SlideShare ist ein Scribd-Unternehmen logo
1 von 46
Disturbance Of Acid-Base Regulation Dr. Matongjun Emergency Department of Tianjin General Hospital
ABG ,[object Object],[object Object],[object Object],[object Object]
Acid-base homeostasis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Henderson-Hasselbalch equation pH=pKa+lg [HCO 3 - ] [H 2 CO 3 ]
 
Category ,[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic Acidosis
Definition ,[object Object],[object Object]
manifestation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Category ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anion Gap All anions and cations in Serum TOTAL 151 TOTAL 151 Sulfates 1 Phosphates 2 Magnesium 1.5 Organic acids 5 Potassium 4.5 Proteins 15 Calcium 5 Bicarbonate 24 Sodium 140 Chloride 104 CATIONS ANIONS
Category ,[object Object],[object Object],[object Object],[object Object]
Elevated AG Metabolic Acidosis   Lactic acidosis L Unmeasured osmoles ,  Ethylene glycol, Aldehydes ,  Paraldehydes U Alcoholic lactic acidosis A Methanol ingestion M Starvation ketosis S Salicylate intoxication S Uremia U Diabetic ketoacidosis K Etiology
[object Object],[object Object],[object Object],Normal AG Metabolic Acidosis
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic Alkalosis
definition ,[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Respiratory Acidosis
Definition ,[object Object],[object Object],[object Object]
Etiology   ,[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment  ,[object Object],[object Object],[object Object],[object Object]
Respiratory Alkalosis
Definition  ,[object Object],[object Object]
Causes of Respiratory Alkalosis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs and Symptoms   ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology  ,[object Object],[object Object],[object Object],[object Object]
Treatment  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object]
Diagnosis  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABG   ,[object Object]
ABG Interpretation   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ABG Interpretation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
MABD ,[object Object],[object Object],[object Object],[object Object],[object Object]
Method I  ,[object Object],[object Object],[object Object]
Method I   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Example   1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Example 2   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Example  3 ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Thank you

Weitere ähnliche Inhalte

Was ist angesagt?

American Thoracic Society Interpretation of ABG
American Thoracic Society Interpretation of ABGAmerican Thoracic Society Interpretation of ABG
American Thoracic Society Interpretation of ABGGamal Agmy
 
Pravin Pawal Abg
Pravin Pawal AbgPravin Pawal Abg
Pravin Pawal Abgpravinpawal
 
ARTERIAL BLOOD GASES INTERPRETATION
ARTERIAL BLOOD GASES INTERPRETATIONARTERIAL BLOOD GASES INTERPRETATION
ARTERIAL BLOOD GASES INTERPRETATIONDr.RMLIMS lucknow
 
step by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisstep by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisikramdr01
 
Arterial Blood Gas analysis
Arterial Blood Gas analysisArterial Blood Gas analysis
Arterial Blood Gas analysisYouttam Laudari
 
ABG, step by step approach (Updated)
ABG, step by step approach (Updated)ABG, step by step approach (Updated)
ABG, step by step approach (Updated)Kerolus Shehata
 
Arterial Blood Gas (ABG) Procedure and Interpretation \Mohammad Al-me`ani. ,...
Arterial Blood Gas (ABG)Procedure and Interpretation \Mohammad  Al-me`ani. ,...Arterial Blood Gas (ABG)Procedure and Interpretation \Mohammad  Al-me`ani. ,...
Arterial Blood Gas (ABG) Procedure and Interpretation \Mohammad Al-me`ani. ,...almaani
 
Arterial blood gases interpretation11111
Arterial blood gases interpretation11111Arterial blood gases interpretation11111
Arterial blood gases interpretation11111Mahmoud Elnaggar
 
Arterial blood gas analysis
Arterial blood gas analysisArterial blood gas analysis
Arterial blood gas analysisKrishna Yadarala
 
acid base ABG from theory to therapy
acid base ABG from theory to therapyacid base ABG from theory to therapy
acid base ABG from theory to therapyHossam Afify
 
Arterial Blood Gas (ABG) analysis
Arterial Blood Gas (ABG) analysisArterial Blood Gas (ABG) analysis
Arterial Blood Gas (ABG) analysisAbdullah Ansari
 
ARTERIAL BLOOD GAS ANALYSIS
ARTERIAL BLOOD GAS ANALYSISARTERIAL BLOOD GAS ANALYSIS
ARTERIAL BLOOD GAS ANALYSISGOPAL GHOSH
 

Was ist angesagt? (20)

ABG ANALYSIS
ABG ANALYSISABG ANALYSIS
ABG ANALYSIS
 
Arterial blood gas
Arterial blood gasArterial blood gas
Arterial blood gas
 
American Thoracic Society Interpretation of ABG
American Thoracic Society Interpretation of ABGAmerican Thoracic Society Interpretation of ABG
American Thoracic Society Interpretation of ABG
 
Pravin Pawal Abg
Pravin Pawal AbgPravin Pawal Abg
Pravin Pawal Abg
 
ARTERIAL BLOOD GASES INTERPRETATION
ARTERIAL BLOOD GASES INTERPRETATIONARTERIAL BLOOD GASES INTERPRETATION
ARTERIAL BLOOD GASES INTERPRETATION
 
step by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysisstep by step approach to arterial blood gas analysis
step by step approach to arterial blood gas analysis
 
Arterial Blood Gas analysis
Arterial Blood Gas analysisArterial Blood Gas analysis
Arterial Blood Gas analysis
 
Acid Base Analysis
Acid Base AnalysisAcid Base Analysis
Acid Base Analysis
 
ABG, step by step approach (Updated)
ABG, step by step approach (Updated)ABG, step by step approach (Updated)
ABG, step by step approach (Updated)
 
Arterial Blood Gases
Arterial Blood GasesArterial Blood Gases
Arterial Blood Gases
 
Arterial Blood Gas (ABG) Procedure and Interpretation \Mohammad Al-me`ani. ,...
Arterial Blood Gas (ABG)Procedure and Interpretation \Mohammad  Al-me`ani. ,...Arterial Blood Gas (ABG)Procedure and Interpretation \Mohammad  Al-me`ani. ,...
Arterial Blood Gas (ABG) Procedure and Interpretation \Mohammad Al-me`ani. ,...
 
Basic ABG notes
Basic ABG notesBasic ABG notes
Basic ABG notes
 
Arterial blood gases interpretation11111
Arterial blood gases interpretation11111Arterial blood gases interpretation11111
Arterial blood gases interpretation11111
 
Arterial blood gas analysis
Arterial blood gas analysisArterial blood gas analysis
Arterial blood gas analysis
 
ABG analysis
ABG analysisABG analysis
ABG analysis
 
02 Blood Gas
02 Blood Gas02 Blood Gas
02 Blood Gas
 
Blood Gas Interpretation
Blood Gas InterpretationBlood Gas Interpretation
Blood Gas Interpretation
 
acid base ABG from theory to therapy
acid base ABG from theory to therapyacid base ABG from theory to therapy
acid base ABG from theory to therapy
 
Arterial Blood Gas (ABG) analysis
Arterial Blood Gas (ABG) analysisArterial Blood Gas (ABG) analysis
Arterial Blood Gas (ABG) analysis
 
ARTERIAL BLOOD GAS ANALYSIS
ARTERIAL BLOOD GAS ANALYSISARTERIAL BLOOD GAS ANALYSIS
ARTERIAL BLOOD GAS ANALYSIS
 

Andere mochten auch

Urinary Stone analysis
Urinary Stone analysisUrinary Stone analysis
Urinary Stone analysisMostafa Sabry
 
ABG interpretation Dr Ayman Sabri
ABG interpretation Dr Ayman SabriABG interpretation Dr Ayman Sabri
ABG interpretation Dr Ayman Sabrinephro mih
 
Thyroid Disease2
Thyroid Disease2Thyroid Disease2
Thyroid Disease2Deep Deep
 
2009外文讲义1
2009外文讲义12009外文讲义1
2009外文讲义1Deep Deep
 
2009外文讲义3a
2009外文讲义3a2009外文讲义3a
2009外文讲义3aDeep Deep
 
Orthopaedics Surgery Tutor.Com
Orthopaedics Surgery Tutor.ComOrthopaedics Surgery Tutor.Com
Orthopaedics Surgery Tutor.ComDeep Deep
 
Spontaneous Esophageal Rupture 修改后
Spontaneous Esophageal Rupture  修改后Spontaneous Esophageal Rupture  修改后
Spontaneous Esophageal Rupture 修改后Deep Deep
 
Chapter 4 Immunologic System
Chapter 4  Immunologic SystemChapter 4  Immunologic System
Chapter 4 Immunologic SystemDeep Deep
 
缺氧缺血性脑病(英文)2009
缺氧缺血性脑病(英文)2009缺氧缺血性脑病(英文)2009
缺氧缺血性脑病(英文)2009Deep Deep
 
金教案2 3
金教案2 3金教案2 3
金教案2 3Deep Deep
 
张结 3 1 1
张结 3 1 1张结 3 1 1
张结 3 1 1Deep Deep
 
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...Deep Deep
 
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED DISEASESSEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED DISEASESDeep Deep
 
What Is Jaundice
What Is JaundiceWhat Is Jaundice
What Is JaundiceDeep Deep
 
Infectious Disease
Infectious DiseaseInfectious Disease
Infectious DiseaseDeep Deep
 
Person centredness, relationships
Person centredness, relationshipsPerson centredness, relationships
Person centredness, relationshipsTrevor Adams
 

Andere mochten auch (20)

Urinary Stone analysis
Urinary Stone analysisUrinary Stone analysis
Urinary Stone analysis
 
ABG interpretation Dr Ayman Sabri
ABG interpretation Dr Ayman SabriABG interpretation Dr Ayman Sabri
ABG interpretation Dr Ayman Sabri
 
Dr. Red Sample C C S Casesfor U S M L E Step3.Doc
Dr. Red  Sample C C S Casesfor U S M L E Step3.DocDr. Red  Sample C C S Casesfor U S M L E Step3.Doc
Dr. Red Sample C C S Casesfor U S M L E Step3.Doc
 
Thyroid Disease2
Thyroid Disease2Thyroid Disease2
Thyroid Disease2
 
2009外文讲义1
2009外文讲义12009外文讲义1
2009外文讲义1
 
Congen~1
Congen~1Congen~1
Congen~1
 
2009外文讲义3a
2009外文讲义3a2009外文讲义3a
2009外文讲义3a
 
Orthopaedics Surgery Tutor.Com
Orthopaedics Surgery Tutor.ComOrthopaedics Surgery Tutor.Com
Orthopaedics Surgery Tutor.Com
 
Spontaneous Esophageal Rupture 修改后
Spontaneous Esophageal Rupture  修改后Spontaneous Esophageal Rupture  修改后
Spontaneous Esophageal Rupture 修改后
 
Chapter 4 Immunologic System
Chapter 4  Immunologic SystemChapter 4  Immunologic System
Chapter 4 Immunologic System
 
缺氧缺血性脑病(英文)2009
缺氧缺血性脑病(英文)2009缺氧缺血性脑病(英文)2009
缺氧缺血性脑病(英文)2009
 
金教案2 3
金教案2 3金教案2 3
金教案2 3
 
Dffy
DffyDffy
Dffy
 
张结 3 1 1
张结 3 1 1张结 3 1 1
张结 3 1 1
 
张结 1 1
张结 1 1张结 1 1
张结 1 1
 
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...
Certain Gastrointestinal Disorders Can Be Life Threatening And Require Emerge...
 
SEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED DISEASESSEXUALLY TRANSMITTED DISEASES
SEXUALLY TRANSMITTED DISEASES
 
What Is Jaundice
What Is JaundiceWhat Is Jaundice
What Is Jaundice
 
Infectious Disease
Infectious DiseaseInfectious Disease
Infectious Disease
 
Person centredness, relationships
Person centredness, relationshipsPerson centredness, relationships
Person centredness, relationships
 

Ähnlich wie Abd2009

Basics In Arterial Blood Gas Interpretation
Basics In Arterial Blood Gas InterpretationBasics In Arterial Blood Gas Interpretation
Basics In Arterial Blood Gas Interpretationgueste36950a
 
Arterial Blood Gas (Dr George).ppt
Arterial Blood Gas (Dr George).pptArterial Blood Gas (Dr George).ppt
Arterial Blood Gas (Dr George).pptDeepaNesam1
 
Arterial blood gas
Arterial blood gasArterial blood gas
Arterial blood gasTarek Kotb
 
Arterial Blood Gases (2)
Arterial Blood Gases (2)Arterial Blood Gases (2)
Arterial Blood Gases (2)Dang Thanh Tuan
 
ABG interpret in critical care 16-1-2024
ABG interpret in critical care 16-1-2024ABG interpret in critical care 16-1-2024
ABG interpret in critical care 16-1-2024Anwar Yusr
 
Acid base and ABG interpretation in ICU
Acid base and ABG interpretation in  ICUAcid base and ABG interpretation in  ICU
Acid base and ABG interpretation in ICUAnwar Yusr
 
Arterial blood gas analysis 1
Arterial blood gas analysis 1Arterial blood gas analysis 1
Arterial blood gas analysis 1Ajay Kurian
 
Metbolic acidosis and alkalosis
Metbolic acidosis and alkalosisMetbolic acidosis and alkalosis
Metbolic acidosis and alkalosisShrirang Rao
 
Arterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptArterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptAMITA498159
 
Arterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptArterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptSabaBano14
 
Arterial Blood Gas entering the blood stream
Arterial Blood Gas entering the blood streamArterial Blood Gas entering the blood stream
Arterial Blood Gas entering the blood streamAhmedAboelkassem2
 
Arterial blood gas.ppt1 (1)
Arterial blood gas.ppt1 (1)Arterial blood gas.ppt1 (1)
Arterial blood gas.ppt1 (1)Manu Jacob
 
Acid-base EXCELLENT SUMMARY
Acid-base EXCELLENT SUMMARYAcid-base EXCELLENT SUMMARY
Acid-base EXCELLENT SUMMARYmeducationdotnet
 
PRESENT: Acid base balance hossam (1).ppt
PRESENT: Acid base balance hossam (1).pptPRESENT: Acid base balance hossam (1).ppt
PRESENT: Acid base balance hossam (1).pptMbabazi Theos
 
balance acido base.pptx
balance acido base.pptxbalance acido base.pptx
balance acido base.pptxjavier
 

Ähnlich wie Abd2009 (20)

Basics In Arterial Blood Gas Interpretation
Basics In Arterial Blood Gas InterpretationBasics In Arterial Blood Gas Interpretation
Basics In Arterial Blood Gas Interpretation
 
Arterial Blood Gas (Dr George).ppt
Arterial Blood Gas (Dr George).pptArterial Blood Gas (Dr George).ppt
Arterial Blood Gas (Dr George).ppt
 
ABG Analysis.pptx
ABG Analysis.pptxABG Analysis.pptx
ABG Analysis.pptx
 
Arterial blood gas
Arterial blood gasArterial blood gas
Arterial blood gas
 
Arterial Blood Gases (2)
Arterial Blood Gases (2)Arterial Blood Gases (2)
Arterial Blood Gases (2)
 
ABG interpret in critical care 16-1-2024
ABG interpret in critical care 16-1-2024ABG interpret in critical care 16-1-2024
ABG interpret in critical care 16-1-2024
 
Acid base and ABG interpretation in ICU
Acid base and ABG interpretation in  ICUAcid base and ABG interpretation in  ICU
Acid base and ABG interpretation in ICU
 
Arterial blood gas analysis 1
Arterial blood gas analysis 1Arterial blood gas analysis 1
Arterial blood gas analysis 1
 
Metbolic acidosis and alkalosis
Metbolic acidosis and alkalosisMetbolic acidosis and alkalosis
Metbolic acidosis and alkalosis
 
Arterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptArterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.ppt
 
Arterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptArterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.ppt
 
Arterial Blood Gas entering the blood stream
Arterial Blood Gas entering the blood streamArterial Blood Gas entering the blood stream
Arterial Blood Gas entering the blood stream
 
Arterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.pptArterial Blood Gas.ppt1.ppt
Arterial Blood Gas.ppt1.ppt
 
ABG APPROACH
ABG APPROACHABG APPROACH
ABG APPROACH
 
Arterial blood gas.ppt1 (1)
Arterial blood gas.ppt1 (1)Arterial blood gas.ppt1 (1)
Arterial blood gas.ppt1 (1)
 
Acid-base EXCELLENT SUMMARY
Acid-base EXCELLENT SUMMARYAcid-base EXCELLENT SUMMARY
Acid-base EXCELLENT SUMMARY
 
PRESENT: Acid base balance hossam (1).ppt
PRESENT: Acid base balance hossam (1).pptPRESENT: Acid base balance hossam (1).ppt
PRESENT: Acid base balance hossam (1).ppt
 
Regualtion of Acid base balance.pptx
Regualtion of Acid base balance.pptxRegualtion of Acid base balance.pptx
Regualtion of Acid base balance.pptx
 
balance acido base.pptx
balance acido base.pptxbalance acido base.pptx
balance acido base.pptx
 
SSU Lecture1
SSU Lecture1SSU Lecture1
SSU Lecture1
 

Mehr von Deep Deep

Poison2 1285794193199-phpapp01
Poison2 1285794193199-phpapp01Poison2 1285794193199-phpapp01
Poison2 1285794193199-phpapp01Deep Deep
 
Mayo Clinic Notes On Tof
Mayo Clinic Notes On TofMayo Clinic Notes On Tof
Mayo Clinic Notes On TofDeep Deep
 
Introduction
IntroductionIntroduction
IntroductionDeep Deep
 
Stress Ulcer Prophylaxis Introduction
Stress Ulcer Prophylaxis IntroductionStress Ulcer Prophylaxis Introduction
Stress Ulcer Prophylaxis IntroductionDeep Deep
 
Infections Of The Skin And Its Appendages
Infections Of The Skin And Its AppendagesInfections Of The Skin And Its Appendages
Infections Of The Skin And Its AppendagesDeep Deep
 
Urinary Tract Infection
Urinary Tract InfectionUrinary Tract Infection
Urinary Tract InfectionDeep Deep
 
Infectious Disease
Infectious DiseaseInfectious Disease
Infectious DiseaseDeep Deep
 
Infectious Disease Git
Infectious Disease GitInfectious Disease Git
Infectious Disease GitDeep Deep
 
Sexually Transmitted Diseases ...
Sexually Transmitted Diseases                                                ...Sexually Transmitted Diseases                                                ...
Sexually Transmitted Diseases ...Deep Deep
 
Chapter 3 Lower Respiratory Tract Infections
Chapter 3 Lower Respiratory Tract InfectionsChapter 3 Lower Respiratory Tract Infections
Chapter 3 Lower Respiratory Tract InfectionsDeep Deep
 
Upper Respiratory Infections
Upper Respiratory InfectionsUpper Respiratory Infections
Upper Respiratory InfectionsDeep Deep
 
张结教案4
张结教案4张结教案4
张结教案4Deep Deep
 
张结 1 1 2003
张结 1 1 2003张结 1 1 2003
张结 1 1 2003Deep Deep
 
Part3.Extraction Of Teeth
Part3.Extraction Of TeethPart3.Extraction Of Teeth
Part3.Extraction Of TeethDeep Deep
 
Part2.Anesthesia
Part2.AnesthesiaPart2.Anesthesia
Part2.AnesthesiaDeep Deep
 
Part1.Anatomy
Part1.AnatomyPart1.Anatomy
Part1.AnatomyDeep Deep
 
讲课2 Blood Component
讲课2  Blood Component讲课2  Blood Component
讲课2 Blood ComponentDeep Deep
 
Stress Ulcer(2009)
Stress Ulcer(2009)Stress Ulcer(2009)
Stress Ulcer(2009)Deep Deep
 
Nutritional Support
Nutritional SupportNutritional Support
Nutritional SupportDeep Deep
 
Multiple Organ Dysfunction Syndrome2009
Multiple Organ Dysfunction Syndrome2009Multiple Organ Dysfunction Syndrome2009
Multiple Organ Dysfunction Syndrome2009Deep Deep
 

Mehr von Deep Deep (20)

Poison2 1285794193199-phpapp01
Poison2 1285794193199-phpapp01Poison2 1285794193199-phpapp01
Poison2 1285794193199-phpapp01
 
Mayo Clinic Notes On Tof
Mayo Clinic Notes On TofMayo Clinic Notes On Tof
Mayo Clinic Notes On Tof
 
Introduction
IntroductionIntroduction
Introduction
 
Stress Ulcer Prophylaxis Introduction
Stress Ulcer Prophylaxis IntroductionStress Ulcer Prophylaxis Introduction
Stress Ulcer Prophylaxis Introduction
 
Infections Of The Skin And Its Appendages
Infections Of The Skin And Its AppendagesInfections Of The Skin And Its Appendages
Infections Of The Skin And Its Appendages
 
Urinary Tract Infection
Urinary Tract InfectionUrinary Tract Infection
Urinary Tract Infection
 
Infectious Disease
Infectious DiseaseInfectious Disease
Infectious Disease
 
Infectious Disease Git
Infectious Disease GitInfectious Disease Git
Infectious Disease Git
 
Sexually Transmitted Diseases ...
Sexually Transmitted Diseases                                                ...Sexually Transmitted Diseases                                                ...
Sexually Transmitted Diseases ...
 
Chapter 3 Lower Respiratory Tract Infections
Chapter 3 Lower Respiratory Tract InfectionsChapter 3 Lower Respiratory Tract Infections
Chapter 3 Lower Respiratory Tract Infections
 
Upper Respiratory Infections
Upper Respiratory InfectionsUpper Respiratory Infections
Upper Respiratory Infections
 
张结教案4
张结教案4张结教案4
张结教案4
 
张结 1 1 2003
张结 1 1 2003张结 1 1 2003
张结 1 1 2003
 
Part3.Extraction Of Teeth
Part3.Extraction Of TeethPart3.Extraction Of Teeth
Part3.Extraction Of Teeth
 
Part2.Anesthesia
Part2.AnesthesiaPart2.Anesthesia
Part2.Anesthesia
 
Part1.Anatomy
Part1.AnatomyPart1.Anatomy
Part1.Anatomy
 
讲课2 Blood Component
讲课2  Blood Component讲课2  Blood Component
讲课2 Blood Component
 
Stress Ulcer(2009)
Stress Ulcer(2009)Stress Ulcer(2009)
Stress Ulcer(2009)
 
Nutritional Support
Nutritional SupportNutritional Support
Nutritional Support
 
Multiple Organ Dysfunction Syndrome2009
Multiple Organ Dysfunction Syndrome2009Multiple Organ Dysfunction Syndrome2009
Multiple Organ Dysfunction Syndrome2009
 

Kürzlich hochgeladen

Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...Sheetaleventcompany
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...Sheetaleventcompany
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...dishamehta3332
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfTrustlife
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxsaranpratha12
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Oleg Kshivets
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Angel
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Sheetaleventcompany
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppjimmihoslasi
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...GENUINE ESCORT AGENCY
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...soniya pandit
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Namrata Singh
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...Sheetaleventcompany
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Sheetaleventcompany
 

Kürzlich hochgeladen (20)

Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore ₹7.5k Pick Up & Drop With Cash Payment 63...
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
 
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
🚺LEELA JOSHI WhatsApp Number +91-9930245274 ✔ Unsatisfied Bhabhi Call Girls T...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...Kolkata Call Girls Shobhabazar  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
❤️Amritsar Escorts Service☎️9815674956☎️ Call Girl service in Amritsar☎️ Amri...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 

Abd2009