SlideShare a Scribd company logo
1 of 21
Syncope Anthony Ho, DO PGY4 Emergency Medicine
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Passed Out”
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Syncope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vasovagal or Neurally/Reflex-Mediated Syncope ,[object Object],[object Object],[object Object]
Orthostatic Syncope ,[object Object],[object Object],[object Object],[object Object]
Psychiatric Illnesses ,[object Object],[object Object],[object Object]
Neurologic Syncope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medication-Induced Syncope ,[object Object],[object Object]
Elderly Population ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object]
EKG ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other test ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unexplained Syncope ,[object Object],[object Object]
Disposition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Practice Guideline
Post ED Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

What's hot (20)

9.Cor Pulmonale
9.Cor Pulmonale9.Cor Pulmonale
9.Cor Pulmonale
 
Takayasu arteritis
Takayasu arteritisTakayasu arteritis
Takayasu arteritis
 
ATRIAL FIBRILLATION
ATRIAL FIBRILLATIONATRIAL FIBRILLATION
ATRIAL FIBRILLATION
 
ACUTE CORONARY SYNDROME
ACUTE CORONARY SYNDROMEACUTE CORONARY SYNDROME
ACUTE CORONARY SYNDROME
 
Heart Failure
Heart FailureHeart Failure
Heart Failure
 
Acute rheumatic fever & rheumatic heart disease
Acute rheumatic fever & rheumatic heart diseaseAcute rheumatic fever & rheumatic heart disease
Acute rheumatic fever & rheumatic heart disease
 
Chest pain
Chest painChest pain
Chest pain
 
Cardiogenic shock dr awadhesh
Cardiogenic shock  dr awadheshCardiogenic shock  dr awadhesh
Cardiogenic shock dr awadhesh
 
Chest pain 2009 ppt
Chest pain 2009 pptChest pain 2009 ppt
Chest pain 2009 ppt
 
Syncope dr yate
Syncope  dr yateSyncope  dr yate
Syncope dr yate
 
Approach to a patient with palpitations
Approach to a patient with palpitationsApproach to a patient with palpitations
Approach to a patient with palpitations
 
Acute coronary syndrome
Acute coronary syndrome Acute coronary syndrome
Acute coronary syndrome
 
Pulmonary embolism
Pulmonary embolismPulmonary embolism
Pulmonary embolism
 
Pulmonary hypertension
Pulmonary hypertensionPulmonary hypertension
Pulmonary hypertension
 
Acute myocardial infarction
Acute myocardial infarctionAcute myocardial infarction
Acute myocardial infarction
 
Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)Cerebrovascular disease (CVA / Stroke)
Cerebrovascular disease (CVA / Stroke)
 
Acute MI - NSTEMI
Acute MI - NSTEMIAcute MI - NSTEMI
Acute MI - NSTEMI
 
Cor pulmonale
Cor pulmonaleCor pulmonale
Cor pulmonale
 
Infective Endocarditis
Infective EndocarditisInfective Endocarditis
Infective Endocarditis
 
Stemi
StemiStemi
Stemi
 

Viewers also liked

Syncope (Mary Collins)
Syncope (Mary Collins)Syncope (Mary Collins)
Syncope (Mary Collins)honorhealth
 
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Indian dental academy
 
Fainting in dental clinic ppt
Fainting in dental clinic pptFainting in dental clinic ppt
Fainting in dental clinic pptDr.Noreen
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramCardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramFarjad Ikram
 
Syncope medical emergency
Syncope medical emergencySyncope medical emergency
Syncope medical emergencyKrutika Mistry
 
Unconsciousness
UnconsciousnessUnconsciousness
UnconsciousnessIAU Dent
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edemabajah423
 

Viewers also liked (13)

Syncope (Mary Collins)
Syncope (Mary Collins)Syncope (Mary Collins)
Syncope (Mary Collins)
 
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
 
Fainting in dental clinic ppt
Fainting in dental clinic pptFainting in dental clinic ppt
Fainting in dental clinic ppt
 
Syncope
Syncope  Syncope
Syncope
 
Syncope ppt
Syncope pptSyncope ppt
Syncope ppt
 
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramCardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
 
Palpitation
PalpitationPalpitation
Palpitation
 
Syncope medical emergency
Syncope medical emergencySyncope medical emergency
Syncope medical emergency
 
Unconsciousness
UnconsciousnessUnconsciousness
Unconsciousness
 
Syncope
SyncopeSyncope
Syncope
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edema
 
Syncope
SyncopeSyncope
Syncope
 
Palpitation
PalpitationPalpitation
Palpitation
 

Similar to Syncope

Paediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptPaediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptSalam467227
 
6. presenting problems
6. presenting problems6. presenting problems
6. presenting problemsAhmad Hamadi
 
7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptxMisaleHaile
 
Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Varsha Shah
 
Syncope A Case Presentation Edited
Syncope A Case Presentation EditedSyncope A Case Presentation Edited
Syncope A Case Presentation EditedMedicineAndHealthUSA
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11atsmp
 
Cardiovascular diseases modified
Cardiovascular diseases modifiedCardiovascular diseases modified
Cardiovascular diseases modifiedxtrm nurse
 
Screening For Cardiovascular Disease
Screening For Cardiovascular DiseaseScreening For Cardiovascular Disease
Screening For Cardiovascular DiseaseMuhammadasif909
 
Stroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementStroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementBINITADASH3
 
Stroke, etc. 082808.ppt
Stroke, etc. 082808.pptStroke, etc. 082808.ppt
Stroke, etc. 082808.pptRiyaSharma295
 

Similar to Syncope (20)

Paediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptPaediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.ppt
 
Syncope
SyncopeSyncope
Syncope
 
6. presenting problems
6. presenting problems6. presenting problems
6. presenting problems
 
7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx
 
Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]
 
Heart disorders
Heart disordersHeart disorders
Heart disorders
 
Syncope iman
 Syncope iman Syncope iman
Syncope iman
 
Syncope A Case Presentation Edited
Syncope A Case Presentation EditedSyncope A Case Presentation Edited
Syncope A Case Presentation Edited
 
Syncope
Syncope  Syncope
Syncope
 
Palpitations
PalpitationsPalpitations
Palpitations
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11
 
Cardiovascular diseases modified
Cardiovascular diseases modifiedCardiovascular diseases modified
Cardiovascular diseases modified
 
Syncope
SyncopeSyncope
Syncope
 
Aproach to syncope
Aproach to syncopeAproach to syncope
Aproach to syncope
 
Sudden cardiac death
Sudden cardiac deathSudden cardiac death
Sudden cardiac death
 
Palpitations
PalpitationsPalpitations
Palpitations
 
Screening For Cardiovascular Disease
Screening For Cardiovascular DiseaseScreening For Cardiovascular Disease
Screening For Cardiovascular Disease
 
Stroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementStroke, acute ischemic stroke management
Stroke, acute ischemic stroke management
 
Stroke, etc. 082808.ppt
Stroke, etc. 082808.pptStroke, etc. 082808.ppt
Stroke, etc. 082808.ppt
 
Hypertension - Approach & Management
Hypertension - Approach & ManagementHypertension - Approach & Management
Hypertension - Approach & Management
 

More from Troy Pennington

Promoting innovation in ems 2019
Promoting innovation in ems 2019Promoting innovation in ems 2019
Promoting innovation in ems 2019Troy Pennington
 
Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Troy Pennington
 
Accidental death and disability
Accidental death and disabilityAccidental death and disability
Accidental death and disabilityTroy Pennington
 
Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Troy Pennington
 
Crc section three 9 9-14
Crc section three 9 9-14Crc section three 9 9-14
Crc section three 9 9-14Troy Pennington
 
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...Troy Pennington
 
Jens rapid review cardio
Jens rapid review  cardioJens rapid review  cardio
Jens rapid review cardioTroy Pennington
 
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Troy Pennington
 
Josh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureJosh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureTroy Pennington
 
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Troy Pennington
 
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Troy Pennington
 

More from Troy Pennington (20)

Tccc handbook 2012
Tccc handbook 2012Tccc handbook 2012
Tccc handbook 2012
 
Promoting innovation in ems 2019
Promoting innovation in ems 2019Promoting innovation in ems 2019
Promoting innovation in ems 2019
 
Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019
 
Hartford consensus
Hartford consensusHartford consensus
Hartford consensus
 
Ems agenda-2050
Ems agenda-2050Ems agenda-2050
Ems agenda-2050
 
Accidental death and disability
Accidental death and disabilityAccidental death and disability
Accidental death and disability
 
History of EMS
History of EMSHistory of EMS
History of EMS
 
Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation
 
Crc section two 9 9-14
Crc section two 9 9-14Crc section two 9 9-14
Crc section two 9 9-14
 
Crc section three 9 9-14
Crc section three 9 9-14Crc section three 9 9-14
Crc section three 9 9-14
 
Crc section one 9 9-14
Crc section one 9 9-14Crc section one 9 9-14
Crc section one 9 9-14
 
Crc section four 9 9-14
Crc section four 9 9-14Crc section four 9 9-14
Crc section four 9 9-14
 
Crc section five 9 9-14
Crc section five 9 9-14Crc section five 9 9-14
Crc section five 9 9-14
 
Hemostasis in txa
Hemostasis in txaHemostasis in txa
Hemostasis in txa
 
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
 
Jens rapid review cardio
Jens rapid review  cardioJens rapid review  cardio
Jens rapid review cardio
 
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
 
Josh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureJosh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lecture
 
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
 
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
 

Recently uploaded

💚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
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
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
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Sheetaleventcompany
 
❤️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
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Sheetaleventcompany
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Janvi Singh
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...Sheetaleventcompany
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...amritaverma53
 
❤️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
 
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
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
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
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...Sheetaleventcompany
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Sheetaleventcompany
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 

Recently uploaded (20)

💚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...
 
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
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
 
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
Pune Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Pune No💰Adva...
 
❤️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...
 
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
Independent Bangalore Call Girls (Adult Only) 💯Call Us 🔝 7304373326 🔝 💃 Escor...
 
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...
 
❤️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...
 
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...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
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
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
 
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
Call Girl In Indore 📞9235973566📞 Just📲 Call Inaaya Indore Call Girls Service ...
 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 

Syncope