SlideShare a Scribd company logo
1 of 36
PRESENTED BY,
REVATHY. K. D
MSC MEDICAL SURGICAL NURSING
DEFINITION OFANEURYSM
 An aneurysm is an outward bulging
like a bubble or balloon caused by a
localized , abnormal weak spot on a
blood vessel.
INCIDENCE OF ANEURYSM
 Adults
 males
 Age group 35—60 years
 Common incidence in the age of 50 years
RISK FACTORS OFANEURYSM
 MALES
 ASIAN PEOPLE
 HYPERTENSION
 TOBACCO USE
 ALCOHOL
 NEUROLOGICAL DEFICIT
 DIABETES
 OBESITY
 HIGH CHOLESTROL
 INCREASED AGE
 TB
 ATHEROSCLEROSIS
 HYPERTENSIVE INJURY
 BACTERIAL INFECTION
 COPPER DEFICIENCY
ANATOMY & PHYSIOLOGY
REVIEW…….
PATHOPHYSIOLOGY OF
ANEURYSM
CLASSIFICATION
 TRUE ANEURYSM
 FALSE ANEURYSM
BASED ON THE SHAPE
BASED ON THE LOCATION
 ARTERIAL & VENOUS ANEURYSM
 AORTIC ANEURYSM
 BRAIN ANEURYSM
SIGNS & SYMPTOMS
 CEREBRAL ANEURYSM
•Fatigue
•Speech
problem
•Loss of
perception
•Loss of
balance
•Double
vision
-SEVERE HEADACHE
-LOSS OF VISION
-NECK PAIN
-PAIN BEHIND THE EYES
 ABDOMINAL ANEURYSM
 ASYMPTOMATIC
 LOWER ABDOMINAL PAIN
 LOWER LIMB ISCHEMIA
 RENAL ANEURYSM
 FLANK PAIN
 HYPERTENSION
 HEMATURIA
 HYPOVOLEMIC SHOCK
DIAGNOSIS METHODS
 CT
 MRI
 LP
 CTA
MANAGEMENT OFANEURYSM
 Watch full waiting with BP control
 Clipping of aneurysm
 Endovascular coiling
 Bypass grafting & suturing of the aneurysm
 Stent graft
Referances
 Joicy m black, medical surgical nursing ;7th edi.
 Chinthamani lewis .medical surgical nursing
south asian edi.

More Related Content

What's hot

Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)
Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)
Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)Sameep Koshti
 
Presentation1.pptx, brain film reading, lecture 1.
Presentation1.pptx, brain film reading, lecture 1.Presentation1.pptx, brain film reading, lecture 1.
Presentation1.pptx, brain film reading, lecture 1.Abdellah Nazeer
 
The central nervous system ii
The central nervous system iiThe central nervous system ii
The central nervous system iiraj kumar
 
Aneurysms
AneurysmsAneurysms
Aneurysmszzzo
 
Presentation1.pptx, radiological imaging of intra cranial calcification.
Presentation1.pptx, radiological imaging of intra cranial calcification.Presentation1.pptx, radiological imaging of intra cranial calcification.
Presentation1.pptx, radiological imaging of intra cranial calcification.Abdellah Nazeer
 
Intracranial Arterial Dolichoectasia
Intracranial Arterial DolichoectasiaIntracranial Arterial Dolichoectasia
Intracranial Arterial DolichoectasiaAde Wijaya
 
Sarcoidosis
SarcoidosisSarcoidosis
SarcoidosisMilDoc
 
Sarcoidosis agreat mimic
Sarcoidosis agreat mimicSarcoidosis agreat mimic
Sarcoidosis agreat mimichythemhashim
 
Sarcoidosis & orphan lung disease
Sarcoidosis & orphan lung diseaseSarcoidosis & orphan lung disease
Sarcoidosis & orphan lung diseaseimangalal
 
PHYSIOLOGICAL AND PATHOLOGICAL CALCIFICATION OF BRAIN
PHYSIOLOGICAL AND PATHOLOGICAL  CALCIFICATION OF BRAINPHYSIOLOGICAL AND PATHOLOGICAL  CALCIFICATION OF BRAIN
PHYSIOLOGICAL AND PATHOLOGICAL CALCIFICATION OF BRAINDr I Gurubharath .
 

What's hot (20)

Alzheimer's ds
Alzheimer's dsAlzheimer's ds
Alzheimer's ds
 
Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)
Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)
Aneurysm of brain - Dr Sameep Koshti (NeuroSurgeon)
 
Presentation1.pptx, brain film reading, lecture 1.
Presentation1.pptx, brain film reading, lecture 1.Presentation1.pptx, brain film reading, lecture 1.
Presentation1.pptx, brain film reading, lecture 1.
 
Ss dr kim
Ss dr kimSs dr kim
Ss dr kim
 
The central nervous system ii
The central nervous system iiThe central nervous system ii
The central nervous system ii
 
Aneurysms
AneurysmsAneurysms
Aneurysms
 
Presentation1.pptx, radiological imaging of intra cranial calcification.
Presentation1.pptx, radiological imaging of intra cranial calcification.Presentation1.pptx, radiological imaging of intra cranial calcification.
Presentation1.pptx, radiological imaging of intra cranial calcification.
 
Intracranial Arterial Dolichoectasia
Intracranial Arterial DolichoectasiaIntracranial Arterial Dolichoectasia
Intracranial Arterial Dolichoectasia
 
Cns
CnsCns
Cns
 
Spots with keys
Spots with keysSpots with keys
Spots with keys
 
Sarcoidosis
SarcoidosisSarcoidosis
Sarcoidosis
 
Sarcoidosis agreat mimic
Sarcoidosis agreat mimicSarcoidosis agreat mimic
Sarcoidosis agreat mimic
 
Sarcoidosis & orphan lung disease
Sarcoidosis & orphan lung diseaseSarcoidosis & orphan lung disease
Sarcoidosis & orphan lung disease
 
@neURy$m
@neURy$m@neURy$m
@neURy$m
 
Sarcoidosis
SarcoidosisSarcoidosis
Sarcoidosis
 
Neurology
NeurologyNeurology
Neurology
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
PHYSIOLOGICAL AND PATHOLOGICAL CALCIFICATION OF BRAIN
PHYSIOLOGICAL AND PATHOLOGICAL  CALCIFICATION OF BRAINPHYSIOLOGICAL AND PATHOLOGICAL  CALCIFICATION OF BRAIN
PHYSIOLOGICAL AND PATHOLOGICAL CALCIFICATION OF BRAIN
 
Sarcoidosis
SarcoidosisSarcoidosis
Sarcoidosis
 

Similar to Anuerysm

TAEM10:Vascular emergency
TAEM10:Vascular emergencyTAEM10:Vascular emergency
TAEM10:Vascular emergencytaem
 
Mcq in cardiology 2015 magdi sasi
Mcq  in cardiology  2015  magdi  sasiMcq  in cardiology  2015  magdi  sasi
Mcq in cardiology 2015 magdi sasicardilogy
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme marchRISHIKESAN K V
 
ANEURYSMS , TYPES AND THERE MANAGEMENT.pptx
ANEURYSMS , TYPES  AND  THERE MANAGEMENT.pptxANEURYSMS , TYPES  AND  THERE MANAGEMENT.pptx
ANEURYSMS , TYPES AND THERE MANAGEMENT.pptxBipul Thakur
 
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI part 5
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI  part 5Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI  part 5
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI part 5AHMED ESAWY
 
Subarachnoid Haemorrhage(SAH)
Subarachnoid Haemorrhage(SAH)Subarachnoid Haemorrhage(SAH)
Subarachnoid Haemorrhage(SAH)Harendra Singh
 
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...chitrapandey
 
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...chitrapandey
 
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...MUHAMMAD FAROOQUE
 
chest x ray alveolar diseases.pptx
chest x ray alveolar diseases.pptxchest x ray alveolar diseases.pptx
chest x ray alveolar diseases.pptxMeghanaMR6
 
Paediatric imaging rapid review of radiology
Paediatric imaging rapid review of radiologyPaediatric imaging rapid review of radiology
Paediatric imaging rapid review of radiologyDouble M
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart diseaseBharat Pokhrel
 
Eye ultrasound
Eye ultrasoundEye ultrasound
Eye ultrasoundairwave12
 

Similar to Anuerysm (20)

Aneurysm
AneurysmAneurysm
Aneurysm
 
TAEM10:Vascular emergency
TAEM10:Vascular emergencyTAEM10:Vascular emergency
TAEM10:Vascular emergency
 
Aneurysm
AneurysmAneurysm
Aneurysm
 
Mcq in cardiology 2015 magdi sasi
Mcq  in cardiology  2015  magdi  sasiMcq  in cardiology  2015  magdi  sasi
Mcq in cardiology 2015 magdi sasi
 
Pleural effusion.pptx cme march
Pleural effusion.pptx cme marchPleural effusion.pptx cme march
Pleural effusion.pptx cme march
 
ANEURYSMS , TYPES AND THERE MANAGEMENT.pptx
ANEURYSMS , TYPES  AND  THERE MANAGEMENT.pptxANEURYSMS , TYPES  AND  THERE MANAGEMENT.pptx
ANEURYSMS , TYPES AND THERE MANAGEMENT.pptx
 
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI part 5
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI  part 5Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI  part 5
Intracranial non neoplastic cystic lesion Dr Ahmed Esawy CT MRI part 5
 
Subarachnoid Haemorrhage(SAH)
Subarachnoid Haemorrhage(SAH)Subarachnoid Haemorrhage(SAH)
Subarachnoid Haemorrhage(SAH)
 
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB, MNAMS,FELLLOWSHIP ...
 
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
Avascular necrosis femoral head by DR RAJAT MALOT (MS,DNB,Fellowship paediatr...
 
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...
“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...
 
chest x ray alveolar diseases.pptx
chest x ray alveolar diseases.pptxchest x ray alveolar diseases.pptx
chest x ray alveolar diseases.pptx
 
Paediatric imaging rapid review of radiology
Paediatric imaging rapid review of radiologyPaediatric imaging rapid review of radiology
Paediatric imaging rapid review of radiology
 
Congenital heart disease
Congenital heart diseaseCongenital heart disease
Congenital heart disease
 
Primary cns vasculitis
Primary cns vasculitisPrimary cns vasculitis
Primary cns vasculitis
 
Acute painful scrotum
Acute painful scrotumAcute painful scrotum
Acute painful scrotum
 
Cns infection 2018
Cns infection 2018Cns infection 2018
Cns infection 2018
 
Eye ultrasound
Eye ultrasoundEye ultrasound
Eye ultrasound
 
Approach to dyspnoea
Approach to dyspnoeaApproach to dyspnoea
Approach to dyspnoea
 
Atherosclerosis
AtherosclerosisAtherosclerosis
Atherosclerosis
 

Recently uploaded

ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMuzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real MeetChandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meetpriyashah722354
 
VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171Call Girls Service Gurgaon
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591adityaroy0215
 
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅gragmanisha42
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...Gfnyt.com
 
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...indiancallgirl4rent
 
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetJalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipurgragmanisha42
 
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012adityaroy0215
 
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In FaridabadCall Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabadgragmanisha42
 
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...russian goa call girl and escorts service
 
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetTirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetCall Girls Service
 
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthanindiancallgirl4rent
 
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service available
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service availableCall Girl Raipur 📲 9999965857 whatsapp live cam sex service available
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service availablegragmanisha42
 

Recently uploaded (20)

ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
ooty Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMuzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Muzaffarpur Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real MeetChandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
Chandigarh Call Girls 👙 7001035870 👙 Genuine WhatsApp Number for Real Meet
 
VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171VIP Call Girl Sector 10 Noida Call Me: 9711199171
VIP Call Girl Sector 10 Noida Call Me: 9711199171
 
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetMangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Mangalore Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
VIP Call Girl Sector 88 Gurgaon Delhi Just Call Me 9899900591
 
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
Call Girl Gorakhpur * 8250192130 Service starts from just ₹9999 ✅
 
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR   Call G...
❤️♀️@ Jaipur Call Girls ❤️♀️@ Meghna Jaipur Call Girls Number CRTHNR Call G...
 
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
(Ajay) Call Girls in Dehradun- 8854095900 Escorts Service 50% Off with Cash O...
 
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetdhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
dhanbad Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meetbhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
bhubaneswar Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetJalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Jalna Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In RaipurCall Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
Call Girl Raipur 📲 9999965857 ヅ10k NiGhT Call Girls In Raipur
 
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012
VIP Call Girl DLF Phase 2 Gurgaon (Noida) Just Meet Me@ 9711199012
 
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In FaridabadCall Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
Call Girls Service Faridabad 📲 9999965857 ヅ10k NiGhT Call Girls In Faridabad
 
9316020077📞Goa Call Girls Numbers, Call Girls Whatsapp Numbers Goa
9316020077📞Goa  Call Girls  Numbers, Call Girls  Whatsapp Numbers Goa9316020077📞Goa  Call Girls  Numbers, Call Girls  Whatsapp Numbers Goa
9316020077📞Goa Call Girls Numbers, Call Girls Whatsapp Numbers Goa
 
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...Call Girls Service In Goa  💋 9316020077💋 Goa Call Girls  By Russian Call Girl...
Call Girls Service In Goa 💋 9316020077💋 Goa Call Girls By Russian Call Girl...
 
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real MeetTirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
Tirupati Call Girls 👙 6297143586 👙 Genuine WhatsApp Number for Real Meet
 
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur RajasthanJaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
Jaipur Call Girls 9257276172 Call Girl in Jaipur Rajasthan
 
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service available
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service availableCall Girl Raipur 📲 9999965857 whatsapp live cam sex service available
Call Girl Raipur 📲 9999965857 whatsapp live cam sex service available
 

Anuerysm