Abordagem Do Doente Com Dores Abdominais

 -47/,02/4/40390.42/4708 ,-/423,8 W W W

,:8, ,:8,25479 25479,390 ,390/0 /0.438: .438:9,8 9,8/ /,8, ,8,4$& 4$&0 0 ,/288084859,,708 ,47 ,47,,:9 ,,:942 429,/ 9,/,8 ,8802 802.4380 .43806:H 6:H3., 3.,88 $:-7:54    403,8, 403,8,-/42 -/423,8 3,8070974 070974507 507943 9430,87, 0,87,;08 ;08 W W

3907; 3907;03 034 4.J .J3. 3., ,2,4 2,47  7  3907; 3907;03 034 4.7 .77 7., .,    -/O2 -/O203 03 ,:/4 ,:/4    207H 207H3., 3., ,-/42 ,-/423, 3,

 -47/,02/4/40390.42/4708 ,-/423,8 W 39038/,/0/,/4780270,4.42 7,;/,/0 W 0294/4830.0889,2/0.7:7, W -0.9;48   ,3O89.4570.4.0 ,3O89.4570.4.0   893:7.77.43 893:7.77.434.77.4 4.77.4 W .2,/094/,8,85704.:5,08

 -47/,02/4/40390.42/4708 ,-/423,8 W 89O7,00,204-0.9;4   ,47,/,8;00808.,70.0 ,47,/,8;00808.,70.0/4708 /4708   #0;0,2.,:8, #0;0,2.,:8,   #0/:025488-/,/08 W !07290942,7/0.808907,5H:9.,820/,9,8

  !747,2,8 !747,2,831472E9.48 31472E9.48

 -47/,02/4/40390.42/4708 ,-/423,8 W ,7,.907J ,7,.907J89.,8 89.,8.,; .,;0 0   /,/0    47,024/4/03J.4   :7,4/4883942,8    ,9:70,%54   4.,,404.,8/077,/,4    $3942,8,884.,/48 W E:80, 4:,3470 4:,3470, , W 'O29 'O2948 48 W ,770,84:4-895,4 ,770,84:4-895,4

   89O7,203897:,

 -47/,02/4/40390.42/4708 ,-/423,8 W ,201J8 ,201J8.4/ .4/4/40 4/40390.42 390.42/47 /4708,08,-/42 /423,8 3,8    -807;,4 -807;,4 07, W 850.9407, 850.9407, W !484340 !48434094 94 W $3,8;9,8 $3,8;9,8. .90250 902507,9:7, 7,9:7,

   %O7, W :8.:9 :8.:9, ,4 4 W !07.: !07.:88 884 4

   -/O -/O20 203 3 W 3850 3850. .4 4    89038 890384 4   -,:,20394 -,:,203944.,,/ 4.,,/4 4    F73,

 -47/,02/4/40390.42/4708 ,-/423,8 W -/O203 -/O203.4 .439 39   !07.:884 W W W W

%25,38244:2,.0 %25,38244:2,.0 !43948/44748480/0 !43948/44748480/08038-/,/0 8038-/,/0 #0107H3.,,543948/4474848 #0107H3.,,543948/447484808038J;08 08038J;08 !,5, !,5, 4 4   #/02:8.:,7     !48948/44748480/08038-/,/0   47/08.4 47/08.425708 2570884 84   5078038-/,/0

  :8.:9,4

 -47/,02/4/40390.42/4708 ,-/423,8 W !0;0    ,20 ,2070.9, 70.9, W W W W

!43948/447484 !43948/4474848 808038J 08038J;08 ;08 !70803, !70803,/0100 /010088 $,3:0 $,3:04.: 4.:94 94 %:2472 %:2472,88,5 ,88,5F;., F;.,

  ,20- ,20- 2,3:, W !43948/44748483424;20394/49074 !43948/44748483424;20394/49074 W ,88,8348,3 ,88,8348,3048 048

   $3,4-9:7 $3,4-9:7,/47  ,/47 

W 4784 478401 01,3 ,3.48 .48    !07.:88 !07.:884 4 W 47343 47343:4 :4.4894 .4894 ;0790-7, ;0790-7, W $3,/458 $3,/4584,8 4,8 J,.4

 -47/,02/4/40390.42/4708 ,-/423,8 W ,5,./, ,5,./,/0/0, /0/0,7:5 7:5,783, ,783,808 8083942 3942,805 ,80508,7, 08,7,8:, 8:, 254793.,70,9;,    #0.430.20394/05,/708 #0.430.20394/05,/708 W 507H 507H3. 3., ,

W  ,2 ,208, 08,3, 3,J9 J9.48 .48    42502039 42502039,708 ,708    $O7,7,2039 $O7,7,20390 025479,3908 25479,39083,,;,,4 3,,;,,43., 3.,

W 2, 2,4 44 4 , ,   #0.039020390,:2039,7,2 #0.039020390,:2039,7,2,8:,.,5,./,/0 ,8:,.,5,./,/0/,3O89., /,3O89.,

W :9,8;0 :9,8;008, 08,0850 08507,/4 7,/48708: 8708:9,/ 9,/48/48 48/480,2 0,208 08 ,:,70854/0,97,8,7/0830.088,7,20390,8,99:/08 ,:,70854/0,97,8,7/0830.088,7,20390,8,99:/08

 -47/,02/4/40390.42/4708 ,-/423,8 W :948/40390 :948/4039083430.0889,2 83430.0889,2/039073 /039073,20394 ,20394 302/03907;034.77.,   ,:8,8.42:38/039073,20394 W W W W W

503/.90 503/.90,:/, ,:/, 4708,-/423,830850.J1.,8 4708,-/423,830850.J1.,8 4708.424702:7 4708.424702:74O., 4O., .:84 .:843908 390893, 93, !,944, !,944,-,7  -,7 

W :20394/,.,5,./, :20394/,.,5,./,/0/,3 /0/,3O89.,50, O89.,50, 0;4:4/482048/ 0;4:4/482048/0/,3O 0/,3O89.409,;0 89.409,;0 70/:4/4839073,203948

 -47/,02/4/40390.42/4708 ,-/423,8 2-744,0844, W %:-4/089;402/0803;4;20394 /;/080027008.42-,8002   77,48,3:J30,   307;,4

W #0,42,39/,,9F;/,,/:9,

 -47/,02/4/40390.42/4708 ,-/423,8 %:-4/089;4,390747 W W W W W W W W

741,7 41,73 30 0 8O1,4 89O2,4 :4/ :4/03 034 457 574 42, 2, !3.70,8 J,/4 ',8 ',8 -, -,70 7088 ,4

 -47/,02/4/40390.42/4708 ,-/423,8 %:-4/089;42F/4 W 3J.4 3J.434 34/:4/03 /:4/034 4/89, /89, 3:4/0%709 W 3908 390893 934 4/0 /0,/ ,/4 4 W 5H3/.0 W 04 W O4 O43 3,8 ,8.0 .03/ 3/03 0390 90 W  574 5742 2,8 ,8/4 /4.O4 .O43 3 97,38;0784

 -47/,02/4/40390.42/4708 ,-/423,8 %:-4/089;454890747 W O4 O43 370 7089 89,3 ,390 90 W #0.94

 -47/,02/4/40390.42/4708 ,-/423,8 W %:-4/0 %:-4/089;4 89;4/408 /40892, 92,4,48 4,482O 2O/0/ /0/89,0 89,0.05 .0594 94 /:4/034    4-07945475079430: 4-07945475079430:;8.07, ;8.07, W 7022 7022084/072 084/0720 0

W J,/4J,/4-,40 ,40;08J.: ;08J.:,,-, ,7 7 .4-079:7 .4-079:7,5,7. ,5,7., , W !3.70,8 !3.70,83470 34709745 9745079 079430: 430: W !079430 !079430:;8.07 :;8.07,.4 ,.439J3 39J3:4.42 :4.4245, 45,709 709, ,    $ W $25E9.4 $25E9.405,7, 05,7,825E 825E9.4 9.4

W !079 !079430 430:5, :5,70 709, 9,    307;,4 307;,48 842E9. 42E9., , W 07;48085 07;480853,8 3,8

 -47/,02/4/40390.42/4708 ,-/423,8 W 31,2,40779,4/4 31,2,40779,4/45079430 5079430:5,709, :5,709,    47,:/, 47,:/,39038, 39038,507 5078890390 8890390

W 31,2,40779,4/4 31,2,40779,4/45079430 5079430:;8.07, :;8.07,    478:7/,954.O.,4:.439J3:,2,4.,,/, W 884.,4 884.,4,3E:8 ,3E:80,80 0,808:/, 8:/,4 4

W !079430:;8.07,0O7 !079430:;8.07,0O748,884.,/4 48,884.,/488   38038J;0,49,.945700384.47906:02,/:7,0 089J2:480F.97.48   $038J;0,0897,20394/8903844:.4397,4 ;4748,.4397,70889H3., W ":J2.4 ":J2.488 W 86:02 86:02, , W 31,2 31,2, ,4 4

 -47/,02/4/40390.42/4708 ,-/423,8 W

47;8.07, 47;8.07,,5439, ,5439,5,7, 5,7,:2, :2, /403,397,,-/423, 831.,9;,    4F:2, 4F:2,3/.,4 3/.,45 5478 4788O 8O 5,7,.7:7,

W

%7,384 %7,384/0/47 /0/47;8.0 ;8.07, 7,5,7, 5,7, 842E9.,3/.,1706:039020390 30.088/,/0/0.7:7,    503/. 503/.90 90,: ,:/, /,    .:8439 .:84390893, 0893,.42 .42 0897,3:,20394

W

4F 4F:2 :2,3 ,3/., /.,4 4 ,-84:9, ,-84:9, 5,7,.7:7,    ;079 ;079.: .:90 90

W

893:7 893:7/47842 /47842E9., E9.,4.,,/ 4.,,/, , /0/1:8,    $020207 $020207H3., H3.,.77 .77., .,    207H3., 207H3.,.7 .77., 7.,

 -47/,02/4/40390.42/4708 ,-/423,8 W 307;,4 307;,4/49 /49:-4 :-4/089 /089;4 ;4 .0397,    ,9 ,907 07, , W 47;8.07 47;8.07,3, ,3,3, 3,2F/, 2F/,

W 47 4705 05 E8 E897 97., .,    %:-4/089; %:-4/089;4,3 4,390747  90747 

W 47 507 507  :2-. :2-., ,    %:-4/089; %:-4/089;42 42F/4 F/4

W 47 47 54 54E E89 897 7., .,    %:-4/089; %:-4/089;454 454890747  890747 

W 47 5F;. 5F;., ,05 0507 0730, 30,    0,57O89,9 0,57O89,9, ,9074 9074 4;E748097425,8/0,O54

 -47/,02/4/40390.42/4708 ,-/423,8 W 47 .42 4702 4702 3, 2:8.:,9:7,/,5,70/0 ,-/423,4:5079430: 5,709,    !07.0-/, !07.0-/,027 0270,4 0,40,.9, 0,.9, .42,4.,,4,3,9O2., /4089J2:4 W -7,8307;48 -7,8307;48,884 ,8842E9.,8 2E9.,8 0397,2:3,907,203903, 20/:,0853,

   307;,4 307;,4/,5, /,5,70/0 70/0,39074 ,390747 7 0,907, W , , 

   307;,4 307;,4/,5, /,5,70/0 70/0 54890747  W  , ,

 -47/,02/4/40390.42/4708 ,-/423,8 W 47 4770 7010 107 7/, /,    #0107/,3:24.,7024940270,44.,,4,3,9O2., #0107/,3:24.,7024940270,44.,,4,3,9O2.,/,084 /,084 W 70202-7 70202-743E7, 43E7,.42:2 .42:2 W 025477,/,4/,/47/04702-,75,7,7048:-08.,5:,74: 42-74/7094    07;417F3.4 07;417F3.4/07;,/0 /07;,/007;., 07;.,    779,4/4/,17,2,/7094 779,4/4/,17,2,/7094  40.8990 40.8990, ,:/, :/,  -.08848: -.08848:-17 -17F3.4 F3.4  -.0884 -.088405E9 05E9.4 .4

W 403,4:749 403,4:749:7,085F3 :7,085F3., .,    $3,/007 $3,/007 473442-74086: 473442-74086:07/4 07/4  ,17, ,17,2, 2,  892 892, ,4 4  ,:/,/4 ,:/,/453. 53.70,8 70,8  3:4085F3.4/4.O43 3:4085F3.4/4.O43

 -47/,02/4/40390.42/4708 ,-/423,8 W :9748 :97480025 002548 48/0/ /0/47 47 70107/,    478 4784 4 W !3. !3.70 70,8 ,8 W :4/ :4/03 034 4 W 479 479, ,

   O.. O..  W 907 9074 4 W #0.9 #0.94 4

   #043:3, #043:3,4 4039, 039,8 8 W # 2 W &709 &70907  07  W 79F7, 79F7,8 8JJ,.,8 ,.,8

W '07 ;748 ;748/0 /09 909 094 4

 -47/,02/4/40390.42/4708 ,-/423,8 W 779,4/4507943 779,4/45079430:5,709,/E.43 0:5,709,/E.4397,.9:7,0 97,.9:7,0 543948/447484834828.:4884-70,.03908   7,3/0831.,/4.J3.434/,3O89.4/,/47 ,-/423,   5,70/0,-/423,,390747    ,17,2,   !84,8   ":,/7,/4/4842-48    70.947/,.4:3,   !714720   -9:7,/47390734

 -47/,02/4/40390.42/4708 ,-/423,8 W 5H3/.070974.0.,779 5H3/.070974.0.,779,2584,8 ,2584,8574/: 574/: 085,8246:0/E.424/0108,/4/40390104 /,.4,/709, W $3,/4!84,8 $3,/4!84,8 4039002/0.-94,90 4039002/0.-94,907, 7, 086:07/4008903/07949,20390,.4,/709, 54/0/,7/47 W $3,/44-9:7,/ $3,/44-9:7,/47 47 /47E749,439073, /47E749,439073,/, /, .4,/709, W 779,4/4507943 779,4/45079430:5F;.4547,5 0:5F;.4547,503/.904: 03/.904: /;079.:903480,884.,,303:27:54 2:8.:,744,,:8H3.,/07/0/,5,70/0 ,-/423,

 -47/,02/4/40390.42/4708 ,-/423,8 W

,3O8 ,3O89. 9.4 4/10 /10703 703., .,    207425708843,390/0 207425708843,390/0/403,86:05 /403,86:054/02.,:8,7/47 4/02.,:8,7/4708,-/423,8 08,-/423,8    #0/:80 #0/:800890 0890320 320745 74547 47,3E808/047/02,3,9O2., ,3E808/047/02,3,9O2., 0504.430.20394/,8 .,7,.907J89.,807,8/,/47    ;84/ ;84/4,4,-/O20 /O203547 35476:,/ 6:,/7,390 7,39088 W

3:207,7,8 3:207,7,8.43/ .43/086: 086:0.,:8, 0.,:8,2/470 2/4702.,/, 2.,/,6:,/7, 6:,/7,390 390      

'07;748 '07;748/0 /0909 9094 4 025 0254 48 8  "$ "$ .40.8990 .40.8990, ,:/, :/,    503/.9 503/.90, 0,:/, :/,  "$ "$ #49:7,0 #49:7,031,79 31,7900 0085F3 85F3.4 .4    ;079.:90 ;079.:90, ,:/, :/,

   47083, 47083,3 3,2F ,2F/, /,,-/4 ,-/423, 23, W W W

5E 5E897 897., .,88 !07:2!07:2- ., .,88 54 54E8 E897. 97.,8 ,8

   4708,4708,-/42 /423,8 3,8/1:8, /1:8,88 W

!4/02 !4/02807 8070;0 0;088   

W

$02,.,/481J8.48 $02,.,/481J8.48831.,9;48 831.,9;48  503/.9 503/.90 0,: ,:/, /,3., 3.,

!4/02 !4/02807 807390 39038, 38,88  

!079439 !0794390 0030 0307,, 7,,/, /,

 -47/,02/4/40390.42/4708 ,-/423,8 W W W

/05,94 /05,944,8 4,8.424 .424702 7023,8; 3,8;J8.07, J8.07,8,-/4 8,-/423,8 23,8F29 F29,/4 ,/4 ,/,:2,884 ,/,:2,884.,80 .,80,:2, ,:2,0;4: 0;4:4., 4.,7,.907 7,.907J89.,8 J89.,8 /083,80 /083,8083942 83942,8 ,8 .: . :84 84 -8 -897 97: :4 4    O., O.,39 39089 0893, 3,    E.:48 E.:48 703,8 703,8    O., O.,-, -,7  7 

W

31 31,2 ,2, ,4 4    39074 39074.4 .490 90    /0390208 /0390208039F7 039F7., .,

W

!071 !071:7 :7, ,4 4    .07, .07,5F59 5F59., .,

W

%474    ":894 ":8944; 4;E7. E7.4 4    'O;:4 'O;:4/48 /4824 24/0 /0

W

86:02 :02,    %742-480/, %742-480/,,79F7 ,79F7,20803 ,208039F7., 9F7.,    31,790 31,79008 085F3 5F3.4 .4

4708,-/423,8 W -897:4 -897:4/0; /0;J8.07 J8.07,4 ,4., .,    O O., .,    475741:3/,.423E:80,8 475741:3/,.423E:80,8

W J. J.. ., ,    39089 390893, 3,

W 4389 4389,3 ,390 90    , ,7  7 

W 31, 31,2, 2,4    310.4 -,.907,3, -,.907,3, W 4708 47080;0 0;088 W %7,382:7, %7,382:7,  779,45 779,4507943 079430, 0,    4708842E9.,84.,,/,8 4708842E9.,84.,,/,8

4708,-/423,8 W !071: 071:7, 7, 4 4    #:59:7,/0;J8.07,4.,4:4:97,8944;E74,/0342,05E9.4 #:59:7,/0;J8.07,4.,4:4:97,8944;E74,/0342,05E9.4    47/03J.48-94,:2039,,9F39038/,/02E2,/02 47/03J.48-94,:2039,,9F39038/,/02E2,/023:948, 3:948, 47,8    $3,8/0779,45079430, $3,8/0779,45079430,3.,203904.,,/48/0548 3.,203904.,,/48/0548 0307,,/48

W %4784    4739038, 4739038,/03J /03J.48 .48-94 -94    29,/, 29,/,,44., ,44.,    4800 4800307, 307,,2 ,2

W 86:02, 86:02,/0 /0;J8. ;J8.07,4 07,4., .,4:8O 4:8O/, /,    4739038,34574547.43,,48/,/481J8.48

4708,-/423,8 W ,-47/ ,-47/,02 ,02574; 574;8O7, 8O7,    !74.08848 !74.088485,94O 5,94O.48 .48    4.,,4 4.,,4,3,9O2 ,3,9O2., .,    4, 4,-84 -84:9,8 :9,8 W $4-705484/,82,31089,083.,802;E7,8.43/08

  W 'O;:4 'O;:482 824/0 4/0    %47404 %47404-897: -897:4 4

W 40.8990 40.8990,:/, ,:/,   -897:4 -897:4/4 /4.,3, .,3,.J89 .J89.4 .4   31,2,4 31,2,497, 97,382: 382:7, 7,

   47,746:0:2574.08846:0.,:80/473.,203900;4:,5,7, 47,746:0:2574.08846:0.,:80/473.,203900;4:,5,7, 4:974 W .:84390893,547,/07H3.,80;4:,5,7,86:02,00031,790 390893,

4708,-/423,8 ;,,4 W

,82547 ,825479,390 9,390204 204/0/, /0/,3O89.4 3O89.4    &2,.,/ &2,.,/07, 07, W 409, 409,/, /,89O7 89O7, , W -80 -807; 7;, ,    !484/4 !484/4/403 /4039034094 9034094    57088 570884 41,. 1,., ,  !,748248 !,748248/0/47  /0/47     472,/ 472,/4,4,-/O20 /O203 3

W

#01,07, #01,07,0;4: 0;4:4/ 4/4058 4058O/4 O/4/,/403 /,/403, ,                

47,0 47,0, ,.9, .9, 472,/03J 472,/03J.4/, .4/,/47  /47  !74/424847 !74/424847,84: ,84:/,8 /,8,3908 ,3908 #0 4.,, 4.,,7 7,/ ,/47  47  ,9:70,9 ,9:70,954/0 54/0/47  /47  77,/, 77,/,4 4/, /,/4 /47  7  907,08 907,08/039 /039038/,/0 038/,/0 :/,3,8/ :/,3,8/04.,, 04.,,4 4

4708,-/423,8 ;,,4 W

!70803, !70803,4:34 4:34/0839 /083942,8 42,8,884.,/4 ,884.,/488    3470 3470, ,0; 0;O29 O2948 48 W #0,4.423J.400;4:4 #0,4.423J.400;4:4/,/47  /,/47  W 779,47,;0/48307;4850 779,47,;0/48307;485079430,84:20803 79430,84:208039F7.48 9F7.48 W -897:4 -897:4/0: /0:2,;J8. 2,;J8.07, 07,4., 4.,

   %54047E7 %54047E74/, 4/,92, 92,/00. /00.4 4    ,7 ,770 70, ,

W

89O7, 89O7,2F/., 2F/.,5707 5707088, 088,/09,, /09,,/, /,          

58O/48 8020,3908 8020,3908 907,08 907,086:0,8 6:0,8/0 /089;,8 89;,8 :97,8,9 :97,8,907,08 07,08889F2 889F2.,8 .,8 7:7,8 7:7,8,3907 ,39074708 4708 0/. 0/., ,08 08 W 479.4/ 479.4/08 08 /23:02 /23:0283942 83942,8 ,8

   403,8 403,8 1,2,7 1,2,708 08   :97,8/403 :97,8/403,8/ ,8/457O5 457O574/, 74/,1,2J 1,2J,4: ,4:4:97, 4:97,850884,8 850884,8

4708,-/423,8 ;,,4 W 438/07,7 438/07,7/,/0 /,/0/4/ /4/4039 40390 0 W :0708 :0708  89O7, 89O7,20389 203897:, 7:,008 0089,0 9,088 W ,:8,8 30.4O.,8 30.4O.,8 /0/4708 /0/4708,-/42 ,-/423,8 3,8          

9908.207 9908.207   7:59:7,/0 7:59:7,/06:894 6:8944;E7 4;E7.4 .4 403,31,2,9 403,31,2,9O7, O7,5F;., 5F;., 7,;/0 7,;/00.9O5., 0.9O5., -.08849:-44 -.08849:-44;E7.4 ;E7.4  4: 4:$7:5 $7:59:7, 9:7, %4784 %47844;E 4;E7., 7.,

4708,-/423,8 ;,,4 W ,2 ,20 01J 1J8 8.4 .4    3850 3850. .4 4 W W W W

850.9 850.94 407 07, , 570 57088 8841 41,., ,., !4844: !4844:34 345484 54843409 34094 4 3/.,/ 3/.,/470 4708 8   :946: :946:094 094  507943 50794390 90   O.,7 O.,703, 03,  802548 8025484 4    04/49743.484-70,-/O2 04/49743.484-70,-/O203 03  !,3.70,990,:/,4:86:02, !,3.70,990,:/,4:86:02,208039F7., 208039F7.,    ,7,/0/473907290390 ,7,/0/473907290390 .O.,5474.:84

   0/783,8 0/783,8;9,8 ;9,8 W -807;,7.4 -807;,7.47/,5 7/,5000 0002:.48,8 2:.48,817, 17,0 02/, 2/,

4708,-/423,8 ;,,4 W W W W

385 3850. 0. 4 4/4 /4,-/ ,-/O20 O203 3    890384 8903840307, 0307,,/, ,/,4:4. 4:4.,,/, ,,/,    3850.4/094/4848471J.48073E74803.808,-/423, 3850.4/094/4848471J.48073E74803.808,-/423,88 :8. :8.:9 :9, ,4 4,,-/42 /423, 3,    #,7,2039031 #,7,2039031472,0 472,089 8908 08 :8.:9 :8.:9, ,4 4947 947E. E.., .,    9794 97945 50:7 0:7, ,    !30:24 !30:243, 3, !07.:88 :884    893:7 893:7/8903 /890384 84,848, ,848,/0,8.9 /0,8.90 0    !07/,/,2,.0 !07/,/,2,.00 05E9., 5E9., W !071:7,4 !071:7,4/0;J /0;J8.07,4., 8.07,4., W .4239 .423907548 075484/0 4/0.O43 .O43    !439484.,,/484:0307,,/48/0/478:0702507943904.,,/,4: 0307,,/,    470870107/,8507.:884/89,3908/44.,507.:9/4 W $3,25479,3906:,805,9432O3.4/050794390

4708,-/423,8 ;,,4 W !,5, !,5,4 4/0 /0., .,/, /,    0108,;4:39 0108,;4:39E7, E7,/4/403 /4/40390 90    #/02:8.:,74.,,/, #/02:8.:,74.,,/,4:9:247397,,-/423,2,81,.20390 4:9:247397,,-/423,2,81,.20390 /090.9,/,8.425,5,4/0.,/,    04/,8.4 04/,8.4,8 ,8    090.4/0E70,8/050708908, 090.4/0E70,8/050708908,.:930, .:930,    470.4203/4,574;4.,4/0/47E/08.42570884 470.4203/4,574;4.,4/0/47E/08.42570884:2-07 :2-07 W #,7,20390/E83,88:5074708507.:88405,5,4/0.,/,8

   %08908/4!84, %08908/4!84,80 80/4 /4-9:7,/ -9:7,/47  47 

W 448942,8 448942,8 4:0489 4:048942,8 42,8    ,20/70.94 ,20/70.940 0946:0 946:0 W ;0397 ;0397, ,08 08

W ;,, ;,,4 470 704 4/ /478 478, ,    !439488038J;080/447484884-70.4:3,3:4.4894;0790-7, !439488038J;080/447484884-70.4:3,3:4.4894;0790-7,4: 4: 1,3.48

4708,-/423,8 ;,,4 W

,2 ,20 05F 5F; ;. .4 4    9702,20390 9702,203902547 25479,390 9,390    !,5,40 !,5,40507.:8 507.:8848 848:57, :57, 5-., W 890384 890384;08., ;08., W !43948/4 !43948/44748 474848 48

   %46:070.9 %46:070.9, , 543948/44748 543948/4474848 48 W -.08845 -.0884507 07,503 ,503/.:, /.:,74 74: : /;079.:,7  W 3.483 3.483,/ ,/050 0507943 7943905 905F;., F;.,

   %46:0;,3, %46:0;,3,-2,3:, -2,3:, W 403,8 403,8/41: /41:3/4 3/4/08, /08,.4/ .4/0 0 4:,8 W 9074%7 9074%7425, 425,8; 8;E74 E7488

4708,-/423,8 ;,,4 W ,208,,208,-47,9 47,947, 47,807,/ 807,/4O 4O.48 .48 W :3., 5,30/0908908/07493, ,3908/0,;,,4 2F/.,    08507/ 08507/J. J.4 4    97,84834/,3O89.4 97,84834/,3O89.4097,9,20394 097,9,20394    ',4708 ',47083472, 3472,88 W ,8,8038,4 ,8,8038,4/0 /080: 80:7,3, 7,3, W 0:.O.9483472,8 00;,/,/0/403,8,-/423,8 00;,/,/0/403,8,-/423,87,;08 7,;08 W 0:.O.94800;,/4802 0:.O.94800;,/4802/403,834.77.,8 /403,834.77.,8

W 908    02,9O 02,9O.7 .794 94    4347 4347,2, ,2,    &70, W 7039,7 7039,770548 705484 4J6:/ J6:/, ,

4708,-/423,8 ;,,4 W ,208,-47,94 ,208,-47,947,807,/4O 7,807,/4O.48 .48 W 2, 2,80 808F7 8F7., ., W ":J2., ":J2.,05 05E9., E9.,   47086:,/7,39088:5074708

W     7,;/00.9O5.,

W $:2E74 $:2E74/0: /0:73, 73,      ,:8,8:74O.,8   :9:7,/0:73,/0830.088E74

4708,-/423,8 2,44, W #,-/423,82508 #,-/423,82508 50//482:94,.2,/, 50//482:94,.2,/,8:,:9/,/0 8:,:9/,/0    .,/484.,843, .,/484.,843,8 85489;4 5489;488 W J;08/7 J;08/74,F7 4,F7048 048 W 0., 0.,94 94 W E.:48;08.: E.:48;08.:,708 ,708

       

,/4830850.J ,/4830850.J1.48 1.48 42502039, 42502039,2 2,89O7 ,89O7,0 ,00,2 0,201J8.4 01J8.4 #,7,20390 #,7,2039070/70 70/70.43,2 .43,2,907, ,907,5H:9., 5H:9., ,8 ,890 908 8 W 9J, 9J,80 80703 703, , W .:8439 .:84390893, 0893,

   706:0390203903472,4:34/,3O89.,3,84.:808.42 706:0390203903472,4:34/,3O89.,3,84.:808.42 0897,3:,20394

W #/09O7, #/09O7, 2,893,5086:8, 2,893,5086:8,/0,7;7 /0,7;70397,5079430, 0397,5079430,

4708,-/423,8 ;,,4 W #,897 #,8974/: 4/:4/03, 4/03,.42.43 .42.4397,89 97,890/ 0/7484 7484;0 ;0    !071:7,4/0.07,5F59 !071:7,4/0.07,5F59.,;70 .,;704:.439/, 4:.439/,

W 89074 890745,.4 5,.4.42.4 .42.4397, 397,890 890/74 /7484 84;0 ;0    .:84 .:84/4. /4.O43 O43

W &'    E.:48 E.:48:709 :70907,8 07,8

W .9:,20 .9:,203906: 3906:,8094/ ,8094/488:488:-899: 899:J/48 J/4850, 50,% %    ,831472,08 ,831472,08/0254793., /0254793.,57E9., 57E9., W $:077 $:077. .,:8, ,:8, W !,30,79 !,30,7907,5H: 07,5H:9., 9.,

  9348/403908 9348/4039083430.0889,/48 3430.0889,/48/0.7:7, /0.7:7,02070390 02070390   $4-709:/4348802 $4-709:/434880289O7,,39 89O7,,390747/0/4 0747/0/47,-/423, 7,-/423,

4708,-/423,8 ;,,4 W

790 7907 74 47, 7,11, ,    86:02,208 86:02,208039F7 039F7., .,    $:-899:J/, $:-899:J/,50, 50,34% 34%0# 0# 

W

.4 .47,1, ,1,    3/,78:50747 3/,78:50747/4,/4,-/O203 /O203 W 9J,8 9J,80 0;08 ;08.: .:,7  ,7  W 40.8990 40.8990, ,:/, :/,   .,/480 .,/480.47E1.48 .47E1.4854/02 54/0234807 348072,85 2,8570.848 70.8486:00 6:00,201J8.4 ,201J8.4

   ":,/7,3908 ":,/7,3908310747 3107470850; 0850;0 0 W !4/0/,72,8/,/486:089O7, !4/0/,72,8/,/486:089O7,00,201J8.4 00,201J8.4 W 0503/03 0503/0390 90/445 /44507,/ 07,/47  47 

W

!73.J54 !73.J 5447039, 47039,/47 /473,84.9 3,84.9,4 ,4/480 /480,208 ,2087,/4O 7,/4O.48 .48    #08:9,/4/0;031:03.,72:9445,34/00,208,/.43,80,907,5H:9.,    ;9,70, ;9,70,2087 20870/:3/,39 0/:3/,3908 08

W

,5,74 ,5,748.45 8.45, ,/, /,3O89 3O89., .,    !43/07,73, !43/07,73,8/470 8/4708,-/4 8,-/423,8 23,8,:/,8 ,:/,8022: 022:0708 0708

4708,-/423,8 $2:,2,-/O203 ,:/4 W

,7/4 ,7/4; ;,8 ,8.: .:,7 ,708 08    31,7 31,790/ 90/424 424.E7/ .E7/44 440.89 0.8990 90,:/ ,:/, ,

W W

#085 #0857 7,9 ,9O7 O7, ,88 09,09,-O O. .,8 ,8    094 094,./4 ,./480/ 80/,-F9 ,-F9., .,

W W

%O.,8 !,70 !,70/0 /0, ,-/4 -/423 23, ,    02,942,8/4870.9480254.4, 02,942,8/4870.9480254.4,:,/48 :,/48

W W

750  02, 02,94 94O O. .,8 ,8    !4717 !4717, ,,: ,:/, /,    7808 7808024J 024J9.,8 9.,8/,,3 /,,302, 02,1,.1 1,.14720 4720

W

403,8 403,8 :74O. :74O.,8 ,8017 0174O 4O.,8 .,8            

!043 !043017 01790 90 9J,8 9J,80 0:70 :70907 907, , $:2E74 $:2E74/0:7 /0:73,/ 3,/074 07493, 93, 70 703, 3,5 5F; F;., ., %474/4 %474/49089 9089J.:4 J.:4

$3,8 W

,743    425708843454394/0.-:730 425708843454394/0.-:730/4770107/,4:2, /4770107/,4:2,089,73,704 089,73,704 570.47/,4:3405,8974 W 503/.90 503/.90, ,:/, :/,

W

,,3.0    ,.0507.:884/481,3.48086,;,7,3/4.42,5484+/709, W #:59: #:59:7, 7,/0 /0-, -,4 4

W

,8807     47,:/,50,.42570884/4,5H3/.0039704540,7/40,23,/4704 28.:4J,.4 W 503/.90 503/.90. .7O3. 7O3., ,

W

00;47    4;20394 4;20394/4:2- /4:2-48: 48:5074720 5074720390 39010 104/4 4/4508.4 508.44 4 W !,7,8,/,854708310747 !,7,8,/,85470831074708/4828.:48 08/4828.:4870948,-/423,8 70948,-/423,8

W

:2 :2-07    47/08.4 47/08.4257088 2570884/, 4/,5,70/0 5,70/0,-/423, ,-/423, W 31,2, 31,2,450 4507943 79430, 0,

$3,8 W

,73099    4397,.4/,5,70/0,-/423,1,/08,5,70.078038-/,/0,-/423, W 47397, 47397,,-/4 ,-/423, 23,

   4397,.4/,5,70/0,-/423,,:2039,,/474:34,,907, W 47/4828.:48/,5,70/0 47/4828.:48/,5,70/0 $3,

W

,3 ,3/007  07     ,35:,4/4.44:90734/E/47,-/423,3107474:5F;.,39038, W 403, 403,31,2 31,2,9O7 ,9O7,5 ,5F;., F;.,

W

,7.49    473454.3/74/943907290390 473454.3/7 4/943907290390.907J.,10-70 .907J.,10-70 W 9J,80/ 9J,80/4.4F 4.4F/4.4 /4.4

W

,: ,:880 807     4705E89 4705E897., 7.,39038, 39038,3:2, 3:2,7E;/, 7E;/, W ., .,25 258 8, ,

W

,-744    %7,382884/48843870857,9O7480.,7/J,.48,97,;F8/,5,70/0,-/423, W #:59:7, #:59:7,/0;J8 /0;J8.07, .07,,-/4 ,-/423, 23,

$3,8 W

4:7 4:7;48 ;480 07  7    '08J.:,- '08J.:,-,7 ,75,5E;0 5,5E;034/4 34/44748, 4748,.42.9 .42.907J 07J., ., W 045,8, 045,8,507 507,25: ,25:,7  ,7 

W

7:; 7:;0 00 07  7     ,5:9, ,5:9,20/: 20/:8,0 8,0 W 507903 50790384 845479, 5479,

W

:03    6:2480507: 6:2480507:2-., 2-., W 0245079 0245079430: 430:  7,;/0 7,;/00.9O5 0.9O5., .,

W

5070 50708908 8908, ,.:9 .:930, 30,    $038-/,/0,:2039,/,/,5,70/0,-/423,,4946:08:,;0 W 31,2, 31,2,4/4 4/4507 5079430 9430:5,7 :5,709, 09,

W

,3.0    07,7097 07,7097,.4,-/ ,.4,-/423, 423,3, 3, W 3;, 3;,3, 3,4 4

W

,314 ,314779    473442-74 473442-74.42 .423857, 3857,4 4 W 0245079 0245079430: 430:  7,;/0 7,;/00.9O5 0.9O5., .,

$3,8 W

47/70. 47/70.9, 9,3,5,70 3,5,70/0,/0,-/423, /423,    31,2,44.,,/,/,5,70/0,-/423,5079430:4:;J8.07,397, ,-/423,

W

490 49077     %:247/,5,70/0,-/423, %:247/,5,70/0,-/423,:3,907,01.,5,5E;0.42.4397 :3,907,01.,5,5E;0.42.4397,.4/482 ,.4/482 70.948 W 02,942, 02,942,/48 /4870.94 70.9488

W

70 70% %:7 :730 307  7     70,8/0/08. 70,8/0/08.447, 447,4507 4507:2-., :2-.,01,3. 01,3.48 48 W !,3.70,990 !,3.70,990, ,:/, :/,024 02477E 77E., .,

W

!84, !84,8 8JJ,.4 ,.4    4700;,40090384/4231.42.42570884/,24/40,23,/47 3, W 503/.9070974.0.,4:4:97 503/.9070974.0.,4:4:97,2,88,31,2,9O7, ,2,88,31,2,9O7,

W

07      473442-74086:07/4/40390/09,/44:5484/0%703/003-:7 08543930,4:.42.42570884/454.3/74086 W 0245079 0245079430: 430:  7:59:7,/0 7:59:7,/0-,4 -,4

$3,8 W

:89307     ,88,5,5E; ,88,5,5E;0, 0,39074 390747,49 7,49074 074 W 894/0 894/0724/ 724/0/4 0/44;E 4;E74 74

W

,33 ,33451  451    .007,4 .007,4/45:8 /45:84 4.425708 .42570884/0 84/0:2543 :254394/4 94/447484 47484 W :80390 :80390348 3482:,/ 2:,/47  47 

W

. .39 394. 4.    5 525O 25O85,7 85,794 94 W 024 02477 77 , ,

W

:75   475,5, 475,5,4/4 4/454. 54.3/74 3/74/94 /943,3857 3,3857,4 ,46:05E 6:05E7, 7, W 40.8990 40.8990, ,:/, :/,

W

-9:7 -9:7,/ ,/47  47     4754E897.,104/,.4,/9,023:470.9484-7097743.40749,4 09073,/,5073, W 5H3/.90,:/,5F;.,, 5H3/.90,:/,5F;.,,-.08845F;.42,88, -.08845F;.42,88,31,2,9O7,0 31,2,9O7,02.439,.94.42 2.439,.94.42 28.:4

$3,8 W

!://0  



907,4/488438/,507.:884,-/423,02548403:50947,008 90948.O5424;/47,/:,20390 5,7,41,3.4454894507.:884 W

W

#,384411    

!2039,4 !2039,4,2,70, ,2,70,507:2507:2-., ., W

W

473454394 473454394/0.: /0.:730 730.42570884 .42570884/4.O4 /4.O43086 3086 W

31802,8: 31802,8:-.:93 -.:93044:,3 044:,3703, 703,,848, ,848,

$:2207   

:20394/4943 :20394/49434/482 4/4828.:48 8.:48,-/4 ,-/423,8 23,85,5, 5,5,42: 42:948:,;0 948:,;0/, /,4: 4: W

W

503/.903.,301749J, 503/.903.,301749J,80:709 80:7090749J,809 0749J,80947844;E7., 47844;E7.,

%03 473   

4797,.4 4797,.407,/4 07,/4.47/4 .47/4085072E9.4 085072E9.4/94 /94 W

W

503/ 503/.9 .90 0,: ,:/, /,

7059, 7059,48 48:-.:9 :-.:930, 30,5 5,5, ,5,4 4,-/4 ,-/423, 23,   

W

#:59: #:59:7, 7,- -,7  ,7 

#4;83  

W

J6:/4 J6:/4;70 ;70397, 397,5079 5079430 430, ,

503/ 503/.9 .90 0,: ,:/, /,

%42,  

%25,3824/ %25,3824/486:, 486:,/7,390 /7,3908/9480 8/94802,.0 2,.0348086: 348086:07/48 07/4802/0. 02/0.-94/4 -94/478, 78, W

31,2,45079430, 31,2,45079430,0.4397,. 0.4397,.48:-806:0 48:-806:0390 390/4208039F /4208039F74/4 74/439089345,7, 39089345,7,,/709, ,/709,  ,8.9031,2,9O7,