SlideShare une entreprise Scribd logo
1  sur  51
Prolapsed Intervertebral Discs
 
Pathology  ,[object Object],[object Object],[object Object],[object Object]
 
 
 
 
[object Object]
Clinical picture
Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
DDX ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
treatment ,[object Object],[object Object],[object Object],[object Object]
rest ,[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],[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]
Indications for diskectomy ,[object Object],[object Object],[object Object],[object Object],[object Object]
surgical treatment ,[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],[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],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Complications ,[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]
 
 
 
Persistent post operative back pain and sciatica
Back Pain
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Epidemiology
Risk Factors ,[object Object],[object Object],[object Object],[object Object]
Aetiology Conginetal --Kyphoscoliosis --Spina bifida --Spondylolisthesis
Acquired Traumatic Vertebral fractures Ligamentous injury Joint strains Muscle tears
Infective  Osteomyelitis-acute and chronic TB,Discitis
Inflammatory Ankylosing spondyolitis Rheumatology disorders
Neoplastic Primary tumors  Secondary tumors
Degenerative Osteoarthritis Spondylosis
Metabolic Osteoporosis Osteomalacia
Endocrine Cushing's -osteoporosis
Idiopathic Paget's disease Scheuermann's disease
Psychogenic Psychosomatic backache
Visceral Penetrating peptic ulcer Carcinoma of the pancreas Carcinoma of the rectum
Vascular Aortic aneurysm Acute aortic dissection
Renal Carcinoma of the kidney Renal calculus Inflammatory kidney disease
Gynaecological Uterine tumors  Pelvic inflammatory disease  Endometriosis
Approach to diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU THANK YOU

Contenu connexe

Tendances

intervertebral disc prolapse
intervertebral disc prolapseintervertebral disc prolapse
intervertebral disc prolapseShany Thomas
 
Cervical Spondylosis Syndrome
Cervical Spondylosis SyndromeCervical Spondylosis Syndrome
Cervical Spondylosis Syndromedrmisbah83
 
Cervical radiculopathy
Cervical radiculopathyCervical radiculopathy
Cervical radiculopathymrinal joshi
 
Imaging of lumbar spondylosis
Imaging of lumbar spondylosisImaging of lumbar spondylosis
Imaging of lumbar spondylosishazem youssef
 
Lumbar disc presentation dr ajay bajaj neurosurgeon
Lumbar disc presentation dr ajay bajaj neurosurgeonLumbar disc presentation dr ajay bajaj neurosurgeon
Lumbar disc presentation dr ajay bajaj neurosurgeonAjay Bajaj
 
Cervical Radiculopathy Power Point.ppt
Cervical Radiculopathy Power Point.pptCervical Radiculopathy Power Point.ppt
Cervical Radiculopathy Power Point.pptGenevieve Hall
 
Cervical spondylosis
Cervical spondylosisCervical spondylosis
Cervical spondylosisNeurologyKota
 
Degenerative Spine Conditions
Degenerative Spine ConditionsDegenerative Spine Conditions
Degenerative Spine ConditionsEnric Caceres
 
Failed back surgery syndrome - A comprehensive overview
Failed back surgery syndrome  - A comprehensive overviewFailed back surgery syndrome  - A comprehensive overview
Failed back surgery syndrome - A comprehensive overviewSpineCenterAtlanta
 
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...Pablo Pazmino
 
Lumbar disc prolapse
Lumbar disc prolapseLumbar disc prolapse
Lumbar disc prolapseAnand Dev
 
Ldp& Cdp
Ldp& CdpLdp& Cdp
Ldp& CdpAnan
 
Backache, disc prolapse, spinal stenosis
Backache, disc prolapse, spinal stenosisBackache, disc prolapse, spinal stenosis
Backache, disc prolapse, spinal stenosisMuhammad Tahir Karim
 
Degenerative spinal disorders
Degenerative spinal  disordersDegenerative spinal  disorders
Degenerative spinal disordersRuhama Imana
 

Tendances (20)

intervertebral disc prolapse
intervertebral disc prolapseintervertebral disc prolapse
intervertebral disc prolapse
 
Cervical Spondylosis Syndrome
Cervical Spondylosis SyndromeCervical Spondylosis Syndrome
Cervical Spondylosis Syndrome
 
Cevic spondylosis
Cevic spondylosisCevic spondylosis
Cevic spondylosis
 
Cervical radiculopathy
Cervical radiculopathyCervical radiculopathy
Cervical radiculopathy
 
Imaging of lumbar spondylosis
Imaging of lumbar spondylosisImaging of lumbar spondylosis
Imaging of lumbar spondylosis
 
Lumbar disc presentation dr ajay bajaj neurosurgeon
Lumbar disc presentation dr ajay bajaj neurosurgeonLumbar disc presentation dr ajay bajaj neurosurgeon
Lumbar disc presentation dr ajay bajaj neurosurgeon
 
Cervical Radiculopathy Power Point.ppt
Cervical Radiculopathy Power Point.pptCervical Radiculopathy Power Point.ppt
Cervical Radiculopathy Power Point.ppt
 
Katigraha
KatigrahaKatigraha
Katigraha
 
Spine
SpineSpine
Spine
 
Lumbar spondylolisthesis ppt (4)
Lumbar spondylolisthesis ppt (4)Lumbar spondylolisthesis ppt (4)
Lumbar spondylolisthesis ppt (4)
 
Cervical spondylosis
Cervical spondylosisCervical spondylosis
Cervical spondylosis
 
Radiology 5th year, 5th lecture/part one (Dr. Ameer)
Radiology 5th year, 5th lecture/part one (Dr. Ameer)Radiology 5th year, 5th lecture/part one (Dr. Ameer)
Radiology 5th year, 5th lecture/part one (Dr. Ameer)
 
Degenerative Spine Conditions
Degenerative Spine ConditionsDegenerative Spine Conditions
Degenerative Spine Conditions
 
Failed back surgery syndrome - A comprehensive overview
Failed back surgery syndrome  - A comprehensive overviewFailed back surgery syndrome  - A comprehensive overview
Failed back surgery syndrome - A comprehensive overview
 
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...
Cervical Arthritis / Cervical Spondylotic Myelopathy / Cervical Stenosis by P...
 
Lumbar disc prolapse
Lumbar disc prolapseLumbar disc prolapse
Lumbar disc prolapse
 
Cervical myelopathy
Cervical myelopathyCervical myelopathy
Cervical myelopathy
 
Ldp& Cdp
Ldp& CdpLdp& Cdp
Ldp& Cdp
 
Backache, disc prolapse, spinal stenosis
Backache, disc prolapse, spinal stenosisBackache, disc prolapse, spinal stenosis
Backache, disc prolapse, spinal stenosis
 
Degenerative spinal disorders
Degenerative spinal  disordersDegenerative spinal  disorders
Degenerative spinal disorders
 

Similaire à Orthopedics 5th year, 6th lecture (Dr. Hamid)

Geriatric Rheumatology
Geriatric RheumatologyGeriatric Rheumatology
Geriatric RheumatologyChung-Han Yang
 
Spinal cord injury [recovered]
Spinal cord injury [recovered]Spinal cord injury [recovered]
Spinal cord injury [recovered]Slideshare User
 
Limb injuries
Limb injuriesLimb injuries
Limb injuriestaem
 
Low Back Pain
Low Back PainLow Back Pain
Low Back Paindrkmliau
 
Brachial plexus injury diagnosis
Brachial plexus injury diagnosisBrachial plexus injury diagnosis
Brachial plexus injury diagnosisVijay Loya
 
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury Mohammed Homoud
 
Cervical myelopathy cme
Cervical myelopathy cmeCervical myelopathy cme
Cervical myelopathy cmegroup7usmkk
 
Pagetsdiseaseofthebone
Pagetsdiseaseofthebone Pagetsdiseaseofthebone
Pagetsdiseaseofthebone Shiva P
 
Paget’s disease of the bone
Paget’s disease of the bonePaget’s disease of the bone
Paget’s disease of the boneHari Prasath
 
Chronic pain syndromes
Chronic pain syndromes Chronic pain syndromes
Chronic pain syndromes Aftab Hussain
 
Entrapment neuropathies
Entrapment neuropathiesEntrapment neuropathies
Entrapment neuropathiesBikash Nanda
 
Spinal cord injury
Spinal cord injurySpinal cord injury
Spinal cord injuryDavis Kurian
 

Similaire à Orthopedics 5th year, 6th lecture (Dr. Hamid) (20)

CIMS CASE 2 DIFF DX.pdf
CIMS CASE 2 DIFF DX.pdfCIMS CASE 2 DIFF DX.pdf
CIMS CASE 2 DIFF DX.pdf
 
Geriatric Rheumatology
Geriatric RheumatologyGeriatric Rheumatology
Geriatric Rheumatology
 
Spinal injuries
Spinal injuries Spinal injuries
Spinal injuries
 
Spinal injuries
Spinal injuriesSpinal injuries
Spinal injuries
 
Spinal cord injury [recovered]
Spinal cord injury [recovered]Spinal cord injury [recovered]
Spinal cord injury [recovered]
 
Limb injuries
Limb injuriesLimb injuries
Limb injuries
 
Low Back Pain
Low Back PainLow Back Pain
Low Back Pain
 
Brachial plexus injury diagnosis
Brachial plexus injury diagnosisBrachial plexus injury diagnosis
Brachial plexus injury diagnosis
 
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury
Medical student lectures hydrocephalus ,chiari ,congenital ,truma ,nerve injury
 
Presentation1 truma and emergency
Presentation1 truma and emergencyPresentation1 truma and emergency
Presentation1 truma and emergency
 
Cervical myelopathy cme
Cervical myelopathy cmeCervical myelopathy cme
Cervical myelopathy cme
 
Pagetsdiseaseofthebone
Pagetsdiseaseofthebone Pagetsdiseaseofthebone
Pagetsdiseaseofthebone
 
Paget’s disease of the bone
Paget’s disease of the bonePaget’s disease of the bone
Paget’s disease of the bone
 
Orthopedics 5th year, 2nd lecture (Dr. Hamid)
Orthopedics 5th year, 2nd lecture (Dr. Hamid)Orthopedics 5th year, 2nd lecture (Dr. Hamid)
Orthopedics 5th year, 2nd lecture (Dr. Hamid)
 
Chronic pain syndromes
Chronic pain syndromes Chronic pain syndromes
Chronic pain syndromes
 
Entrapment neuropathies
Entrapment neuropathiesEntrapment neuropathies
Entrapment neuropathies
 
Gp talk
Gp talkGp talk
Gp talk
 
Spinal cord injury
Spinal cord injurySpinal cord injury
Spinal cord injury
 
Ghega
GhegaGhega
Ghega
 
امراض العضلات عند الاطفال- Pediatric Muscle dystrophy- - البروفيسور فريح ابو...
امراض العضلات عند الاطفال- Pediatric Muscle dystrophy-  - البروفيسور فريح ابو...امراض العضلات عند الاطفال- Pediatric Muscle dystrophy-  - البروفيسور فريح ابو...
امراض العضلات عند الاطفال- Pediatric Muscle dystrophy- - البروفيسور فريح ابو...
 

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

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
(👑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
 
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
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
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
 
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
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...narwatsonia7
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Sheetaleventcompany
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...parulsinha
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
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
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 

Dernier (20)

Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
(👑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...
 
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
 
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7Call Girls in Gagan Vihar (delhi) call me [🔝  9953056974 🔝] escort service 24X7
Call Girls in Gagan Vihar (delhi) call me [🔝 9953056974 🔝] escort service 24X7
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
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
 
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...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...Top Rated Bangalore Call Girls Richmond Circle ⟟  9332606886 ⟟ Call Me For Ge...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 9332606886 ⟟ Call Me For Ge...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...Russian Call Girls Service  Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
Russian Call Girls Service Jaipur {8445551418} ❤️PALLAVI VIP Jaipur Call Gir...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
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
 
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Faridabad Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 8250077686 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 

Orthopedics 5th year, 6th lecture (Dr. Hamid)