SlideShare une entreprise Scribd logo
1  sur  13
BV Injury
Platelet
Activation
Plt-Fusion
Blood Vessel
Constriction
Coagulation
Activation
Stable Hemostatic Plug
Thromibn,
Fibrin
Reduced
Blood flow
Tissue
Factor
Primary hemostatic plug
Neural
Fibrinogen
Fibrin Mononer
Fibrin Polymer
Cross Linked
Fibrin
Thrombin
F-XIIIa
 Realease of tissue factor
 Widespread endothelial injury
Activation of
coagulation
cascade
Widespread
micro
thrombi
Consumption
coagulopathy
Activation of
fibrinolysis
Bleeding
 Brain>heart>lungs>kidney>adrenals>spleen
 Disseminated > localised
 Endocrine
adrenals
pituitary
 Platelet count ?
 Coagulation factors ?
 Fibrinogen level ?
 PTT ?
 PT ?
 Thrombin time ?
 Fibrin degradation products ?
 Plasmin ?
 Microangipathic HA picture
BT Plt PT PTT
Vascular Dis -  - - -
PLT Disorder -  -  - -
Factor 8/9
*Congenital - - - 
Vit K / Liver
*Acquired - -  -
Combined (DIC)   - 
Disseminated intravascular coagulation

Contenu connexe

Tendances

05 disseminated intravascular coagulation
05 disseminated intravascular coagulation05 disseminated intravascular coagulation
05 disseminated intravascular coagulationShashidhara TS
 
Pathophysiology of thrombocytopenia
Pathophysiology of thrombocytopeniaPathophysiology of thrombocytopenia
Pathophysiology of thrombocytopeniaJegan Nadar
 
Coagulation disorder
Coagulation disorder Coagulation disorder
Coagulation disorder AHLAM MAJALI
 
Thrombosis - Pathology by Dr.Pawan
Thrombosis - Pathology by Dr.PawanThrombosis - Pathology by Dr.Pawan
Thrombosis - Pathology by Dr.PawanDr. Pawan Kumar B
 
DISSEMINATED INTRAVASCULAR COAGULATION
DISSEMINATED INTRAVASCULAR COAGULATIONDISSEMINATED INTRAVASCULAR COAGULATION
DISSEMINATED INTRAVASCULAR COAGULATIONakshaya tomar
 
Disseminated Intravascular Coagulation
Disseminated Intravascular CoagulationDisseminated Intravascular Coagulation
Disseminated Intravascular CoagulationQURATULAIN MUGHAL
 
Dic- disseminated intravascular coagulation
Dic- disseminated intravascular coagulation Dic- disseminated intravascular coagulation
Dic- disseminated intravascular coagulation bhartisharma175
 
Disseminated intravascular-coagulation (2)
Disseminated intravascular-coagulation (2)Disseminated intravascular-coagulation (2)
Disseminated intravascular-coagulation (2)Kazi Oly
 
Haemostasis and thrombosis ppt
Haemostasis and thrombosis pptHaemostasis and thrombosis ppt
Haemostasis and thrombosis pptali7070
 
Hemostasis in Pathology
Hemostasis in PathologyHemostasis in Pathology
Hemostasis in Pathologyfadziyah zaira
 
Disseminated intra vascular coagulation
Disseminated intra vascular coagulationDisseminated intra vascular coagulation
Disseminated intra vascular coagulationPriya
 
Thrombocytopenia
ThrombocytopeniaThrombocytopenia
ThrombocytopeniaAli Hammosh
 
Disseminated intravascular coagulation ppt
Disseminated intravascular coagulation pptDisseminated intravascular coagulation ppt
Disseminated intravascular coagulation pptShivangi sharma
 
Bleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBABleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBAHabibah Chaudhary
 

Tendances (20)

Thrombocytopenia
ThrombocytopeniaThrombocytopenia
Thrombocytopenia
 
05 disseminated intravascular coagulation
05 disseminated intravascular coagulation05 disseminated intravascular coagulation
05 disseminated intravascular coagulation
 
Pathophysiology of thrombocytopenia
Pathophysiology of thrombocytopeniaPathophysiology of thrombocytopenia
Pathophysiology of thrombocytopenia
 
Thrombocytopenia
ThrombocytopeniaThrombocytopenia
Thrombocytopenia
 
Disorders of Platelets
Disorders of PlateletsDisorders of Platelets
Disorders of Platelets
 
Coagulation disorder
Coagulation disorder Coagulation disorder
Coagulation disorder
 
Thrombosis - Pathology by Dr.Pawan
Thrombosis - Pathology by Dr.PawanThrombosis - Pathology by Dr.Pawan
Thrombosis - Pathology by Dr.Pawan
 
DISSEMINATED INTRAVASCULAR COAGULATION
DISSEMINATED INTRAVASCULAR COAGULATIONDISSEMINATED INTRAVASCULAR COAGULATION
DISSEMINATED INTRAVASCULAR COAGULATION
 
Disseminated Intravascular Coagulation
Disseminated Intravascular CoagulationDisseminated Intravascular Coagulation
Disseminated Intravascular Coagulation
 
Dic
DicDic
Dic
 
Dic- disseminated intravascular coagulation
Dic- disseminated intravascular coagulation Dic- disseminated intravascular coagulation
Dic- disseminated intravascular coagulation
 
Disseminated intravascular-coagulation (2)
Disseminated intravascular-coagulation (2)Disseminated intravascular-coagulation (2)
Disseminated intravascular-coagulation (2)
 
Haemostasis and thrombosis ppt
Haemostasis and thrombosis pptHaemostasis and thrombosis ppt
Haemostasis and thrombosis ppt
 
Hemostasis in Pathology
Hemostasis in PathologyHemostasis in Pathology
Hemostasis in Pathology
 
Disseminated intra vascular coagulation
Disseminated intra vascular coagulationDisseminated intra vascular coagulation
Disseminated intra vascular coagulation
 
Dic
DicDic
Dic
 
Thrombocytopenia
ThrombocytopeniaThrombocytopenia
Thrombocytopenia
 
Disseminated intravascular coagulation ppt
Disseminated intravascular coagulation pptDisseminated intravascular coagulation ppt
Disseminated intravascular coagulation ppt
 
Approach to bleeding disorders
Approach to  bleeding disordersApproach to  bleeding disorders
Approach to bleeding disorders
 
Bleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBABleeding disorders Pathology Dr. UMME HABIBA
Bleeding disorders Pathology Dr. UMME HABIBA
 

Similaire à Disseminated intravascular coagulation

Pt Aptt 1218181287688715 8
Pt Aptt 1218181287688715 8Pt Aptt 1218181287688715 8
Pt Aptt 1218181287688715 8rudy184
 
PT APTT Technical Information
PT APTT Technical InformationPT APTT Technical Information
PT APTT Technical InformationPriyank Dubey
 
02a Surgical hemostasis
02a Surgical hemostasis02a Surgical hemostasis
02a Surgical hemostasisTantasurgery
 
Physiologyof Coagulation
Physiologyof CoagulationPhysiologyof Coagulation
Physiologyof CoagulationFlavio Guzmán
 
Coagulation Mechanism and blood disorders
Coagulation Mechanism and blood disordersCoagulation Mechanism and blood disorders
Coagulation Mechanism and blood disordersSreenivasa Reddy Thalla
 
Platelet and coagulation disorder
Platelet and coagulation disorderPlatelet and coagulation disorder
Platelet and coagulation disordersartika Amran
 
Glanzmann thrombasthenia
Glanzmann thrombastheniaGlanzmann thrombasthenia
Glanzmann thrombastheniavijay dihora
 
Haemostatis By ORIBA DAN LANGOYA
Haemostatis By ORIBA DAN LANGOYAHaemostatis By ORIBA DAN LANGOYA
Haemostatis By ORIBA DAN LANGOYAOriba Dan Langoya
 
Lecture 7, fall 2014
Lecture 7, fall 2014Lecture 7, fall 2014
Lecture 7, fall 2014Shabab Ali
 
ix of hemorrhagic disease.pptx
ix of hemorrhagic disease.pptxix of hemorrhagic disease.pptx
ix of hemorrhagic disease.pptxRavi Kothari
 
Coagulation Disorders and Anesthesia-Basic pathophysiology
Coagulation Disorders and Anesthesia-Basic pathophysiology Coagulation Disorders and Anesthesia-Basic pathophysiology
Coagulation Disorders and Anesthesia-Basic pathophysiology Unnikrishnan Prathapadas
 
Hemostasis magdi sasi 2018 physiology limu
Hemostasis   magdi sasi 2018 physiology limuHemostasis   magdi sasi 2018 physiology limu
Hemostasis magdi sasi 2018 physiology limucardilogy
 
Haemostasis, anticoagulant, bleeding disorders.
Haemostasis, anticoagulant, bleeding disorders.Haemostasis, anticoagulant, bleeding disorders.
Haemostasis, anticoagulant, bleeding disorders.jay singh
 
Haemostasis
HaemostasisHaemostasis
HaemostasisRGCL
 

Similaire à Disseminated intravascular coagulation (20)

Pt Aptt 1218181287688715 8
Pt Aptt 1218181287688715 8Pt Aptt 1218181287688715 8
Pt Aptt 1218181287688715 8
 
PT APTT Technical Information
PT APTT Technical InformationPT APTT Technical Information
PT APTT Technical Information
 
02a Surgical hemostasis
02a Surgical hemostasis02a Surgical hemostasis
02a Surgical hemostasis
 
Physion
PhysionPhysion
Physion
 
Physiologulation
PhysiologulationPhysiologulation
Physiologulation
 
Physiologyof Coagulation
Physiologyof CoagulationPhysiologyof Coagulation
Physiologyof Coagulation
 
Coagulation Mechanism and blood disorders
Coagulation Mechanism and blood disordersCoagulation Mechanism and blood disorders
Coagulation Mechanism and blood disorders
 
Platelet and coagulation disorder
Platelet and coagulation disorderPlatelet and coagulation disorder
Platelet and coagulation disorder
 
CME: Bleeding Disorders - Applied Physiology
CME: Bleeding Disorders - Applied PhysiologyCME: Bleeding Disorders - Applied Physiology
CME: Bleeding Disorders - Applied Physiology
 
Glanzmann thrombasthenia
Glanzmann thrombastheniaGlanzmann thrombasthenia
Glanzmann thrombasthenia
 
Haemostatis By ORIBA DAN LANGOYA
Haemostatis By ORIBA DAN LANGOYAHaemostatis By ORIBA DAN LANGOYA
Haemostatis By ORIBA DAN LANGOYA
 
Lecture 7, fall 2014
Lecture 7, fall 2014Lecture 7, fall 2014
Lecture 7, fall 2014
 
ix of hemorrhagic disease.pptx
ix of hemorrhagic disease.pptxix of hemorrhagic disease.pptx
ix of hemorrhagic disease.pptx
 
Snake Bite
Snake BiteSnake Bite
Snake Bite
 
Coagulation Disorders and Anesthesia-Basic pathophysiology
Coagulation Disorders and Anesthesia-Basic pathophysiology Coagulation Disorders and Anesthesia-Basic pathophysiology
Coagulation Disorders and Anesthesia-Basic pathophysiology
 
Hemostasis magdi sasi 2018 physiology limu
Hemostasis   magdi sasi 2018 physiology limuHemostasis   magdi sasi 2018 physiology limu
Hemostasis magdi sasi 2018 physiology limu
 
Blood
BloodBlood
Blood
 
DIC.pptx
DIC.pptxDIC.pptx
DIC.pptx
 
Haemostasis, anticoagulant, bleeding disorders.
Haemostasis, anticoagulant, bleeding disorders.Haemostasis, anticoagulant, bleeding disorders.
Haemostasis, anticoagulant, bleeding disorders.
 
Haemostasis
HaemostasisHaemostasis
Haemostasis
 

Plus de Yogesh Ramasamy

Plus de Yogesh Ramasamy (20)

Anatomy of nmj
Anatomy of nmjAnatomy of nmj
Anatomy of nmj
 
Thymus and pineal gland
Thymus and pineal glandThymus and pineal gland
Thymus and pineal gland
 
Skin physiology
Skin physiologySkin physiology
Skin physiology
 
Renal handling of glucose and proteins & amino
Renal handling of glucose and proteins & aminoRenal handling of glucose and proteins & amino
Renal handling of glucose and proteins & amino
 
Pyramidal tract and extra pyramidal tracts
Pyramidal tract and extra pyramidal tractsPyramidal tract and extra pyramidal tracts
Pyramidal tract and extra pyramidal tracts
 
Pulmonary circulation
Pulmonary circulationPulmonary circulation
Pulmonary circulation
 
Properties of nerve fibre
Properties of nerve fibreProperties of nerve fibre
Properties of nerve fibre
 
Pm changes
Pm changesPm changes
Pm changes
 
Physiology of platelets
Physiology of plateletsPhysiology of platelets
Physiology of platelets
 
Physiology of neurotransmitters
Physiology of neurotransmittersPhysiology of neurotransmitters
Physiology of neurotransmitters
 
Pathophysiology of shock
Pathophysiology of shockPathophysiology of shock
Pathophysiology of shock
 
Pathophysiology of common renal diseases and diurectics
Pathophysiology of common renal diseases and diurecticsPathophysiology of common renal diseases and diurectics
Pathophysiology of common renal diseases and diurectics
 
Overview of genetics & apoptosis
Overview of genetics & apoptosisOverview of genetics & apoptosis
Overview of genetics & apoptosis
 
Neuron physiology
Neuron physiologyNeuron physiology
Neuron physiology
 
Necrosis
NecrosisNecrosis
Necrosis
 
Mucosal barrier and peptic ulcer
Mucosal barrier and peptic ulcerMucosal barrier and peptic ulcer
Mucosal barrier and peptic ulcer
 
Mm
MmMm
Mm
 
Lung volume and capacities
Lung volume and capacitiesLung volume and capacities
Lung volume and capacities
 
Hypoxia
HypoxiaHypoxia
Hypoxia
 
Heart rate
Heart rateHeart rate
Heart rate
 

Dernier

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
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
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
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Dipal Arora
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 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 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
 
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
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...narwatsonia7
 
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
 
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 Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar 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
 
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
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
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
 

Dernier (20)

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
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 8250077686 Top Class Call Girl Service Available
 
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
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 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...
 
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 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
 
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...
 
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...Top Rated Bangalore Call Girls Mg Road ⟟   9332606886 ⟟ Call Me For Genuine S...
Top Rated Bangalore Call Girls Mg Road ⟟ 9332606886 ⟟ Call Me For Genuine S...
 
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
 
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 Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Haridwar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Haridwar 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...
 
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...
 
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadO898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
O898O367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
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...
 

Disseminated intravascular coagulation