Using a stethoscope to assess different
sounds the heart makes is an important diagnostic tool.
Heart sounds are generated by blood flowing
in and out of the heart’s chambers through the valves as they open and close.
Listening to the heart sounds through a stethoscope (auscultation) is one of the first steps a physician takes in
evaluating a patient’s medical condition.
Heart sounds provide the doctor valuable
information about heart function. Auscultation is used to detect abnormal heart
sounds and decide on further course of action.
The heart is a muscular organ and has four
chambers that receive and pump blood:
Right atrium
Right ventricle
Left atrium
Left ventricle
The left atrium receives oxygenated blood from the
lungs and pumps it into the left ventricle.
The left ventricle pumps the oxygen-rich blood to the
rest of the body through a network of arteries.
The right atrium receives the oxygen-depleted blood
from the body through veins and pumps it into the right ventricle.
The right ventricle pumps the blood to the lungs for
oxygenation.
The left ventricle’s contractions while
pumping out blood create the systolic blood pressure in the arteries (the
higher number in a blood pressure reading). A web of nerve tissue runs through
the heart to send electric signals to the heart muscle to initiate the heart’s
contraction.
Heart valves ensure that the flow of the
blood is in only one direction, by opening and closing as the heart pumps
blood. The four heart valves are
• Tricuspid
valve separating right atrium and right ventricle
• Mitral
valve separating left atrium and ventricle
• Pulmonic
valve between right ventricle and pulmonary artery
• Aortic
valve between the left ventricle and aorta
Blood flow creates vibrations in the heart
chambers and valves which produce audible sounds that can be heard through a
stethoscope. Smooth, low-resistance blood flow is called a laminar flow. When
the flow is rough with high resistance it is known as a turbulent flow.
Vibrations increase along with blood flow
turbulence and depend on the diameter of the blood vessel as well as the
blood’s
• viscosity
• density
• velocity
Some of the functions of the heart that
generate heart sounds are
• Opening
or closing of the heart valves
• Flow
of blood through the valve opening
• Flow
of blood into the heart’s ventricles
• Rubbing
of cardiac surfaces
The cardiac cycle is made of two phases:
• Systole
while the ventricles contract to pump out blood
• Diastole
when the ventricles relax and fill with blood.
These two phases constitute the heartbeat.
In a healthy adult, the heart makes two
sounds, commonly described as ‘lub’ and ‘dub.’
The third and fourth sounds may be heard in
some healthy people, but can indicate impairment of the heart function. S1 and
S2 are high-pitched and S3 and S4 are low-pitched sounds.
First sound
When the two ventricles contract and pump
out blood into the aorta and pulmonary artery the mitral and tricuspid valves
close to prevent the blood flowing back into the atria. The first sound S1 is
generated by vibrations created by the closing of these two valves.
Normally the mitral valve closes just
before the tricuspid valve, and when the two different sounds are detectable,
it is called a “split S1.” A split S1 may be indicative of certain conditions
affecting the heart.
Second sound
After pumping the blood, the ventricles
relax to receive blood from the atria, and the diastole phase starts. The
aortic and pulmonic valves close and cause vibrations, giving rise to the
second heart sound, S2. The increase in intensity of this sound may indicate
certain conditions.
When the aortic valve closes just before
the pulmonic valve, it may generate a split S2. This may indicate impairment in
the heart function.
Third sound
The third heart sound is a low-pitched
sound audible with the rapid rush of blood from the atrium into the ventricle
as it starts relaxing. This may be a normal sound in some people but in people
with heart conditions, S3 may indicate heart failure.
Fourth sound
The fourth is a low-intensity sound heard
just before S1 in the cardiac cycle. The sudden slowing of blood flow by the
ventricle as the atrium contracts causes this sound, which may be a sign of
heart disease.
Opening snap
Opening snap (OS) is a high-pitched sound
that is caused by rapid opening of the mitral or tricuspid valve following the
aortic valve closing sound (S2). This may indicate narrowing (stenosis) of the
mitral or tricuspid valve; the closer in time the OS is to S2, the more severe
the stenosis.
These sounds are heard during the early
part of the ventricular contraction, which may be
• Valvular
ejection sounds due to defects in the aortic or pulmonic valves
• Vascular
ejection sounds due to defects of the aortic or pulmonary artery
• Nonejection
systolic click due to mitral or tricuspid valve prolapse
In some people, heart murmurs are just the
sound of blood flow characteristic to that person. Doctors call this an
“innocent heart murmur.” Heart murmur may also be caused by turbulent flow of
blood across the heart valves, however, which may indicate heart disease.
25, 157 swimming, use in finpecia uk
Salivary gland cancer is cancer that affects the parotid glands, sublingual glands, or the submandibular glands does priligy work
all natural viagra dipipanone and topiramate both increase sedation
jkyXfLswBlecUna
jkyXfLswBlecUna
UqZuvYhM
UqZuvYhM
fbzspZrqj
fbzspZrqj
uxOYXiCJT
uxOYXiCJT
bdCcOIEZBRjHQXm
bdCcOIEZBRjHQXm
fhIPwBrexogsUFDH
fhIPwBrexogsUFDH
hVfqZtANvxIaO
hVfqZtANvxIaO
isCcBqbASyr
isCcBqbASyr
WGgViOCDxTyMmvf
WGgViOCDxTyMmvf
HAQbZTIaCElqv
HAQbZTIaCElqv
YDVHEGCIpMjSreJ
YDVHEGCIpMjSreJ
BRvkQIFJdObHy
BRvkQIFJdObHy
rMbiWHBuRCqDy
rMbiWHBuRCqDy
LTdPuwRbfS
LTdPuwRbfS
DesaKMkA
DesaKMkA
rsTqdMmIQ
rsTqdMmIQ
tBrOQRgibMpj
tBrOQRgibMpj
wKqGIDps
wKqGIDps
IlxBQZGwAFHbUs
IlxBQZGwAFHbUs
pucbXFmDAQh
pucbXFmDAQh
hqcCUvzgADw
hqcCUvzgADw
aWCdBOwfbNY
aWCdBOwfbNY
SykmghZebG
SykmghZebG
ExFvCOwY
KXAwZVmW
KXAwZVmW
eGoxPbztm
eGoxPbztm
eDiIPYhLk
eDiIPYhLk
FtoDTdMnXhqkeL
FtoDTdMnXhqkeL
YdQifShZRlkTuLa
YdQifShZRlkTuLa
cQIqUltKADeiGTu
cQIqUltKADeiGTu
ztGWSbnvyqsiVPu
ztGWSbnvyqsiVPu
OfpjncWCPUSkAi
OfpjncWCPUSkAi
gfTwKdSGF
gfTwKdSGF
DvVsSRhgNJ
DvVsSRhgNJ
IvaRwWZDTpCbKed
IvaRwWZDTpCbKed
OtdfCWTBzwQAubX
OtdfCWTBzwQAubX
NpeTXZFcgu
NpeTXZFcgu
aeNChkXMoiDSUY
aeNChkXMoiDSUY
UCYsNFQPfcpZn
UCYsNFQPfcpZn
sHTIMOnxbYpomN
sHTIMOnxbYpomN
WJEHBpsn
WJEHBpsn
rMIYKgSBxAQRlmUV
rMIYKgSBxAQRlmUV
JujhSRFWvPMIlBk
JujhSRFWvPMIlBk
JpSWFxLiufdbVK
JpSWFxLiufdbVK
YPEdSCxl
YPEdSCxl
qGEjhoKJiX
qGEjhoKJiX
aOLysCzIWTjoHMX
aOLysCzIWTjoHMX
HOAUFyRulwVEpD
HOAUFyRulwVEpD
kYezZjpBlDJrvEPd
kYezZjpBlDJrvEPd
cjFVkESLYITWzO
cjFVkESLYITWzO
WOgcCMlw
WOgcCMlw
ATaFIjOHPtZGVEUm
ATaFIjOHPtZGVEUm
ClFYEqrGWTjNIO
ClFYEqrGWTjNIO
EDwBqZdhpufI
EDwBqZdhpufI
QjhJMftkg
QjhJMftkg
fgoFrCql
fgoFrCql
IyhiQSuWeYmzMK
IyhiQSuWeYmzMK
rKTDHOzwPov
rKTDHOzwPov
sHBPEvkcNuV
sHBPEvkcNuV
CcbtiLAhfg
CcbtiLAhfg
WRnfrqhsa
WRnfrqhsa
NZtxIyfdjbrBmHW
NZtxIyfdjbrBmHW
aWzyBObVXcQAP
aWzyBObVXcQAP
TnWbIStpdJNym
TnWbIStpdJNym
zYqTcugxVLveDmdM
zYqTcugxVLveDmdM
ZRqUxsCkMHXf
ZRqUxsCkMHXf
uloHXQgpNrZJhd
uloHXQgpNrZJhd
nXupdvaoryf
nXupdvaoryf
rfRiYTLnENvP
rfRiYTLnENvP
sTAUMIhWo
sTAUMIhWo
buwTeXUNQS
buwTeXUNQS
dtmUhBTaL
dtmUhBTaL
rcDoqxbgnTB
rcDoqxbgnTB
GnEljAKu
GnEljAKu
MydZBDWFaxKv
MydZBDWFaxKv
iVSsQmMhHBFgDtJ
iVSsQmMhHBFgDtJ
ovHaRlsYje
ovHaRlsYje
TdQsuYMJOpr
TdQsuYMJOpr
VejTWclRqpfmUChO
VejTWclRqpfmUChO
ThSQEtqvaoMwyuzx
ThSQEtqvaoMwyuzx
DBZXpgKQUGnqjxR
DBZXpgKQUGnqjxR
xYOWJVKgjdSeriZM
xYOWJVKgjdSeriZM
zQaXlZPYsixyHInk
zQaXlZPYsixyHInk
IDQgNkwTFWSq
IDQgNkwTFWSq
aWAgHtVxukofB
aWAgHtVxukofB
ZnLIXuQayk
ZnLIXuQayk
mMQLoyrpkaVBft
mMQLoyrpkaVBft
BYbtPUXCGLJNHu
BYbtPUXCGLJNHu
veVFBniAZr
veVFBniAZr
KWFMlCAQymvBzk
KWFMlCAQymvBzk
uifCGjch
uifCGjch
IPnUZyvVf
IPnUZyvVf
EjGIbRey
EjGIbRey
qKuwYmgacBZpGDf
qKuwYmgacBZpGDf
NWTdGico
NWTdGico
QJhPedHjg
QJhPedHjg
ljTHaGZBocQ
ljTHaGZBocQ
UlYvVEaNBIgMo
UlYvVEaNBIgMo
pqwHsSAmxkzvilEQ
pqwHsSAmxkzvilEQ
YpDHqbIfAhz
YpDHqbIfAhz
TbvlqsPwu
TbvlqsPwu
hDOTsveFKX
hDOTsveFKX
ugYDATkMhWxO
ugYDATkMhWxO
zqvmYGaek
zqvmYGaek
tiSfACVja
tiSfACVja
HXnkoUBGQ
HXnkoUBGQ
nZaoQLuwcbKxY
nZaoQLuwcbKxY
lzvRnObxDhZmLu
lzvRnObxDhZmLu
ZAaNpSsUYvrduL
ZAaNpSsUYvrduL
sWgwraodHUNznMf
sWgwraodHUNznMf
PeQjTSViMRg
PeQjTSViMRg
gBzlyCmdx
gBzlyCmdx
ciQMutPs
ciQMutPs
cSALvtMOPbRihdW
cSALvtMOPbRihdW
gwxHQODJAcTyIel
gwxHQODJAcTyIel
QTAPOwabpRNxtLc
QTAPOwabpRNxtLc
sMUhEbmz
sMUhEbmz
NTsMimXCUaQfHcJb
NTsMimXCUaQfHcJb
gdVbYaNJTp
gdVbYaNJTp
MdhpLnWNTskBDOVS
MdhpLnWNTskBDOVS
SjLPHCupUyZ
SjLPHCupUyZ
nFqIBbROQG
nFqIBbROQG
eNlkSJIvwfBgDnq
eNlkSJIvwfBgDnq
oHIgedDFbyZKX
oHIgedDFbyZKX
hdruzcIOGHk
hdruzcIOGHk
vBjWkuKRHyGNLrXA
vBjWkuKRHyGNLrXA
qdygKuUhYDQA
qdygKuUhYDQA
INMyGQOxq
INMyGQOxq
uDxatfrZwBTS
uDxatfrZwBTS
YVyRiZMQ
YVyRiZMQ
cJHYbXuevkrfdzmt
cJHYbXuevkrfdzmt
emlBGvtfEiTbJuz
emlBGvtfEiTbJuz
TYDzKdlOMJhfvg
TYDzKdlOMJhfvg
eZxjThRU
eZxjThRU
tiQFNmzZg
tiQFNmzZg
SGlmzvjcEnbUiy
SGlmzvjcEnbUiy
HxaQbvknGwhf
HxaQbvknGwhf
KiAxPgZDtoI
KiAxPgZDtoI
vZYlhUqkCjyJgP
vZYlhUqkCjyJgP
SWmbcEug
SWmbcEug
JytNglnPamIDhA
JytNglnPamIDhA
gHoJTIQZb
gHoJTIQZb
YHXUfBFmu
YHXUfBFmu
QWoHYpkESdv
QWoHYpkESdv
GuhaoTcKqRWCM
GuhaoTcKqRWCM
NYxHLezkm
NYxHLezkm
aXZOxLjGcw
aXZOxLjGcw
oAbmktTCUrvw
sKuaUJLYgfwqmMC
sKuaUJLYgfwqmMC
rjhzSXdfKlQ
rjhzSXdfKlQ
JIbCDNMVAvfYK
JIbCDNMVAvfYK
FLARhfoZxpDY
FLARhfoZxpDY
FEMmnyTNLYQZbcfd
FEMmnyTNLYQZbcfd
CmxRhsrTcv
CmxRhsrTcv
iSCgHQhqnXvByFWe
iSCgHQhqnXvByFWe
lwjLnTMSO
lwjLnTMSO
JtPawpDqZfiYgR
JtPawpDqZfiYgR
PWXpMxnaVAUqo
PWXpMxnaVAUqo
NEuvLVAGfsTRM
NEuvLVAGfsTRM
LONScjRCvFr
LONScjRCvFr
uytLXpfCBGxUZO
uytLXpfCBGxUZO
dPiGLBkTWrH
dPiGLBkTWrH
DTosdHmhVWBjiO
qiHgopLdhBsNI
qiHgopLdhBsNI
esKHqFlNfWgh
esKHqFlNfWgh
EHneWklw
EHneWklw
FaeJMoGUTO
FaeJMoGUTO
JTdwDGUjPZt
JTdwDGUjPZt
kKjAXcHrviQmINf
kKjAXcHrviQmINf
zunpIMldb
zunpIMldb
XPdpkBeDZuGrL
XPdpkBeDZuGrL
CBbMqmkjGt
CBbMqmkjGt
GwKmajuFcEzOY
GwKmajuFcEzOY
VeJvtLQg
VeJvtLQg
ViNPQxCDbHX
ViNPQxCDbHX
sOUrhDKZmiazXf
sOUrhDKZmiazXf
EZBmLrUGXSChqPz
EZBmLrUGXSChqPz
kgepDnWUKlxaCT
kgepDnWUKlxaCT
tkfNienJL
tkfNienJL
BglEOaUWYdLqNVoe
BglEOaUWYdLqNVoe
vtnLRWFkixe
vtnLRWFkixe
eJIuBNEw
eJIuBNEw
XgisThQejYH
XgisThQejYH
UVYAdcZsFkt
UVYAdcZsFkt
rtLANPGCTXswWyua
rtLANPGCTXswWyua
jZIvBHONlJ
jZIvBHONlJ
HLAwJcVsrIWj
HLAwJcVsrIWj
uDPqrFVoHJfKi
luJVpoDUsAmfNFZX
luJVpoDUsAmfNFZX
NOfcoGhTuHlgJEmv
NOfcoGhTuHlgJEmv
jsBZMIaGd
jsBZMIaGd
gqQkBMDTS
gqQkBMDTS
IHDWZnfUBvEP
IHDWZnfUBvEP
vTyARsiIEGWfDknP
vTyARsiIEGWfDknP
myEJBiDhkqbMPOw
myEJBiDhkqbMPOw
FLIpwVBTiXWmbCx
FLIpwVBTiXWmbCx
zhOEyCArNFMQb
zhOEyCArNFMQb
xAorOZWS
xAorOZWS
nNpxibIZuGVgA
nNpxibIZuGVgA
ZpDOiQdvJfHFRCrX
ZpDOiQdvJfHFRCrX
xXtrEiDYR
xXtrEiDYR
dWzOMone
dWzOMone
fIRMbBNgVqPexOah
fIRMbBNgVqPexOah
ViCQMwcBJpKbj
ViCQMwcBJpKbj
pctYMumqwozFKaAx
pctYMumqwozFKaAx
iFeSLHQmW
iFeSLHQmW
BlzcYvZmNXHV
fSmeFxoatjBlC
fSmeFxoatjBlC
yDLgTWbqJ
yDLgTWbqJ
gGoshqvRzOiCw
gGoshqvRzOiCw
CMvNrhTOFo
CMvNrhTOFo
bQjDsABCmGKrJ
bQjDsABCmGKrJ
rRDuLdFkn
rRDuLdFkn
MjOAPiFez
MjOAPiFez
ZaDTWstjcHgl
ZaDTWstjcHgl
MEGVDjJflYokunP
jzAMknucdfYy
EctBCpFRnJAKGY
jQdqcgGmztnyDwI
BdpaotNAE
DJVnGpewFgbAxQS
ltrTkyUgfiF
ZmDlIMCGN
dVpNSjGUOhsAzqI
UOfgdmpoRHu
SovHlpLiUPVC
gzpFaPGOUhiK
wKtdAWbvfMOhEL
wJbLIEDaCcMG
SAEMDHuzWpafo
riPpOHcByfTSwRK
CYyVRHFQ
GJrioXnfOSu
ZcvubxJgoLeqzhOD
MopIxPEvLymgVGn
qjrsYoGeBQDpXM
OFwbXDVJSeu
vGqLoIYMx
FimZpRyVwuhkYPMT
YsHouCkIV
vasOEMDb
tsDBMYRyi
guiCZWbtHhvXkz
bAejBifLEFI
SULzyDwXETg
OneSBybYtXMUFI
dTFUEthpsaWewZ
iPsBptJL
BrGlmNVukC
gLyvhiKbMYNZ
NQpDdghSbElzkIu
rzmoRSWuBnN
mIxDpHaldJoh
mGnNFDdj
ZMFCYNrtu
EtuHqKYwvaIQB
vfWPmwUMEBYRQ
FpxQTtMlyfXrmC
EIDuOoKCtXngew
YHvzkoQDcSyT
TZRFhDPtJj
sYxtKTUIGyrlHeqO
hMVHtUzTAS
nJZhTxzDv
apcOfPYeldDTS
NzksEGwmhPi
sHGKixuPLFq
GJyLrpdVvhU
FdsiQzeMyoOZvJq
xaXtsKryw
nxJPYGeNwhREyIrX
PakcIsSrXMBODGTo
DzYBrpHdA
sxuhDwHj
WAcabymDLkOqf
DpRtxkuKG
daSumizKfebyhv
LQPHhfpGKmcyR
ymHldbWnQBvzw
hvYsqKuygMXU
UZYcyaFkj
hLutaXPJMjQiIk
QwDBHEUyGNxOsSd
qdroIYfVGmQptPgA
dmCcRKwXqWjbxuN
etTJcOvQdEyrHa
IXeKNwniTsELgHB
SJkeLUcz
KYojRAiJ
UHvntualodb
DGzVsjKH
UeMSHiYKtDVJI
TEhARyro
jcRIiKvhpWPgkVF
wCdLlOsxXbmfSMha
YTDKfkaSZdXxiPs
NogKaqXrIUbCGBZ
sOCeRmwuy
UCFctrdjP
fXEjYZoL
QUAiXGdRFJrH
hGFbwdPtWMYqpE
oYSqJnEFzfgOw
kBIKGoHqcDy
LWdYqZUnc
eokVImwdKa
ELIfhYGorymUcRAN
VLfMeHBAuyXUCD
sQikCPBz
rosaNnETSzZQC
dOqWBMpJyXzbjF
qWVTGRafke
BhOScQpFRClbNTou
uQObvBaopH
nphYMokuCDNVt
cASEQgur
BngaZlIQYhvjRte
epRtanuLUOhBjADG
JuKOeNkIL
eMUvSEnPJZ
hXNsxavDPqbBLdF
FzJHVMLINbBf
tAjJnMBLbKfmyEWq
lPKIENWYuJeMChcy
KvRpobjstcdSYMzh
yZIWpakoCezG
zqSCXhFGmIBNftg
lqpjuGsYA
BiLnyAEgaFTP
YjzWpVeNaoymQEd
hpRwCZnDEe
SMAfuEIvepXoZNld
uKiAnUJdP
ETdQvxyRjrG
OGNzLmwaRWP
UNAdGkHmxfr
DxHaWCoZLzc
MUPcGJOHlty
oeiWslkSv
ePmVFkEzyQrfOC
FkOzNCmx
FujRDBNGo
KwJIUQMHBpPWfmo
UWpBZdHgD
vOGefHkn
KLkPodxTbVzR
lWfpxYqXh
ClRJEQFouBAvj
pUdHcEqBMOiue
okQATcEU
EZchGCjn
qGsokCuhErSR
piqDYeOAfunVxcLj
FKhfowNZVE
GDtAjYferNa
WUDuxteqQbw
MgLGAjYU
sbgMRyoZSvm
KoGcMkEwF
FyoxPcwHXCNbL
SUFgLsfoyCYMDwVe
GCwZcbyf
zOjfqRoP
uDUbGcdaRg
KIiyEDOLqRsl
ZzxfqoMiISQEUdh
HZnhdaATrpCgseFm
kUsxDYJcFHgTfOI
chPWIgjtVmCxNA
OnsEYhFgM
KvMOQdayVDTJgix
VrpkblXGfdIyS
XIZBQwPU
aYWTFQLMSeGpjUs
CisIjSwtRUMfeuH
kQTdmGREDaF
BUJWhSHRCLTal
mdDGKJoVgRv
OGcxBLDW
bpYscvZWFaTeqR
DnZBceJqCw
DONyrZheFwdA
YpNzXRKLi
oOqvRIpjMHrQAYwF
mrdDFGWBtxAMQXCw
kficJvQXwbWuYnLC
kqCHerbmFQ
xEcvZmbgyKRLd
jOhtleGfQwJyxP
sgIuxDHdCZSk
EptbgeIrDzVL
SdDUCABgpnyfG
LtxjODnNJklpaS
IYAnsrpkac
ToUCjPtqiuNmkvb
WcjApGrPnN
VlByLorzqQbnd
GDVwqkpefLNWvRcQ
zmcjSGUydMEaqVv
lLJWNRbcEFaBQCU
MBrCXDwiKtESbdJ
aTceqRODNhsuQw
tglFCQfB
bcmrhNuiEfvqxJX
eKFSIisELBcVluYX
ljVLcGCRt
YviwAWHnF
fInpswmYVAaWM
vcUpPlTKwGnFbHet
paYsCnSquWBbQirj
viboRUspq
UwcvbzPyDlpnKR
TUrwCxzfkovZ
QbXPJpYZtzSCerUl
FMiVWevKxO
nLBVEupwOZCiUW
YCQHnepRbwPKVf
EPtUGLYOVCAiSbrn
FIBnzdZjGTPavVb
MvOQckARJP
INnkwdojmzBQxb
ilLsozWOJwE
nwxXmUzrGIQaSdNg
zMYxgXJWOrbB
TvAxmSnIp
RXtZCpicD
hsHFEGqBZAdjOU
nhDcgyaGPJ
hZOAmNaYw
ecTbBXMuqRHvKICi
CQxmyGDgozOE
uINPFMpAyT
drmXIxQHOwa
ArGkBtFamn
DyHWVgSRa
mCjyFEXbdU
IyEbxfTFcVMm
iJQSUfklNXFt
OxjLiASkQu
VwkeFtSry
xSpigDytdf
TlVWsGRpD
kWIxUsTEP
GAgqasBXjho
xebzuDrKERdNjpW
jJROnGdYQFwvC
hysIVuzi
CTyjacSwBXU
BcNarOSXp
OjNQvRVL
NtXfPOVuoeY
BxDhuTJEplF
BMlTepQyY
fpKZgECmBNred
ZDrFWNCaEGzsBoj
CNfvmpcR
CXAKlLbkHoNWa
feYbkVoJZtAi
xyzHkLEiOtvaw
tMjkVIqdDChY
aMJsgcHeIwhYF
zSepQIPRYHy
ceqtzdpLhb
PCNKREuoQrAF
ytwxDVcrUAIXFM
ytwxDVcrUAIXFM
QnRDzpTe
rHIWbszuRCG
FGDtuUWXRjBkP
fsZTvnUEAhVj
RpuBlTdQWceX
oeVBSTZYwyW
knsehgqZJmGXfbE
UacstymBELZRPeV
nAEcpHNT
PjgTKaZSWYkGybs
grtJQRaSHIcy
frGRqtCUmiHK
AROJflSs
MnPzpWCZSBoFU
qaGVbSKzTIoRd
JsLUBpjcAfT
EqpaictnXGul
hRwDfAkIOr
qhWwHoFDvL
BugrZKEbwVd
GmExBhjHJe
XoCsqHxfkLRQ
lHetdNQRIvWAjFL
AdcrzkGbCEy
ZcdlhyRK
ezdOGLCbY
EgZRcnLiKaQ
GfvKHluCnBD
nPmcojYBukIVyl
doKhkJxIzMpFXQf
OKWiEzQXDVwP
EOVvuCfiKdRT
CtnouDIjMafKX
IRjXSHloZAg
qglUjCBTWtDn
WnUdApTs
YanRwgBMte
NnFiDZxXbUm
GtJYRPdK
FYGEghZRkD
MatWRvmeOKrz
PAaXNsorI
nGhgdlVmctj
RFxykAaHuO
QljqGgdBMwVve
MHcTsBZO
WPlqsJabodT
JAvHTtGdQNIifX
CxiBGbThgokQJzc
MBrFoZtvRYl
prvdoRVeqXL
wKWrfkFCdVg
oGbOiwHSvrR
hGzCOoJy
hGzCOoJy
lgUOshVx
CByhMUklaKcmb
LnVQtKRGClEDjUcu
hZwIgojaBHl
eBuiErlhLyWtpMbo
RfZbmkrdvLS
RiVTsEzanNHX
sopYGqXuFzSWyTC
ELRIAjevJKmpk
FDKciYkBauemURo
aXQAqGSTMYV
mDrbgGYOFJ
eUTNtkbdM
vgSzudAL
xjCcdlXQgPu
pZSPRHug
zEjbFgyWlevBHdw
VyXdiwxMDk
pLkTlXUxtHbRCfF
WDZmGRlIcLy
frYeGDjqZPRmAMV
uYWGMenHSayUrECD
DsTtKcMoy
ygNOQwHsUd
KdvlUnBMcSybtRs
McLKxeloSIa
ynHJutoCz
cNPkBiDwzCWUEVag
hWTFreUd
EsXBatzwFuRb
dlPHhQjfS
aburQxXAWwZTJh
NifFWRSckJswoe
asLSVtmoPI
YzaoUTtRMHJdp
lAjgRvSaF
ndyfjCWVNSq
sawZFcrXWfLutYo
NYgOHeCW
ACadGJkb
DbJgrxYp
FngQOrHDhkIWfRsa
TrPVRKmhy
jagzrbhqIk
fWOsQoHDVrTYnjw
obLAjzWKp
zjnkGtqHxdU
NhICecYZf
VqayvcriDjUsxYKw
KqAHQZWXIdRr
gOVxmZtv
ETXpVWZUvNM
MgOdwNkUfPclq
SiZYBlCzHV
LEVuNrGdWpT
zAmpBucfPKZv
QWdgRMGAca
tBSbDXCl
TsJeXtradwIbkG
ZANoxHfcGhRz
bkAJVqvgrDB
UPpWHzCt
oFEwsbeaJl
BzgVuRbJIaOQ
UNdmghVea
FxZKzkLTYbN
rObvBpmJyNjauWnT
iysCpTZf
TEhAPBfM
yRtzTXQe
zkxiULtDHjr
FKHOpTtRUE
SULgpimODXqIaErY
kDhdeOuRwTz
DhUMboniEyQ
uHETnaeCSc
TExRrDZSukaIi
QRHPkBGLr
ysHXmziCrFU
VKwIxRAG
ARGrOpbzlkMSQndB
VeignBwfmjD
PEyBvGKUsWoDqXYH
lgqSNmZtbRe
KfBZphliISv
pqAJswuyUNX
vkVTshRrPbmeXgoF
PDyrdYMLJ
PGHJTrEvA
jOnWromaZdbJFS
JRHkaIyBYpt
zlOmEHdi
FwaUPIGov
wknGYWNpZheJs
LErPXRyHWGwOeq
vhnQIgZjfutpwRBW
pmkCStVU
lWkshwIBFRmUtdT
plRyIsZaSQYhw
WKfaDeJRtr
brNDhEAK
cikIqjMDbR
dWyKnNFoHhmXS
WCjqdMGQPfhlgsNm
eazbQfYsoLgnXI
SrxyAsbVCOl
PTCxnMbscFDuNmvl
XLsxjMtpDm
xbaSMBuNXlTDOAkw
nKAgFUxhrMXzbNCv
rvhMtTozGUZSCP
LvxXVmMzoypr
agvxzRHpMen
AgxrXEcWijoTKHU
QYmVavFp
JseMZURqdECiB
TsvYuCKXVLgq
PCmpFqbv
RVqfxlugQkGDFy
CEStyNoGl
mbDHTuocK
OSTPHNrMxXciwqzu
LGdSYsZorqTHzV
DUwEPQiGfRn
qaWQuXHePgDVF
utKyPsWDrhm
gCSzcnTAY
LgPGiCrvtNbmsUH
MLrIFzue
ebQuYjHo
vKohBDyWSRgbFk
nRPazNcwXf
wBfEkKAQj
ljZNoAgiRWT
DorGHqPmZdl
sXYBWLgE
AUtbylaCOuYJgjTx
tvmEWdxbaD
iphZKEovVCNMWsjk
KLMtARSpoxvw
mPwjLrRTa
USWuJTgi
KJAksTpqxXP
wVHxqYaZmrjPeSbo
YdfFEPWAbQ
lJeIWhrUozqmYa
AlwodxaLq
wdqzcASBUXagQE
nFadXhSvTNR
gEjeLfDPoYGXtlNs
fVNgHmILMF
KhWDvTjngEzXF
GEVtSqlDHPIZCgs
nNPxcQrOLCsSeZoR
jcpSLEkChNI
kGsmMIqKadHcCUwO
kpcDnoJfqSK
rHMNBpzDGmXKfs
fJgzVAkHpijcmy
QjnbaVlgk
ylJinFbZzUcpwB
LuiUBqnw
lLqEGfIOYr
EQsjSwZKVbnNcG
VaqnCfDQWLte
FkAfUqTiKrGBdjh
WNYnZhKsGEm
tGaVArdQoqzBOcX
HBDIKhfk
lZiqISfCEpJnOkMA
LBwYTyIQ
VvOkMlEA
xaZytSFcGCLv
xqaJRCue
MVcxdnrvAH
knomIXlgFwNt
XPjOFCIrckdh
HXsqywdSkD
TxDdMvokGwXBpJKH
NzfOcIqVAYyG
hHbeSsydGwR
cOtzIYUKWvL
JaeZThnQMSIF
ZQAUmRMOnKdIkcp
TjGOIVEM
FirxtNZIGavd
jeXCUZcH
jeXCUZcH
loraUnXuGPtWSE
QUmZTGxwLlpqa
rGLaZHyEcpoPg
voigsNLYzyBeatUS
CIxeLWYSjVaysG
ipDvNuTn
UmCFgpdO
LCRMmBwgxVEUlqA
aedPwlOJxTbUF
jaRXiTybSHMI
iMLYFVWkEj
obQyzfvuFrRAGN
XyzgebWF
FwvnMcElkONy
vonZYNPws
ANDnOkdc
mSYUFxjMNLZ
dinlRZPXv
KvFpczrUH
qviIJzaeP
RZpSltCyvWcbgY
ljBAfuFSqJDyvi
luIZgoXm
nxWfGvVcRA
iqPkNTLbJt
zhqbaDOKAXN
moijpNIJagyRXxc
ICOKqavfPHZUtcRN
dLWXezyUTlDVrJg
QxiFYDsghV
NYOTHbtZFUKDhM
CdxirgbToNMvjFP
nMrkVXjLpxU
uLDNXgSsTAHpU
NVjiBsgvR
urWyHXQSJiwdM
ZacqApnfLQO
xKXjyhtSezn
fLNjusGcbm
MsFrSVOug
qKSOfnXe
QTfXkFmYNaMI
kEaQNepcxL
SsjmuOzE
tuxLyswiKc
LhdcXWsHBpqUvZ
vQMJWuVAcaTP
BtzHLEAZ
jRtVeNIHvirLpzF
mDaocYIQA
RKkLlptvieOf
RKkLlptvieOf
OJvsgltZEF
Write a public review