SlideShare une entreprise Scribd logo
1  sur  29
Télécharger pour lire hors ligne
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•23 Y/o Male

•No past medical problem

•Came to the hospital with CP and SOB after a being
involved in a violent conversation
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•52 Y/O AAF

•PMHx: DM – HTN - ESRD

•Current problem:
   •Missed tow sessions of Hemodialysis
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•62 Y/O female

•PMHx:
      •COPD
      •Home O2
      •HTN
      •OSA on CPAP 10cm H2O
•C/O
   •Cough
   •Fever
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•60 Y/O AAF

•PMHx: DM – HTN - Morbid obesity

•C/O : Chest Pain
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•23 Y/O CM

•PMHx: None

•C/O : H/O diarrhea after a travel to south America for 3
days
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
2 months ago
Today
•62 Y/O AAM is admitted to the hospital with SOB for
three days.

•PMHx: CHF, HTN, ESRD on HD
Circulation 2005;112:IV-58-IV-66



Copyright ©2005 American Heart Association
•32 Y/O AAM in ED three Unresponsive.

•PMHx: NONE

•A bottle of PO Morphine …….

Contenu connexe

Tendances

Cardio-oncology chemotherapy induced cardiomyopathy cases no 2
Cardio-oncology chemotherapy induced cardiomyopathy cases no 2Cardio-oncology chemotherapy induced cardiomyopathy cases no 2
Cardio-oncology chemotherapy induced cardiomyopathy cases no 2asadsoomro1960
 
Paradigm hf-trial-ppt-pptx - copia
Paradigm hf-trial-ppt-pptx - copiaParadigm hf-trial-ppt-pptx - copia
Paradigm hf-trial-ppt-pptx - copiaEdgardo Kaplinsky
 
Case presentation on myocardial infraction
Case presentation on myocardial infractionCase presentation on myocardial infraction
Case presentation on myocardial infractionaishwarya shrestha
 
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...Mubashar A Choudry MD
 
Lytics for Normotensive Submassive PE
Lytics for Normotensive Submassive PELytics for Normotensive Submassive PE
Lytics for Normotensive Submassive PEMichael Katz
 
Prevention and Awareness of Asthma
Prevention and Awareness of AsthmaPrevention and Awareness of Asthma
Prevention and Awareness of AsthmaMedicineAndHealth
 
Hypertension & Anti-hypertensive drugs
Hypertension & Anti-hypertensive drugsHypertension & Anti-hypertensive drugs
Hypertension & Anti-hypertensive drugsrajivkumal
 
Heart Failure(HFrEF) management- an Overview
Heart Failure(HFrEF) management- an Overview Heart Failure(HFrEF) management- an Overview
Heart Failure(HFrEF) management- an Overview Ashok Dutta
 
Perioperative bleeding and Hemostasis
Perioperative bleeding and HemostasisPerioperative bleeding and Hemostasis
Perioperative bleeding and Hemostasisalmemon
 
Blood Pressure Control in Neuro ICU
Blood Pressure Control in Neuro ICUBlood Pressure Control in Neuro ICU
Blood Pressure Control in Neuro ICUDr.Mahmoud Abbas
 
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...vaibhavyawalkar
 
Holley: Transfusion and Coagulopathy
Holley: Transfusion and CoagulopathyHolley: Transfusion and Coagulopathy
Holley: Transfusion and CoagulopathySMACC Conference
 
Trauma pathophysiology
Trauma pathophysiologyTrauma pathophysiology
Trauma pathophysiologyNIICS
 
Recent advances in management of heart failure
Recent advances in management of heart failureRecent advances in management of heart failure
Recent advances in management of heart failurerahul arora
 
Cardiology lecture toIternal Medicine 21/10/2013
Cardiology lecture toIternal Medicine 21/10/2013Cardiology lecture toIternal Medicine 21/10/2013
Cardiology lecture toIternal Medicine 21/10/2013hospital
 
Trauma resuscitation
Trauma resuscitationTrauma resuscitation
Trauma resuscitationSCGH ED CME
 

Tendances (20)

Cardio-oncology chemotherapy induced cardiomyopathy cases no 2
Cardio-oncology chemotherapy induced cardiomyopathy cases no 2Cardio-oncology chemotherapy induced cardiomyopathy cases no 2
Cardio-oncology chemotherapy induced cardiomyopathy cases no 2
 
Paradigm hf-trial-ppt-pptx - copia
Paradigm hf-trial-ppt-pptx - copiaParadigm hf-trial-ppt-pptx - copia
Paradigm hf-trial-ppt-pptx - copia
 
Case presentation on myocardial infraction
Case presentation on myocardial infractionCase presentation on myocardial infraction
Case presentation on myocardial infraction
 
Acei
AceiAcei
Acei
 
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...
Mubashar A choudry MD - What is Cardiovascular and What are Cardiovascular Fu...
 
Lytics for Normotensive Submassive PE
Lytics for Normotensive Submassive PELytics for Normotensive Submassive PE
Lytics for Normotensive Submassive PE
 
Prevention and Awareness of Asthma
Prevention and Awareness of AsthmaPrevention and Awareness of Asthma
Prevention and Awareness of Asthma
 
Hypertension & Anti-hypertensive drugs
Hypertension & Anti-hypertensive drugsHypertension & Anti-hypertensive drugs
Hypertension & Anti-hypertensive drugs
 
Abeer elnakera
Abeer elnakeraAbeer elnakera
Abeer elnakera
 
Heart Failure(HFrEF) management- an Overview
Heart Failure(HFrEF) management- an Overview Heart Failure(HFrEF) management- an Overview
Heart Failure(HFrEF) management- an Overview
 
Perioperative bleeding and Hemostasis
Perioperative bleeding and HemostasisPerioperative bleeding and Hemostasis
Perioperative bleeding and Hemostasis
 
Blood Pressure Control in Neuro ICU
Blood Pressure Control in Neuro ICUBlood Pressure Control in Neuro ICU
Blood Pressure Control in Neuro ICU
 
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...
Cardiogenic shock 2019 update by Dr. Vaibhav Yawalkar MD DM Cardiology, Consu...
 
Congestive heart failure
Congestive heart failure Congestive heart failure
Congestive heart failure
 
Holley: Transfusion and Coagulopathy
Holley: Transfusion and CoagulopathyHolley: Transfusion and Coagulopathy
Holley: Transfusion and Coagulopathy
 
Trauma pathophysiology
Trauma pathophysiologyTrauma pathophysiology
Trauma pathophysiology
 
Recent advances in management of heart failure
Recent advances in management of heart failureRecent advances in management of heart failure
Recent advances in management of heart failure
 
Cardiology lecture toIternal Medicine 21/10/2013
Cardiology lecture toIternal Medicine 21/10/2013Cardiology lecture toIternal Medicine 21/10/2013
Cardiology lecture toIternal Medicine 21/10/2013
 
Trauma resuscitation
Trauma resuscitationTrauma resuscitation
Trauma resuscitation
 
Vogel endothelial function cv es
Vogel endothelial function   cv esVogel endothelial function   cv es
Vogel endothelial function cv es
 

En vedette (19)

Rapid Reporting Segment 2.Ppt
Rapid Reporting Segment 2.Ppt Rapid Reporting Segment 2.Ppt
Rapid Reporting Segment 2.Ppt
 
Alcoholic Hepatitis & Hepatorenal Syndrome
Alcoholic Hepatitis & Hepatorenal SyndromeAlcoholic Hepatitis & Hepatorenal Syndrome
Alcoholic Hepatitis & Hepatorenal Syndrome
 
Momentos Varios
Momentos VariosMomentos Varios
Momentos Varios
 
Long Case One
Long Case OneLong Case One
Long Case One
 
Viva segment 1
Viva segment 1Viva segment 1
Viva segment 1
 
Meningitis
MeningitisMeningitis
Meningitis
 
Spotting Set 2
Spotting Set 2Spotting Set 2
Spotting Set 2
 
Spotting 1
Spotting 1Spotting 1
Spotting 1
 
Spotting Set 3
Spotting Set 3Spotting Set 3
Spotting Set 3
 
Community Acquired MRSA & Animal Bites
Community Acquired MRSA & Animal BitesCommunity Acquired MRSA & Animal Bites
Community Acquired MRSA & Animal Bites
 
Community Acquired Pneumonia & Empyema
Community Acquired Pneumonia & EmpyemaCommunity Acquired Pneumonia & Empyema
Community Acquired Pneumonia & Empyema
 
Open Fracture Antibiotics prophylaxis
Open Fracture Antibiotics prophylaxisOpen Fracture Antibiotics prophylaxis
Open Fracture Antibiotics prophylaxis
 
Mega Code
Mega CodeMega Code
Mega Code
 
Mechanical Ventilation
Mechanical VentilationMechanical Ventilation
Mechanical Ventilation
 
ESRD and DKA
ESRD and DKAESRD and DKA
ESRD and DKA
 
Rapid Reporting Segment 1
Rapid Reporting Segment 1Rapid Reporting Segment 1
Rapid Reporting Segment 1
 
Abdominal Abcess
Abdominal AbcessAbdominal Abcess
Abdominal Abcess
 
Acne
AcneAcne
Acne
 
Atopic Dermatitis
Atopic DermatitisAtopic Dermatitis
Atopic Dermatitis
 

Dernier

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
 
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
 
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
 
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
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...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
 
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
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...call girls hydrabad
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
❤️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
 
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 Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...gragneelam30
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...soniyagrag336
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...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
 
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
 

Dernier (20)

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...
 
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...
 
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...
 
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
 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
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...
 
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
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
❤️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...
 
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 Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...
 
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
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
 
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...
 

Simulation Center