SlideShare une entreprise Scribd logo
1  sur  22
Old Age Psychiatry  Delirium  Dr Asso Fariadoon Ali Amin MRCP(UK) Internal Medicine and Care of Elderly
Delirium   ,[object Object],[object Object],[object Object],[object Object]
Risk factors for delirium developing as an inpatient ,[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]
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Psychomotor Forms of Delirium ,[object Object],[object Object],[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],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Assessment ,[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]
Clinical Assessment ,[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]
Differential Diagnosis of delirium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment in delirium ,[object Object],[object Object],[object Object],[object Object]
Assessment in delirium – the history ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Management 5 Main stages  ,[object Object],[object Object],[object Object],[object Object],[object Object]
MANAGEMENT  ,[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]
Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Wandering ,[object Object],[object Object],[object Object],[object Object]
Wandering
Rambling speech ,[object Object],[object Object],[object Object],[object Object]
Rambling speech
Sedation - indications ,[object Object],[object Object],[object Object]
Sedation – options 1 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sedation - options 2 ,[object Object],[object Object],[object Object],[object Object],[object Object]
Example  ,[object Object]

Contenu connexe

Tendances

Acute organic reaction
Acute organic reactionAcute organic reaction
Acute organic reactionpsychiatryjfn
 
Withdrawal syndromes practice essentials, background, pathophysiology
Withdrawal syndromes  practice essentials, background, pathophysiologyWithdrawal syndromes  practice essentials, background, pathophysiology
Withdrawal syndromes practice essentials, background, pathophysiologyPaul Coelho, MD
 
Alcohol withdrawal delirium by mj
Alcohol  withdrawal delirium by mjAlcohol  withdrawal delirium by mj
Alcohol withdrawal delirium by mjsurya720
 
Alzheimer’s disease: Management
Alzheimer’s disease: ManagementAlzheimer’s disease: Management
Alzheimer’s disease: ManagementReynel Dan
 
Alcohol withdrawal delirium
Alcohol withdrawal deliriumAlcohol withdrawal delirium
Alcohol withdrawal deliriumReynel Dan
 
Alcohol withdrawal mm
Alcohol withdrawal mmAlcohol withdrawal mm
Alcohol withdrawal mmSumit Chandak
 
Headaches at a Glance - Usman Ahmed
Headaches at a Glance - Usman AhmedHeadaches at a Glance - Usman Ahmed
Headaches at a Glance - Usman Ahmedmeducationdotnet
 
Alcohal withdrwal syndrome-Inpatient Management ppt
Alcohal withdrwal syndrome-Inpatient Management pptAlcohal withdrwal syndrome-Inpatient Management ppt
Alcohal withdrwal syndrome-Inpatient Management pptDr Ashutosh Ojha
 
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!RxVichuZ
 
Alcohol withdrawal syndromes
Alcohol withdrawal syndromesAlcohol withdrawal syndromes
Alcohol withdrawal syndromesshweta055570
 
Organic Mental Disorders
Organic Mental DisordersOrganic Mental Disorders
Organic Mental Disordersjohn xxx
 

Tendances (20)

Acute organic reaction
Acute organic reactionAcute organic reaction
Acute organic reaction
 
Delirium
DeliriumDelirium
Delirium
 
Withdrawal syndromes practice essentials, background, pathophysiology
Withdrawal syndromes  practice essentials, background, pathophysiologyWithdrawal syndromes  practice essentials, background, pathophysiology
Withdrawal syndromes practice essentials, background, pathophysiology
 
Alcohol withdrawal delirium by mj
Alcohol  withdrawal delirium by mjAlcohol  withdrawal delirium by mj
Alcohol withdrawal delirium by mj
 
Alzheimer’s disease: Management
Alzheimer’s disease: ManagementAlzheimer’s disease: Management
Alzheimer’s disease: Management
 
Delirium tremens
Delirium tremensDelirium tremens
Delirium tremens
 
Alcohol withdrawal delirium
Alcohol withdrawal deliriumAlcohol withdrawal delirium
Alcohol withdrawal delirium
 
Delirium
DeliriumDelirium
Delirium
 
Alcohol withdrawal mm
Alcohol withdrawal mmAlcohol withdrawal mm
Alcohol withdrawal mm
 
Alcohol Withdrawal
Alcohol WithdrawalAlcohol Withdrawal
Alcohol Withdrawal
 
Headaches at a Glance - Usman Ahmed
Headaches at a Glance - Usman AhmedHeadaches at a Glance - Usman Ahmed
Headaches at a Glance - Usman Ahmed
 
Delirium
DeliriumDelirium
Delirium
 
Alcohal withdrwal syndrome-Inpatient Management ppt
Alcohal withdrwal syndrome-Inpatient Management pptAlcohal withdrwal syndrome-Inpatient Management ppt
Alcohal withdrwal syndrome-Inpatient Management ppt
 
Delirium
DeliriumDelirium
Delirium
 
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!
SCHIZOPHRENIA- A BRIEF INSIGHT....By Rxvichu!
 
Withdrawal delirium
Withdrawal deliriumWithdrawal delirium
Withdrawal delirium
 
Alcohol withdrawal syndromes
Alcohol withdrawal syndromesAlcohol withdrawal syndromes
Alcohol withdrawal syndromes
 
Alcohol withdrawal
Alcohol withdrawalAlcohol withdrawal
Alcohol withdrawal
 
Organic Mental Disorders
Organic Mental DisordersOrganic Mental Disorders
Organic Mental Disorders
 
Delirium
DeliriumDelirium
Delirium
 

En vedette

Whats All The Fuss About Vitamin D
Whats All The Fuss About Vitamin DWhats All The Fuss About Vitamin D
Whats All The Fuss About Vitamin DDr Margaret Oziemski
 
Psychiatry in films
Psychiatry in filmsPsychiatry in films
Psychiatry in filmsYasir Hameed
 
DEMENTIA everything u need to know
DEMENTIA everything u need to knowDEMENTIA everything u need to know
DEMENTIA everything u need to knowAHMED TANJIMUL ISLAM
 
Demography and epidemiology of psychiatric disorders in elderly
Demography and epidemiology of psychiatric disorders in elderlyDemography and epidemiology of psychiatric disorders in elderly
Demography and epidemiology of psychiatric disorders in elderlyRavi Soni
 

En vedette (7)

Whats All The Fuss About Vitamin D
Whats All The Fuss About Vitamin DWhats All The Fuss About Vitamin D
Whats All The Fuss About Vitamin D
 
Psychiatry in films
Psychiatry in filmsPsychiatry in films
Psychiatry in films
 
Dementia Case Study
Dementia Case StudyDementia Case Study
Dementia Case Study
 
Old age psychiatry ppt
Old age psychiatry pptOld age psychiatry ppt
Old age psychiatry ppt
 
Suicide - Psychiatry
Suicide - PsychiatrySuicide - Psychiatry
Suicide - Psychiatry
 
DEMENTIA everything u need to know
DEMENTIA everything u need to knowDEMENTIA everything u need to know
DEMENTIA everything u need to know
 
Demography and epidemiology of psychiatric disorders in elderly
Demography and epidemiology of psychiatric disorders in elderlyDemography and epidemiology of psychiatric disorders in elderly
Demography and epidemiology of psychiatric disorders in elderly
 

Similaire à Medicine 5th year, 4th lecture (Dr. Asso Fariadoon Ali Amin)

Similaire à Medicine 5th year, 4th lecture (Dr. Asso Fariadoon Ali Amin) (20)

Commom Geriatric Problems
Commom Geriatric ProblemsCommom Geriatric Problems
Commom Geriatric Problems
 
Delirium in elderly
Delirium in elderlyDelirium in elderly
Delirium in elderly
 
Acute Mental Status Changes[1]
Acute Mental Status Changes[1]Acute Mental Status Changes[1]
Acute Mental Status Changes[1]
 
Organic Brain Disorders and their treatment.
Organic Brain Disorders and their treatment.Organic Brain Disorders and their treatment.
Organic Brain Disorders and their treatment.
 
2. Substance related disorder.ppt
2. Substance related disorder.ppt2. Substance related disorder.ppt
2. Substance related disorder.ppt
 
Psychopharmacology
PsychopharmacologyPsychopharmacology
Psychopharmacology
 
Epilepsy management
Epilepsy managementEpilepsy management
Epilepsy management
 
Psych Emergencies
Psych EmergenciesPsych Emergencies
Psych Emergencies
 
Delirium by Dr. Klause.pdf
Delirium by Dr. Klause.pdfDelirium by Dr. Klause.pdf
Delirium by Dr. Klause.pdf
 
Delirium 3.0
Delirium 3.0Delirium 3.0
Delirium 3.0
 
10-neurocognitive disorders.ppt
10-neurocognitive disorders.ppt10-neurocognitive disorders.ppt
10-neurocognitive disorders.ppt
 
Delirium
DeliriumDelirium
Delirium
 
Chapter-6 CNS- PPT.pptx
Chapter-6 CNS- PPT.pptxChapter-6 CNS- PPT.pptx
Chapter-6 CNS- PPT.pptx
 
Weakness
WeaknessWeakness
Weakness
 
Haloperidol as Treatment for Delirium - poster
Haloperidol as Treatment for Delirium - posterHaloperidol as Treatment for Delirium - poster
Haloperidol as Treatment for Delirium - poster
 
antiepileptics
antiepilepticsantiepileptics
antiepileptics
 
Cognitive disorders unit 9
Cognitive disorders unit 9Cognitive disorders unit 9
Cognitive disorders unit 9
 
Neurology 3rd delirium , dementia ,headache
Neurology 3rd delirium , dementia ,headacheNeurology 3rd delirium , dementia ,headache
Neurology 3rd delirium , dementia ,headache
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Antipsychotics and updates
Antipsychotics and updatesAntipsychotics and updates
Antipsychotics and updates
 

Plus de College of Medicine, Sulaymaniyah

Plus de College of Medicine, Sulaymaniyah (20)

Pediatrics 6th year, Tutorial (Dr. Tara Husain)
Pediatrics 6th year, Tutorial (Dr. Tara Husain)Pediatrics 6th year, Tutorial (Dr. Tara Husain)
Pediatrics 6th year, Tutorial (Dr. Tara Husain)
 
Pediatrics 6th year, Tutorial (Dr. Adnan)
Pediatrics 6th year, Tutorial (Dr. Adnan)Pediatrics 6th year, Tutorial (Dr. Adnan)
Pediatrics 6th year, Tutorial (Dr. Adnan)
 
Tubes, Suture Materials, IV Fluids photos
Tubes, Suture Materials, IV Fluids photosTubes, Suture Materials, IV Fluids photos
Tubes, Suture Materials, IV Fluids photos
 
Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)
 
Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)
 
Surgery 6th year, Tutorial (Dr. Hamid)
Surgery 6th year, Tutorial (Dr. Hamid)Surgery 6th year, Tutorial (Dr. Hamid)
Surgery 6th year, Tutorial (Dr. Hamid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
 
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
 
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
 
Surgery 6th year, Tutorial (Dr. Sarwar Noori)
Surgery 6th year, Tutorial (Dr. Sarwar Noori)Surgery 6th year, Tutorial (Dr. Sarwar Noori)
Surgery 6th year, Tutorial (Dr. Sarwar Noori)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
 
Surgery 6th year, Tutorial (Dr. Aso Omar)
Surgery 6th year, Tutorial (Dr. Aso Omar)Surgery 6th year, Tutorial (Dr. Aso Omar)
Surgery 6th year, Tutorial (Dr. Aso Omar)
 

Dernier

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...aartirawatdelhi
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Dernier (20)

Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ludhiana Just Call 9907093804 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 

Medicine 5th year, 4th lecture (Dr. Asso Fariadoon Ali Amin)