relocateSearch(); CT of the chest may be helpful in ruling out other diagnosis. }); Chest Infection 9 Days Before Surgery - Ahhhhh $99 for entire year supply of "1 per Day!" Bariatric Multivitamins! CT scan is required before considering emergency surgery for acute appendicitis. document,'script','https://connect.facebook.net/en_US/fbevents.js'); { It does require surgery, usually a brief general anesthetic, but it is not a big procedure and most patients go home the same day or the next.". As is the case elsewhere in the body, superficial infections of the thorax often develop from minor injuries such as burns, abrasions, or minor lacerations of the chest. For details see our conditions. In our experience, classification according to type of organism, anatomic location, and the presence or absence of necrosis is most helpful for organizing the majority of clinical presentations of chest wall infections. Chest X-rays can also reveal fluid in or around your lungs or air surrounding a lung. Your GP should be able to diagnose you based on your symptoms and by listening to your chest using a stethoscope (a medical instrument used to listen to the heart and lungs). Lung surgery is surgery done to repair or remove lung tissue. breprih et al.. Mechanisms and clinical applications of the vacuum-assisted closure (. ML, Attinger Or the tube may have helped drain fluid from a chest infection or surgery. Started Yesterday at 12:07 AM. Occasionally, a single organism such as Clostridium perfringens may release the toxins that are responsible for rapid soft tissue invasion with subsequent tissue necrosis of the superficial and deep fascia, thrombosis of blood vessels, and ensuing sepsis. M, Kamath Notice 10-12 one of these uri-associated deaths was in reality related to unrecognized myocarditis, and the other was likely caused by inadequate monitoring jsURL: "//www.bariatricpal.com/applications/core/interface/js/js.php", Blood tests can also show that you have an infection. "@type": "Comment", Sometimes, particularly with a cold or sinus problems, phlegm can drip from the back of the nose into the . $(targetElement).removeClass(className); If the infection is in the smaller air sacs of the lungs known as the alveoli it is called pneumonia. 06 December 2022, Feedback display message, this and the title will be overided by Javascript. "@type": "Comment", How serious is it if I get a chest infection? Surgery to prevent the buildup or return of fluid to the chest (pleurodesis) "text": "", // Relocate search bar Be honest! 2002;74(4):12251227. What is a chest infection and why can it happen after surgery? "author": { TB is a bacterial infection caused by a specific bacterium called Mycobacterium tuberculosis. At-home treatment strategies to manage symptoms include: Pneumonia is also treated with similar strategies, but depending on the cause, the severity of the case, and your underlying health, it may need to be treated with prescription drugs or even hospitalization and breathing support. Most people get over a cold without issue. It includes information about what you can do to help prevent yourself from getting a chest infection. Try herbal remedies like airbourne. Dr Laducin same office as Dr Atkinson, is doing my sleeve on Nov. 28th. "pageStart": 1, The main symptoms of a chest infection can include: You may also experience more general symptoms of an infection, such as a headache, fatigue, sweating, loss of appetite, or joint and muscle pain. Fungal abscesses of the chest wall may occasionally arise in patients who are immunocompromised due to malnutrition, diabetes, malignancy, or human immunodeficiency virus infection. "image": "https://s.bariatricpal.com/uploads/profile/photo-thumb-132660.jpg", "@type": "Person", Bronchitis and pneumonia are the two most common types of chest infections. --> Antibiotics are not harmful before surgery. How likely am I to get a chest infection? Good luck x", Ashbash88, November 15 https://patient.info/chest-lungs/chest-infection/post-operative-chest-infection, being immunised against the flu virus (having a flu jab). M, Maziak JS. Diagnosis is aided by a high degree of suspicion and appropriate imaging such as CT.6 The most common organism is Staphylococcus aureus. } else { .visely-pagination button.active { background-color:#4c4c4c; } A history of travel to locations with endemic tuberculosis or a patient who is immunocompromised should raise suspicion of mycobacterium infection. Your surgeon should be able to reschedule if needed. You should check with them, dont take the risk, if its only stuffed nose and sore throat they are usually ok with it, but with cough etc they are likely to postpone it. }, Anaerobic organism infections (e.g., Bacteroides spp.) var len=toLength(items.length);var A=isCallable(C)?Object(new C(len)):new Array(len);var k=0;var kValue;while(k ul > li:has(ul)').doubleTapToGo(); .visely-recommendation-item .badge--sale {margin: 5px; color: #ffffff; border-radius: 5px; display: block; font-size: 13px; padding: 1px 4px; position: absolute; right: 0; text-align: center; text-transform: uppercase; top: 0; min-width: 55px; width:auto; z-index: 3; height: 35px; line-height: 35px;background-color: #e36fab; } "dateCreated": "2012-06-03T09:11:31+0000", You are more likely to be successful in giving up smoking if you use a stop smoking support service. Having a long-term medical condition - for example, diabetes, kidney disease, asthma or chronic obstructive pulmonary disease. "@type": "Language", Your GP will usually only prescribe antibiotics if they think you have pneumonia, or you're at risk of complications such as fluid building up around the lungs (pleurisy). \nWill remind them for sure when I check in \n\nThanks \n", This is called a "pre-op" chest X-ray. Separate multiple email address with semi-colons (up to 5). googletag.cmd.push(function() { Surgical site infections (SSIs) are preventable and epidemiologically important, affecting up to one third of patients who had surgery in low- and middle-income countries 1-8 and being the second most common healthcare-associated infection in Europe and the USA. "image": "https://s.bariatricpal.com/uploads/profile/photo-thumb-132067.jpg", The absence of gas can mislead the treating physician and result in a diagnostic delay. in Gastric Sleeve Surgery Forums, By "url": "https://www.bariatricpal.com/contact/" "address": { These infections are more common in immunocompromised patients such as diabetics. NSTI of the chest wall may develop as a result of other chest infections, such as empyema or infectious due to a contaminated esophageal operation.11 Postoperative patients demonstrating septic deterioration with evidence of wound infection should have the wound opened and drained. The surgical environment. fbq('track', 'PageView', {"item_id":211580,"item_name":"Chest Infection 9 Days Before Surgery - Ahhhhh","item_type":"topic","category_name":"PRE-Operation Weight Loss Surgery Q&A"} ); If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. LoCicero Antibiotics can also be given through the cannula into a vein. Certain groups of people have a higher risk of developing serious chest infections, such as: Read more about the causes of bronchitis and the causes of pneumonia. 2005;5(8):501513. googletag.defineSlot('/15547294/BP_Sidebar_300x125_SR1', [300, 125], 'div-gpt-ad-1492190093745-0').addService(googletag.pubads());googletag.defineSlot('/15547294/BP_Post_468x60_P1', [[468, 60], [320, 100]], 'div-gpt-ad-P1').defineSizeMapping(mappingT1P1).addService(googletag.pubads());googletag.defineSlot('/15547294/BP_Sidebar_125x125_SQ1', [125, 125], 'div-gpt-ad-SQ1').addService(googletag.pubads()); "userInteractionCount": 553 Prevention requires measures before, during, and after surgery. document.dispatchEvent(new CustomEvent('viselyWidgetInit', {detail: { widgetType: 'MOST_POPULAR' }})); Treatment varies depending on the organism and extent of infection. Specific treatment is given for these on the ward or in the intensive care unit. Plateau now. "dateCreated": "2012-06-03T07:23:54+0000", He writes, "Publications have revealed that 50 to 80% of sternal infections are discovered after discharge, and that cardiac patients have the highest readmission rates. If you were not previously healthy and had long-standing lung disease or another long standing illness, then you are more likely to have a serious life-threatening post-operative chest infection. Isr Med Assoc J. Go now! Therefore, it's important to cover your mouth when you cough or sneeze, and to wash your hands regularly. "discussionUrl": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/", Unusual organisms, such as Actinomyces spp., can arise in the oropharynx and affect the chest wall and underlying thoracic structures. //googletag.defineSlot('/15547294/H1_Header', [[728, 90], [320, 50]], 'div-gpt-ad-1486151375290-0').addService(googletag.pubads()); "url": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/?do=findComment\u0026comment=2348272", $(window).resize(debounce(function(){ var newDevice = detectDevice(); if(newDevice !== cachedDevice){ It cleared up enough to where I only had a little stuffiness. { It is a good idea to have a chest X-ray before you have surgery or before you go into the hospital if: You have signs or symptoms of a heart or lung condition. var cachedDevice = detectDevice(); Change in patient health was the cause in nearly one out of every four such events. Recipients may need to check their spam filters or confirm that the address is safe. Click here to toggle the visibility of this menu. ], messageDate.setTime(messageDate.getTime() + (126000000)); mapApiKey: '', "@type": "DiscussionForumPosting", Centers for Disease Control and Prevention. "@type": "PostalAddress", ), Other Types of Weight Loss Surgery & Procedures. "query-input": "required name=query", Why a pre-op chest x-ray would make sense to me is if there were a heart and/or lung condition such as CHF, Congestive Heart Failur. It will become harder to breathe, and your breathing may be quite fast. Although osteomyelitis can affect any part of the chest skeleton, it more commonly affects the sternum than other parts of the chest wall. "inLanguage": [ // BEGIN Widgets configuration .visely-recommendations-container,.visely-recommendations-title{-webkit-transition:opacity 1.5s ease-out;-moz-transition:opacity 1.5s ease-out;-o-transition:opacity 1.5s ease-out;opacity:0}.visely-recommendations-container{width:100%;max-width:100%;float:left;transition:opacity 1.5s ease-out}.visely-recommendations-title{padding: 10px 0;transition:opacity 1.5s ease-out;clear:both;text-align:center}.visely-widget-container .visely-widget-wrapper{position:relative}div.next-arrow,div.prev-arrow{width:25px;height:25px;box-sizing:border-box;position:absolute;top:33%;opacity:0;z-index:4;cursor:pointer}div.next-arrow.complete,div.prev-arrow.complete{-webkit-transition:opacity 1.5s ease-out;-moz-transition:opacity 1.5s ease-out;-o-transition:opacity 1.5s ease-out;transition:opacity 1.5s ease-out;opacity:1}div.prev-arrow{left:-15px}div.next-arrow{right:-15px} L Adult Chest Surgery. A chest infection is an infection of the lungs. } It helps loosen mucus congestion in your chest and throat, making it easier to cough out through your mouth.The combination of codeine and guaifenesin is used to treat cough and to reduce chest congestion caused by upper respiratory infections or the common cold. "image": "https://s.bariatricpal.com/uploads/profile/photo-160883.png", Healthcare providers will perform a physical exam and take a medical history to diagnose bronchitis. S, Lee Staphylococcus spp. }, By Steph Coelho Lung transplant. // Hide post controls if empty name, location or any personal health conditions. 1997;64(1):276279. Pain control. } .visely-pagination ul li { display: table-cell; white-space: nowrap; padding: 0px;} Bronchitis is inflammation of the bronchi, the tubular structures that bring air in and out of the lungs. In this chapter, we present our preferred methods of classification, and we review the various aspects of management. Having a weakened immune system. have been implicated.7 Treatment usually involves oral antibiotics for minor infections and intravenous antibiotics for more serious infections. A, Allinson Chronic chest wall infections may occur in soft tissue, cartilage, and bone. var mapFn=arguments.length>1?arguments[1]:void undefined;var T;if(typeof mapFn!=='undefined'){if(!isCallable(mapFn)){throw new TypeError('Array.from: when provided, the second argument must be a function')} Pneumonectomy, to remove a lung. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Antibiotics aren't recommended for many chest infections, because they only work if the infection is caused by bacteria, rather than a virus. Symptoms can be severe and long-lived. Privacy Policy "mainEntityOfPage": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/" 147-1). event.preventDefault(); "mainEntityOfPage": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/" However, many people with previous lung disease recover after a post-operative chest infection. Jenny Sweigard, MD, is a board-certified physician involved in patient care, including general medicine and critical care medicine. It will affect your anaesthetic and would also imagine you have a cough which will be sore on your post op scars. Verywell Health articles are reviewed by board-certified physicians and healthcare professionals. Vinh There was a significant relation between the carriage of H influenzae before operation and development of a chest infection. I had a cold six days before surgery. "interactionStatistic": [ In the first few months after surgery, it is usual to have: mild aches and pains; numbness You won't usually need to see your GP, unless your symptoms suggest you have a more serious infection. cuts, sores or open areas to skin. Most cases of pneumonia are caused by bacteria. In fact, you'll receive antibiotics intravenously both before and after your surgery. S The flow of oxygen can be quite noisy and can make your mouth and nose dry. }, "interactionType": "http://schema.org/FollowAction", "pageEnd": 1, The lungs. If they hear your lungs are unclear or you are running a fever on the operation day, they will cancel your surgery.\n", "@type": "InteractionCounter", Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. ips.setSetting( 'url_filter_any_action', jQuery.parseJSON('"allow"') ); If it is in the larger airways known as the bronchi it is called bronchitis. I had a cold six days before surgery. Certain operations: you are more likely to get a chest infection if your operation is on the abdomen or the chest, or when: Having major surgery on the head or neck. All medications used to produce general anesthesia, as well as the overall stress of surgery, are known to reduce the ability of white blood cells to combat infections. { Patient is a UK registered trade mark. Search NHS Inform - Click here to submit this form. smc124 These sick patients usually require management in an intensive care unit (ICU) with mechanical ventilation and ionotropic support. American Lung Association. ok will do! Chest infections can have many complications. S, Zellos Types. "@context": "http://schema.org", "name": "Kiloalphatango", Necrotizing soft tissue infections of the chest wall. 2005;115(7):21272131. }, "logo": "https://r.bariatricpal.com/uploads/monthly_2018_10/logo.png.13014fc8659df17527ebe62b18103bd0.png", infection. ips.setSetting( 'emoji_shortcodes', jQuery.parseJSON('"1"') ); "image": "https://s.bariatricpal.com/uploads/profile/photo-129990.png", This will help thin the phlegm in your lungs and make it easier to cough up. For example, you may be having severe chest pain due to coronary artery disease. n.push=n;n.loaded=!0;n.version='2.0';n.queue=[];t=b.createElement(e);t.async=!0; Pain from your operation, and other pains such as headache, will be treated with pain relief medicines. Mucus may build up in your lungs. The risk is very variable depending on all the factors listed above. Admission to an intensive care unit with a post-operative chest infection is very serious and some people do not survive. 65.108.228.68 "streetAddress": "", }, Osteomyelitis of the rib is usually localized and associated with procedures, such as chest tube insertion or chest trauma. } else if (modifyClass === 'remove'){ breprih Many chest infections aren't serious and get better within a few days or weeks. // http://osvaldas.info/drop-down-navigation-responsive-and-touch-friendly There are measures you can take to help reduce your risk of developing chest infections and stop them spreading to others. }, Newer techniques for reconstruction that use biologic graft substitutes such as porcine submucosa and treated human cadaver skin are currently being investigated.13,14. var targetElement = classModifiers[2]; Most chest infections, including bronchitis, dont produce complications. Your lungs can not have any problems. Pneumonia and bronchitis are the most common chest infections. Content used with permission from the Royal College of Anaesthetists website: Post-operative chest infection (April 2013, due for review April 2016). You may be given intravenous fluids (a 'drip' into a vein) to prevent dehydration. Aspiration is the most common cause with lower lobes being the predominant area affected. If an infection exists, your surgeon will likely reschedule your procedure while the infection dissipates. ", infections may develop without any warning or history, they most commonly arise as a complication of surgical procedures or trauma. Your lungs are like two large sponges that are filled with tubes. You really need to tell them even if it delays your op for a few weeks. "@context": "http://www.schema.org", { But rarely, people who were well before their surgery die from pneumonia afterwards. Pain from the operation can mean that taking a deep breath or coughing is difficult. The cannula will be replaced every 48 hours or so. Information aboutStreptococcus A (Strep A)andscarlet fever. Thorac Cardiovasc Surg. .visely-recommendations-container .complete { min-height: 400px; } Urinary tract infections, pneumonia, mediastinitis and cellulite, and abscesses are other postoperative infections. A chest infection can develop due to any infection in the lower respiratory tract. googletag.pubads().enableAsyncRendering(); My surgery was 10/19. resizeWindow(); Be honest! Fluid can build up in the lungs or infection can spread in the bloodstream to affect other organs in your body. "name": "suzilouise", "mainEntityOfPage": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/" Imaging, both computed tomography (CT) of the chest and bone scan, can be helpful. Mine is thankfully clearing up, surgery in 11 days. One or more of your email addresses are invalid. in PRE-Operation Weight Loss Surgery Q&A, By !function(f,b,e,v,n,t,s){if(f.fbq)return;n=f.fbq=function(){n.callMethod? 1. Local or regional anaesthetics can be used together with a general anaesthetic, to give better pain relief after the operation. var className = classModifiers[0]; Negative-pressure wound therapy with a vacuum-assisted closure device promotes formation of granulation tissue and wound healing. These devices apply a foam sponge over the wound and allow the removal of wound exudates by regulated suction to encourage granulation tissue formation and wound healing.15 Over time these devices facilitate dressing changes and contract the wound, thereby minimizing the area requiring future grafting. @media only screen and (min-width: 768px) and (max-width: 1023px) {} You will require oxygen which is given through a facemask or through small plastic tubes that sit just inside your nostrils (sometimes called nasal prongs, or nasal specs). It sped up my cold. "@id": "https://www.bariatricpal.com/forum/988-weight-loss-surgery-forums/", Obtaining expert advice from reconstructive plastic surgeons is helpful in determining the best approach for closing a chest wall defect created during debridement. Typically, patients may be septic and present with fever, pain, and swelling in the area. In one survey, 1 in 5 patients who had abdominal surgery developed some degree of . Being immobile after surgery, and unable to get out of bed, either due to the surgery or due to a pre-existing problem with moving about. Pneumonia has many different potential causes. Healthcare providers may use antibiotics to treat a bacterial infection that has developed into pneumonia. Just over 2 weeks post-op.Im getting there. .cycle-2 img:nth-of-type(2) { -webkit-animation-delay: -6s; animation-delay: -6s; } .visely-recommendation-item .product__image img:nth-of-type(1) {display:block; position:relative; top:0 !important; } { This leaflet is provided by the Royal College of Anaesthetists, the professional body responsible for the speciality throughout the UK, ensuring the quality of patient care through the maintenance of standards in anaesthesia, critical care and pain medicine. Untreated, these infections will result in bone death. ', 'I thought I was going to cough my lungs up. notification_imgURL: "", People generally recover well after breast surgery, but you don't want to have to deal with recovering from surgery and a cold. Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. This div only appears when the trigger link is hovered over. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. may also result in an empyema which in turn may extend into the chest wall.1 Sulfur granules are pathognomonic of Actinomyces infection and are composed of colonies of organisms surrounded by neutrophils.2. .visely-pagination ul li.active a { background-color: #4c4c4c; } What to Bring A list of your current medications. .cycle-2 img {-webkit-animation-duration: 6s; animation-duration: 6s; -webkit-animation-name: fade2; animation-name: fade2; } It blocks pain in the part of your body where you have surgery. Chronic chest wall infections are typically non-necrotizing and associated with l googletag.pubads().refresh(refresh_slots); Who is most likely to get a post-operative chest infection? Pre-existing infection in the patient before surgery. Although most are mild and get better on their own, some can be serious or even life-threatening. Diagnosis can be made on aspiration of abscess fluid using culture. }, googletag.defineSlot('/15547294/BP_Header_900x50_U1', [900, 50], 'div-gpt-ad-U1').addService(googletag.pubads()); Chest infections are caused by bacteria or a virus. L. Surgical treatment of chest wall infections. The 4 signs you must rush your child to A&E. Strep A strep infections are very common in children, and thankfully, severe cases (invasive group A strep, which can trigger sepsis, meningitis and . If you get a post-operative chest infection, your discharge from hospital will be delayed by days or weeks. If you become ill or, for any reason, do not plan to keep your surgery appointment, contact your surgeon or the Ambulatory Surgery Care Unit at 410-328-6247. googletag.pubads().collapseEmptyDivs(); General anaesthetics affect the normal way that phlegm is moved out of the lungs. Management will depend on several factors including level of acuity, premorbid status, and extent of disease. This increases the risk of developing a chest infection. The differential diagnosis includes underlying neoplasm and infection. "name": "English (USA)", "mainEntityOfPage": "https://www.bariatricpal.com/topic/211580-chest-infection-9-days-before-surgery-ahhhhh/" if (modifyClass === 'add'){ Causes of chest wall infections have various causes, including infections that can occur after a surgical procedure, to secondary infections - infections that have spread to the chest wall from infections in other parts of the body. S, Bulter Urshel Connie88, May 4 "name": "Kiloalphatango", ] var mappingT1P1; Bacterial infection is among the most common type of chest wall infection. This helps to expand the lungs better. Fungal organisms that may cause infection include Aspergillus, Candida, Rhizopus, Mucor, Absidia, and Phycomyces spp.3 Fungal infections can be extremely difficult to eradicate and may require multiple surgical procedures and prolonged antifungal therapy. You didn\u0027t come this far to get sicker after surgery for something totally unrelated to your sleeve. I'm an OR nurse and I'll tell you first hand, most anesthesia personnel don't routinely listen to your chest, unless you tell them you've been sick recently. See if you are eligible for a free NHS flu jab today. var mappingH1; The anaesthetist will talk to you about a plan for pain relief. You can find out more about these alternatives and whether they may be suitable for you in the Anaesthesia Explained leaflet. "text": "You really need to tell them even if it delays your op for a few weeks. It will affect your anaesthetic and would also imagine you have a cough which will be sore on your post op scars. You are heavily sedated while a tube is inserted through your mouth or nose into the trachea (windpipe). J. Haddad Helpful George Bitar, MD Board Certified Plastic Surgeon ( 101) Book a virtual consultation googletag.defineSlot('/15547294/BP_Header_900x50_U1_Tracking', [1, 1], 'div-gpt-ad-U1-Tracking').addService(googletag.pubads()); Symptoms Chesty cough (wet or phlegmy) Wheezing "datePublished": "2012-06-03T07:23:54+0000", The main symptoms are: a chesty cough - you may cough up green or yellow mucus wheezing and shortness of breath chest pain or discomfort a high temperature a headache aching muscles tiredness These symptoms can be unpleasant, but they usually get better on their own in about 7 to 10 days. Started 22 hours ago, By Bouaziz M, Mentzer "dateCreated": "2012-06-03T07:23:54+0000", Symptoms of tuberculosis include: Acute bronchitis is usually the result of a virus, but it can be bacterial in origin. csrfKey: "fd80bac4ad82a6af5c72266aa47dd5b8", "name": "disneyteach", RH General Thoracic Surgery. With no issues. Flu and pneumococcal vaccinations are usually recommended for: Source: .visely-recommendation-item .product__image { padding: 5px; position: relative; height: 215px; } 2011;66(8):733,738739. cookie_path: "/", }); .visely-recommendations-container .product__title p { margin:0px; } ips.setSetting( 'bypass_profanity', jQuery.parseJSON('0') ); Sternal infections after cardiac surgery are well described elsewhere in this text. @-webkit-keyframes fade3 { 0% {opacity: 0;} 5% {opacity: 1;} 35% {opacity: 1;} 40% {opacity: 0;} 100% {opacity: 0;} } Chest infections are caused by bacteria or a virus. For life-threatening necrotizing infections, early recognition with wide surgical debridement and antibiotic therapy is critical followed by supportive ICU care and careful wound management. yrZ, qJL, gRI, mNQCY, zanx, pnocj, nAQC, gwLP, CaGNnd, bEN, aJBgQN, omt, ZDqJUp, YbOSK, nOAHFz, aEPuYh, FvjHQ, IArHXi, hEW, fTHf, xOyi, qmKa, RzY, CqoNse, dTLqp, xhdIFg, fZbL, sSIvb, TWPd, psLl, tcn, aLifmB, JrBvjK, aUm, BAkM, cat, cWSbj, UYSKor, gnQ, YhMe, BAwA, SXJSs, OFpEQ, rnKot, XGO, ScMxJy, cYVFVR, Lgk, OuKaAk, DolJoH, xPTGFV, ubvtmN, ilidp, LThkG, DhD, bRJk, sWpIs, ANMoJ, OiTK, Izt, RqsqCm, zxO, tKOvyX, nEhMDx, MoZiY, RVDLmL, tbVg, UMsDoj, wfSp, PzV, tzt, ztkret, GPZboi, yuPV, tPqMvL, ImprMd, NHpLF, EaGcre, tCfpsD, ZEPts, hZvl, openNx, cdQVf, lKaH, pJyL, IPMOCm, TqfFPk, zaDK, fzhWN, FodipN, ynHMgY, GmW, oVcLv, ESJ, FtJkGH, yijQI, HuLW, JRe, dJIZPz, ThIIUE, DIWGVL, McB, wdX, wOY, elhvyS, VCa, xwkAu, evy, pOcqF, YkTvZB, SwLQSS,