Tses - I & width.

•scrotum- pigmented & rugase.

INTERNAL GENITALIA

seminal rescicles encarget leequin to form fructone

Prostrate & Buchouretaral gland - enlarge & secula.

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? VOICE:- Larynx encarges.

• Yocal cords tee in 14 thickness,

• vere becomes deeper.

HAIR GROWTH: Beard appears

• Hairline on scalp recedes anterolaterally.

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public hair grower with o pattend s with apeaup)

• Hair appears on axilla, chest, around anun.

• General body hair ter

? MENTAL: more agressive, active attitude.

• interest in app sex developson Bro

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? BODY CONFIRMATION: shoulder Groadens, vi

10

muscles enlarge. ?e? (?

SKIN: sanacious grand secrenon thickers & thes

(predisposing to acnel.

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0

Erection & Ejaculation.

cereleras cortea

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Stimuletus

sympathiti

?

parasympa

Ejaculation.

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Gangli

SYMPATHITIL 12-12

SEMINAL

YESCIELE

NE

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mferior misinbric

ganglion

vas deferens.

epididymis

NE

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Tuhi

A

$2-14

PARASYMPAT

• somatiON.

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or

Pudende 1

Nerve.

COMMON

EJACULATORY

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AUCT

prevents

retu

of semen

into ladder

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by contraer

of intermas

anal sphincter.

(NE

Bulles spongiasus

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Puric Nerve

SEMEN- Sperm seminas fluid.

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Erection - Parasympathete

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MOPPAJU VO

A CORPORA CAVERNOSUM

?

adacnu stimulu

smuu

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? thought

parasyny

athet

athetic

neuron.

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AW

Arginine

urulline

77

ON

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GC

• Guanyectars! VASODILATION,

•K CGMP GTP

The sphodiesterare Ge

VIAGRA-

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11.00ma

////////

?

11.?

smoott

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NI

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QUARIAN C?

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Arcuate

?

MENSTRUAL CYCLE

OVULATION

PRO

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pre-optic

nuclu

?

GHAY

SSH

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LH

polline trogent

? Estrogent mia

fouicun

phase

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Ingilein

B

FM LH

Lare 2 follice.

Early 20 foll10 ?

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falls wer

fui & FSH

loogonium (en))

PREPUBERTY

Primordial

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falliche

(27)

Follicular cocyte

phase

primoraias folice.

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Localind

ANDROGENS Quicle

LH

FSH

1100046

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100yte

Estrogen

LH

Je

PSH

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Graffian

towch.

chalistua

• ?

Le

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•LH surge!

* eurogenproduct Androgen Estrogen

• Follicular

6 wid

Theca celu Granulosa.

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?.

1 pouyse

?

Estrogen

OVULATORY PHASE

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004 14/15

Days

LUTEAL PHASE 15-28

Graffian

touch

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L4

corpus

wteum

LH Progesterone.

+

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CORPU

ALBI

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Process of ovulation:-

movement of Graafian follicle to the

periphery of ovary

progesterone

Formation of new blood vessels in ovary

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Formation of blood vessels into follicular tette.

Prostaglandin

rom

Granuessa uus &

Tud wood flow to follicle.

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?

Leakage of plasma into follicle

wal.

formation of stigma in ovarian cepruve

follicle swell

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Progesterone

e

protiolytic

Enzymu

+nt in

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Theca interna

Weakening

Rupture of

? ?

L

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T

Degeneration of

sigme

Oozing of follicular fund.

Release of orum.

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DETERMINATION OF OVULATION TIME

?

1.

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? Determination of BANER Baras Body ?. -

•Body Yemp. measured for few days during wild

period of m.c.

• Temp.-measured in morning coral (rictal).

+

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slight lau n haral remp. just before ovulanan

(±03C-0.5°C) The ise in temp. is duet to

thermogenic effect of progesterone.

Urine.

• Exuerion of Hormonal Excuction of

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At the time of ovulation, there is an ose in

urinary excusion of metanolic end products of

Estrogen & progesterone

?

Estrone,

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Estria,

?

Pregnanediol

17-B-estradiol Androstenediol

?

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stuone.

choustuol y estost uone.

Aramarase

17-R-Estradio.

Estriol.

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?

Aromatase

Esrone WITA

?

Determination of hormonal level in plasma: -

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At the time of ovulation:

LHT, FSHH, Estrogent.

After ormarion:- Progesteronet

(1) Cervical mucous pattern:-

4 spread on a side.

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aliyor

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MENSTRUAL CYCLE:- Cyclic evens that tak

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Lureal

en

mau in a rhythmic fashion during reproducin

period of woman's life..

Aug.las ylle-28 days.

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UTERINE CYCLE/-

ENDOMETRIUM!

S.Functionalli

S-Masalis-

straight spiral

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Arteries cailed

Artwu

MENSTRUATION.

"Shedding"

s. Juncionalis

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·Days 1-5

shad

Glywgen

Lepido e

Proteins

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12

secretory

SPG

Prostaglan

mo

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sug

thi

Glo

601

.

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bbot

PROLIFERATIVE PHASE

.

4

e

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1. noromow!

ESTROGEN

Regenerate s. Funcionalis

JA

Regenerats spiral & could Artures

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•Days-6-14 DUO NHA

making uterine glands.

Thin cervical mucus production.

Preovulatory / Follicular phase.

4

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4

?

Pathol

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Luteal phase / Luctory phase:

that take

ay reproducin

endometrium thinne

PG

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End of FERTILISATION

L

corpus utuum negrinn

coiling of spiral Arrowut

4

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(pasm & degeneration of wow of spiras Artwa

Vasosparm

@

Mostaglandin

Ln

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FSH

P

?

1024

M

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?

mon:

OGEN

?

tures

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my.endometrium wcomer

mou nighly vascularicat

slightly edemanels under

the witinence of I Estrogen

4

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.

Progesterone

Glanar leewme wiled &

fortuous & iecite clean

fuula.

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LUTEAL PHASE

SECRETORY PHASE PROGESTERONE

proliferates. functionalis & G

makes it thicku.

sevenanos utcrine gland.

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Thick cervical plug.

Days 15-28

401

Lucion

?21

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28

hase.

Pathological

Patharagicel

.

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Of

+ progesterendum

PHE

je

asm

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A. - Wiak.

+

capillaries

rupture

S. funcionalis.

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7 numtion for

L

is chemici

neioni.

slough oft

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