SlideShare a Scribd company logo

Massive Blood Transfusion

•Download as PPT, PDF•
•
Saeed Al-Shomimi
Saeed Al-Shomimi
Health & MedicineBusiness
1 of 49
Massive Blood Transfusion Definition, Indications Complications Dr. Maha AL-Madi Urology Resident
[object Object],[object Object],[object Object],[object Object],[object Object],Objectives
Definition of MBT… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Definition of MBT… ,[object Object],[object Object],[object Object]
Definition of MBT… ,[object Object],[object Object]
General Indications … ,[object Object],[object Object]
General Indications …… ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Indications …… ,[object Object],[object Object],[object Object]
General Indications … ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indication for MBT … ,[object Object],[object Object],[object Object],[object Object],[object Object]
General Indications … ,[object Object],[object Object]
Clinical Practice Guidelines and Recommendations * Clinical practice guideline: RBC transfusion in adult trauma and critical care. Crit Care Med 2009 vol.37 No.12
Clinical practice guidelines..
Clinical practice guidelines..
Clinical practice guidelines..…
Clinical practice guidelines..
Clinical practice guidelines..
Benefits of BT ,[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of BT… Acute non-hemolytic rxns Hemolytic rxns TRALI GVHD 1.Hypersensitivity rxn 2.Febrile non hemolytic 1. Acute immune hemolysis 2. Delayed hemolysis Transfusion Rxns Infective Massive BT
Complications of BT… VIRAL CMV (1:10 to 1:30)  EBV (1:200) HBV ( 1 : 50,000) HCV (1 :3000-4000) HIV ( 1: 150,000) HTLV-I/ II(1:250,000 to 1:2 mill PARASITIC Malaria, (1:4 mill) BACTERIAL 1:200,000 to 1:4.8 mill Yersinia Serratia , Pseudomonas Enterobacter Transfusion Rxns Infective Massive BT
Complications of BT… Transfusion Rxns Infective Massive BT
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transfusion Reactions ,[object Object],[object Object]
Clinical practice guidelines.. ,[object Object]
Transfusion Reactions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object]
Complications of BT… ,[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Complications of MBT… ,[object Object],[object Object],[object Object]
Clinical Practice Guidelines. ,[object Object]
Clinical Practice Guidelines. ,[object Object]
 
Alternative to BT ,[object Object],[object Object],[object Object],[object Object],[object Object]
Alternative to BT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
References.. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Recommended

Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionArthi Rajasankar
 
#Blood loss estimation
#Blood loss estimation#Blood loss estimation
#Blood loss estimationNisar Arain
 
Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocolDR SHADAB KAMAL
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionKIMS
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusionAashissh Shah
 
Assessment of blood loss
Assessment of blood loss Assessment of blood loss
Assessment of blood loss Aboubakr Elnashar
 
Transfusion related acute lung injury
Transfusion related acute lung injuryTransfusion related acute lung injury
Transfusion related acute lung injury9857038254
 
TEG - Thromboelastography
TEG - ThromboelastographyTEG - Thromboelastography
TEG - ThromboelastographyMohtasib Madaoo
 

Recommended

Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionArthi Rajasankar
 
#Blood loss estimation
#Blood loss estimation#Blood loss estimation
#Blood loss estimationNisar Arain
 
Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocolDR SHADAB KAMAL
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionKIMS
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusionAashissh Shah
 
Assessment of blood loss
Assessment of blood loss Assessment of blood loss
Assessment of blood loss Aboubakr Elnashar
 
Transfusion related acute lung injury
Transfusion related acute lung injuryTransfusion related acute lung injury
Transfusion related acute lung injury9857038254
 
TEG - Thromboelastography
TEG - ThromboelastographyTEG - Thromboelastography
TEG - ThromboelastographyMohtasib Madaoo
 
Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocolakshaya tomar
 
SPINAL ANAESTHESIA
SPINAL ANAESTHESIASPINAL ANAESTHESIA
SPINAL ANAESTHESIAdeka dada
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)shashank agrawal
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapyanaesthesiology-mgmcri
 
Septic shock
Septic shockSeptic shock
Septic shockBashir BnYunus
 
Massive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusionsMassive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusionsDavid Hersey
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitationSCGH ED CME
 
Post dural puncture headache
Post dural puncture headachePost dural puncture headache
Post dural puncture headacheKIMS
 
Epidural anesthesia
Epidural anesthesiaEpidural anesthesia
Epidural anesthesiarahulverma1194
 
Potassium Management
Potassium ManagementPotassium Management
Potassium Managementcap_0009
 
Blood transfusion in surgery
Blood transfusion in surgeryBlood transfusion in surgery
Blood transfusion in surgeryDrkabiru2012
 
Perioperative Management of Hypertension
Perioperative Management of HypertensionPerioperative Management of Hypertension
Perioperative Management of Hypertensionmagdy elmasry
 
Spinal anesthesia
Spinal anesthesiaSpinal anesthesia
Spinal anesthesiadr anurag giri
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubationKhairunnisa Azman
 
TURP
TURPTURP
TURPDrVishal Kandhway
 
Preoperative evaluation
Preoperative evaluationPreoperative evaluation
Preoperative evaluationRicha Kumar
 
Intravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloidsIntravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloidsomar143
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementDr Kumar
 
Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic AssessmentRamanGhimire3
 
Septic Shock
Septic ShockSeptic Shock
Septic ShockSameh Abdel-ghany
 
Complications of massive blood transfusion
Complications of massive blood transfusionComplications of massive blood transfusion
Complications of massive blood transfusionKETAN VAGHOLKAR
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusionraj kumar
 

More Related Content

What's hot

Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocolakshaya tomar
 
SPINAL ANAESTHESIA
SPINAL ANAESTHESIASPINAL ANAESTHESIA
SPINAL ANAESTHESIAdeka dada
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)shashank agrawal
 
Massive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusionsMassive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusionsDavid Hersey
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitationSCGH ED CME
 
Post dural puncture headache
Post dural puncture headachePost dural puncture headache
Post dural puncture headacheKIMS
 
Potassium Management
Potassium ManagementPotassium Management
Potassium Managementcap_0009
 
Blood transfusion in surgery
Blood transfusion in surgeryBlood transfusion in surgery
Blood transfusion in surgeryDrkabiru2012
 
Perioperative Management of Hypertension
Perioperative Management of HypertensionPerioperative Management of Hypertension
Perioperative Management of Hypertensionmagdy elmasry
 
Preoperative evaluation
Preoperative evaluationPreoperative evaluation
Preoperative evaluationRicha Kumar
 
Intravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloidsIntravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloidsomar143
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementDr Kumar
 
Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic AssessmentRamanGhimire3
 

What's hot (20)

Massive transfusion protocol
Massive transfusion protocolMassive transfusion protocol
Massive transfusion protocol
 
SPINAL ANAESTHESIA
SPINAL ANAESTHESIASPINAL ANAESTHESIA
SPINAL ANAESTHESIA
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)
 
Perioperative fluid therapy
Perioperative fluid therapyPerioperative fluid therapy
Perioperative fluid therapy
 
Septic shock
Septic shockSeptic shock
Septic shock
 
Massive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusionsMassive Transfusion Protocol + Blood transfusions
Massive Transfusion Protocol + Blood transfusions
 
Damage control resuscitation
Damage control resuscitationDamage control resuscitation
Damage control resuscitation
 
Post dural puncture headache
Post dural puncture headachePost dural puncture headache
Post dural puncture headache
 
Epidural anesthesia
Epidural anesthesiaEpidural anesthesia
Epidural anesthesia
 
Potassium Management
Potassium ManagementPotassium Management
Potassium Management
 
Blood transfusion in surgery
Blood transfusion in surgeryBlood transfusion in surgery
Blood transfusion in surgery
 
Perioperative Management of Hypertension
Perioperative Management of HypertensionPerioperative Management of Hypertension
Perioperative Management of Hypertension
 
Spinal anesthesia
Spinal anesthesiaSpinal anesthesia
Spinal anesthesia
 
Rapid sequence intubation
Rapid sequence intubationRapid sequence intubation
Rapid sequence intubation
 
TURP
TURPTURP
TURP
 
Preoperative evaluation
Preoperative evaluationPreoperative evaluation
Preoperative evaluation
 
Intravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloidsIntravenous fluids crystalloids and colloids
Intravenous fluids crystalloids and colloids
 
Pheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic managementPheochromocytoma and its anaesthetic management
Pheochromocytoma and its anaesthetic management
 
Preanesthetic Assessment
Preanesthetic AssessmentPreanesthetic Assessment
Preanesthetic Assessment
 
Septic Shock
Septic ShockSeptic Shock
Septic Shock
 

Viewers also liked

Complications of massive blood transfusion
Complications of massive blood transfusionComplications of massive blood transfusion
Complications of massive blood transfusionKETAN VAGHOLKAR
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusionraj kumar
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusionRafiq Ahmad
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusionsalamon raja
 
Management of massive blood loss
Management of massive blood lossManagement of massive blood loss
Management of massive blood losssripalidassa
 
Massive Transfusion in Trauma
Massive Transfusion in TraumaMassive Transfusion in Trauma
Massive Transfusion in TraumaSCGH ED CME
 

Viewers also liked (7)

Complications of massive blood transfusion
Complications of massive blood transfusionComplications of massive blood transfusion
Complications of massive blood transfusion
 
Complications of blood transfusion
Complications of blood transfusionComplications of blood transfusion
Complications of blood transfusion
 
Chest Trauma
Chest Trauma Chest Trauma
Chest Trauma
 
Massive transfusion
Massive transfusionMassive transfusion
Massive transfusion
 
Massive blood transfusion
Massive blood transfusionMassive blood transfusion
Massive blood transfusion
 
Management of massive blood loss
Management of massive blood lossManagement of massive blood loss
Management of massive blood loss
 
Massive Transfusion in Trauma
Massive Transfusion in TraumaMassive Transfusion in Trauma
Massive Transfusion in Trauma
 

Similar to Massive Blood Transfusion

Anemia defibtion introduction management.pptx
Anemia defibtion introduction management.pptxAnemia defibtion introduction management.pptx
Anemia defibtion introduction management.pptxssusera07604
 
Myeloproliferative Disorders Other Than CML
Myeloproliferative Disorders Other Than CMLMyeloproliferative Disorders Other Than CML
Myeloproliferative Disorders Other Than CMLMohammed A Suwaid
 
Physiological triggers for blood transfusion in the icu
Physiological triggers for blood transfusion in the icuPhysiological triggers for blood transfusion in the icu
Physiological triggers for blood transfusion in the icuchandra talur
 
renaltransplant.ppt.pptx
renaltransplant.ppt.pptxrenaltransplant.ppt.pptx
renaltransplant.ppt.pptxOmarKhaleel6
 
Indications and complications of blood transfusion
Indications and complications of blood transfusion Indications and complications of blood transfusion
Indications and complications of blood transfusion abhimanyu_ganguly
 
massive transfusion.pptx
massive transfusion.pptxmassive transfusion.pptx
massive transfusion.pptxGETAYE5
 
L 32 complications of blood transfusion
L 32 complications of blood transfusionL 32 complications of blood transfusion
L 32 complications of blood transfusionBruno Mmassy
 
L 32 complications of blood transfusion
L 32 complications of blood transfusionL 32 complications of blood transfusion
L 32 complications of blood transfusionFiba Farooq
 
Part 4 clinical laboratory data
Part 4 clinical laboratory dataPart 4 clinical laboratory data
Part 4 clinical laboratory dataMaxine Haigh-White
 
blood substitute blood.pptx
blood substitute blood.pptxblood substitute blood.pptx
blood substitute blood.pptxkarthik2567
 
Blood Transfusion
Blood Transfusion Blood Transfusion
Blood Transfusion Khalid
 
Hemostasis, surgical bleeding and transfusion
Hemostasis, surgical bleeding and transfusionHemostasis, surgical bleeding and transfusion
Hemostasis, surgical bleeding and transfusionMae Martinquilla
 
Blood transfusion (2)
Blood transfusion (2)Blood transfusion (2)
Blood transfusion (2)SADAFQAYYUM5
 

Similar to Massive Blood Transfusion (20)

Anemia defibtion introduction management.pptx
Anemia defibtion introduction management.pptxAnemia defibtion introduction management.pptx
Anemia defibtion introduction management.pptx
 
Myeloproliferative Disorders Other Than CML
Myeloproliferative Disorders Other Than CMLMyeloproliferative Disorders Other Than CML
Myeloproliferative Disorders Other Than CML
 
Bl.therapy2012
Bl.therapy2012Bl.therapy2012
Bl.therapy2012
 
Physiological triggers for blood transfusion in the icu
Physiological triggers for blood transfusion in the icuPhysiological triggers for blood transfusion in the icu
Physiological triggers for blood transfusion in the icu
 
renaltransplant.ppt.pptx
renaltransplant.ppt.pptxrenaltransplant.ppt.pptx
renaltransplant.ppt.pptx
 
Indications and complications of blood transfusion
Indications and complications of blood transfusion Indications and complications of blood transfusion
Indications and complications of blood transfusion
 
Blood Transfusion
Blood TransfusionBlood Transfusion
Blood Transfusion
 
Rational use of Blood.pptx
Rational use of Blood.pptxRational use of Blood.pptx
Rational use of Blood.pptx
 
massive transfusion.pptx
massive transfusion.pptxmassive transfusion.pptx
massive transfusion.pptx
 
uproach to anemia in ICU
uproach to anemia in ICUuproach to anemia in ICU
uproach to anemia in ICU
 
L 32 complications of blood transfusion
L 32 complications of blood transfusionL 32 complications of blood transfusion
L 32 complications of blood transfusion
 
L 32 complications of blood transfusion
L 32 complications of blood transfusionL 32 complications of blood transfusion
L 32 complications of blood transfusion
 
Part 4 clinical laboratory data
Part 4 clinical laboratory dataPart 4 clinical laboratory data
Part 4 clinical laboratory data
 
blood substitute blood.pptx
blood substitute blood.pptxblood substitute blood.pptx
blood substitute blood.pptx
 
Blood Transfusion
Blood Transfusion Blood Transfusion
Blood Transfusion
 
Part 4 laboratory values 2211
Part 4 laboratory values 2211Part 4 laboratory values 2211
Part 4 laboratory values 2211
 
A case of Upper GI Bleeding.pptx
A case of Upper GI Bleeding.pptxA case of Upper GI Bleeding.pptx
A case of Upper GI Bleeding.pptx
 
Hemostasis, surgical bleeding and transfusion
Hemostasis, surgical bleeding and transfusionHemostasis, surgical bleeding and transfusion
Hemostasis, surgical bleeding and transfusion
 
Blood transfusion (2)
Blood transfusion (2)Blood transfusion (2)
Blood transfusion (2)
 
Rational use of Blood.pptx
Rational use of Blood.pptxRational use of Blood.pptx
Rational use of Blood.pptx
 

More from Saeed Al-Shomimi

Pathophysiology of wound healing
Pathophysiology of wound healingPathophysiology of wound healing
Pathophysiology of wound healingSaeed Al-Shomimi
 
Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Saeed Al-Shomimi
 
Retroperitoneal Collections
Retroperitoneal CollectionsRetroperitoneal Collections
Retroperitoneal CollectionsSaeed Al-Shomimi
 
How to do - Abdominal Trauma
How to do - Abdominal TraumaHow to do - Abdominal Trauma
How to do - Abdominal TraumaSaeed Al-Shomimi
 
Breast Cancer during pregnancy
Breast Cancer during pregnancyBreast Cancer during pregnancy
Breast Cancer during pregnancySaeed Al-Shomimi
 
Antibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisAntibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisSaeed Al-Shomimi
 
Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstructionSaeed Al-Shomimi
 
A v fistula in heamodialysis
A v fistula in heamodialysisA v fistula in heamodialysis
A v fistula in heamodialysisSaeed Al-Shomimi
 
Lower Limb Vascular Trauma
Lower Limb Vascular TraumaLower Limb Vascular Trauma
Lower Limb Vascular TraumaSaeed Al-Shomimi
 
Risk Factors of Breast Cancer
Risk Factors of Breast CancerRisk Factors of Breast Cancer
Risk Factors of Breast CancerSaeed Al-Shomimi
 
Surgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSurgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSaeed Al-Shomimi
 
Endocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasEndocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasSaeed Al-Shomimi
 

More from Saeed Al-Shomimi (20)

Pathophysiology of wound healing
Pathophysiology of wound healingPathophysiology of wound healing
Pathophysiology of wound healing
 
Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...Can we apply the same indications of ESD for primary gastric cancer to remnan...
Can we apply the same indications of ESD for primary gastric cancer to remnan...
 
Retroperitoneal Collections
Retroperitoneal CollectionsRetroperitoneal Collections
Retroperitoneal Collections
 
Tube thoracostomy
Tube thoracostomyTube thoracostomy
Tube thoracostomy
 
How to do - Abdominal Trauma
How to do - Abdominal TraumaHow to do - Abdominal Trauma
How to do - Abdominal Trauma
 
Breast Cancer during pregnancy
Breast Cancer during pregnancyBreast Cancer during pregnancy
Breast Cancer during pregnancy
 
Antibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute PanceriatitisAntibiotic prophylaxis in sever Acute Panceriatitis
Antibiotic prophylaxis in sever Acute Panceriatitis
 
Gallstone
GallstoneGallstone
Gallstone
 
Esophaegeal resection & reconstruction
Esophaegeal resection & reconstructionEsophaegeal resection & reconstruction
Esophaegeal resection & reconstruction
 
A v fistula in heamodialysis
A v fistula in heamodialysisA v fistula in heamodialysis
A v fistula in heamodialysis
 
DVT Current Concept
DVT Current ConceptDVT Current Concept
DVT Current Concept
 
Diabetic Foot Examination
Diabetic Foot ExaminationDiabetic Foot Examination
Diabetic Foot Examination
 
Solitary Thyroid Nodule
Solitary Thyroid NoduleSolitary Thyroid Nodule
Solitary Thyroid Nodule
 
Lower Limb Vascular Trauma
Lower Limb Vascular TraumaLower Limb Vascular Trauma
Lower Limb Vascular Trauma
 
Risk Factors of Breast Cancer
Risk Factors of Breast CancerRisk Factors of Breast Cancer
Risk Factors of Breast Cancer
 
Liver Trauma
Liver TraumaLiver Trauma
Liver Trauma
 
Surgical Management in Ulcerative Colitis
Surgical Management in Ulcerative ColitisSurgical Management in Ulcerative Colitis
Surgical Management in Ulcerative Colitis
 
Endocrine Tumors Of The Pancreas
Endocrine Tumors Of The PancreasEndocrine Tumors Of The Pancreas
Endocrine Tumors Of The Pancreas
 
Ischemic Colitis
Ischemic ColitisIschemic Colitis
Ischemic Colitis
 
Gastric Carcinoma
Gastric CarcinomaGastric Carcinoma
Gastric Carcinoma
 

Recently uploaded

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 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
 
(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 Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Janvi Singh
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
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 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
 
💰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 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
 
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...chanderprakash5506
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...dilbirsingh0889
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowtanudubay92
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...rajnisinghkjn
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationMedicoseAcademics
 
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
 
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
 
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 AvailableSteve Davis
 
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 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
 

Recently uploaded (20)

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 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...
 
(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 Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Wayanad Just Call 8250077686 Top Class Call Girl Service Available
 
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 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...
 
💰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 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
 
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...
Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...
 
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
💞 Safe And Secure Call Girls Coimbatore🧿 6378878445 🧿 High Class Coimbatore C...
 
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book nowChennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now
 
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
👉 Chennai Sexy Aunty’s WhatsApp Number 👉📞 7427069034 👉📞 Just📲 Call Ruhi Colle...
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
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 ...
 
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
 
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
 
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 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
 

Massive Blood Transfusion