SlideShare una empresa de Scribd logo
1 de 34
SHOCK James Taclin C. Banez, M.D.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pulmonary Response: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object]
Degree of Hemorrhagic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Degree of Hemorrhagic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Degree of Hemorrhagic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Compensatory Mechanism ,[object Object],[object Object],[object Object],[object Object],[object Object]
Compensatory Mechanism ,[object Object],[object Object]
Compensatory Mechanism ,[object Object],[object Object],[object Object]
Compensatory Mechanism ,[object Object],[object Object],[object Object]
Decompensation in Hypovolemic Shock ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Traumatic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Traumatic Shock ,[object Object],[object Object],[object Object],[object Object]
Cardiogenic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Compressive Shock ,[object Object],[object Object]
Cardiac Compressive Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cardiac Compressive Shock ,[object Object],[object Object],[object Object],[object Object],[object Object]
Septic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Septic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Septic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Septic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurogenic Shock ,[object Object],[object Object],[object Object]
Neurogenic Shock ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
THANK YOU

Más contenido relacionado

La actualidad más candente

La actualidad más candente (20)

SHOCK
SHOCKSHOCK
SHOCK
 
Types of Shock
Types of Shock Types of Shock
Types of Shock
 
Approach to a case of hypotension and shock
Approach to a case of hypotension and shock Approach to a case of hypotension and shock
Approach to a case of hypotension and shock
 
PATHOLOGY AND MANAGEMENT OF SHOCK
PATHOLOGY AND MANAGEMENT OF SHOCKPATHOLOGY AND MANAGEMENT OF SHOCK
PATHOLOGY AND MANAGEMENT OF SHOCK
 
Shock
ShockShock
Shock
 
Iv fluids
Iv fluidsIv fluids
Iv fluids
 
Shock
ShockShock
Shock
 
Shock - Pathophysiology, Clinical Features & Management
Shock - Pathophysiology, Clinical Features & ManagementShock - Pathophysiology, Clinical Features & Management
Shock - Pathophysiology, Clinical Features & Management
 
shock
shock shock
shock
 
Shock for BS Medical technologist
Shock for BS Medical technologistShock for BS Medical technologist
Shock for BS Medical technologist
 
Shock and its management
Shock  and its managementShock  and its management
Shock and its management
 
Septic shock
Septic shockSeptic shock
Septic shock
 
classification,recognition and management of shock
classification,recognition and management of shockclassification,recognition and management of shock
classification,recognition and management of shock
 
Management of hypertensive crisis
Management of hypertensive crisisManagement of hypertensive crisis
Management of hypertensive crisis
 
Cardiogenic shock dr awadhesh
Cardiogenic shock  dr awadheshCardiogenic shock  dr awadhesh
Cardiogenic shock dr awadhesh
 
Shock
Shock	Shock
Shock
 
Approach to a patient with shock
Approach to a patient with shockApproach to a patient with shock
Approach to a patient with shock
 
Sepsis
SepsisSepsis
Sepsis
 
Shock
Shock Shock
Shock
 
Myocardial ischemia
Myocardial ischemiaMyocardial ischemia
Myocardial ischemia
 

Destacado

Shock : hypovolemic, septic and neurogenic
Shock : hypovolemic, septic and neurogenic Shock : hypovolemic, septic and neurogenic
Shock : hypovolemic, septic and neurogenic Bethelhem Berhanu
 
Hypovolemic & septic shock
Hypovolemic & septic shockHypovolemic & septic shock
Hypovolemic & septic shockNoOr Haynee
 
Severe trauma and traumatic shock 14 พค.58
Severe trauma and traumatic shock  14 พค.58Severe trauma and traumatic shock  14 พค.58
Severe trauma and traumatic shock 14 พค.58Krongdai Unhasuta
 
Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02axix
 
Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01axix
 
Neurogenic shock
Neurogenic shockNeurogenic shock
Neurogenic shockskrentz
 
Injury Coughlin 7 7 08
Injury Coughlin 7 7 08Injury Coughlin 7 7 08
Injury Coughlin 7 7 08axix
 
Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016pathologydept
 
Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Nir Hus MD, PhD, FACS
 
Terbakar industri
Terbakar industriTerbakar industri
Terbakar industridrwaque
 
Homestasis Surgery
Homestasis SurgeryHomestasis Surgery
Homestasis Surgeryaxix
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01axix
 
Post dramatic stress disorder mum
Post dramatic stress disorder mumPost dramatic stress disorder mum
Post dramatic stress disorder mumJacqui Crane
 
Geriatric trauma special consideration
Geriatric trauma special consideration Geriatric trauma special consideration
Geriatric trauma special consideration Dr Abdul sherwani
 

Destacado (20)

Shock : hypovolemic, septic and neurogenic
Shock : hypovolemic, septic and neurogenic Shock : hypovolemic, septic and neurogenic
Shock : hypovolemic, septic and neurogenic
 
Hypovolemic Shock
Hypovolemic ShockHypovolemic Shock
Hypovolemic Shock
 
Hypovolemic & septic shock
Hypovolemic & septic shockHypovolemic & septic shock
Hypovolemic & septic shock
 
Severe trauma and traumatic shock 14 พค.58
Severe trauma and traumatic shock  14 พค.58Severe trauma and traumatic shock  14 พค.58
Severe trauma and traumatic shock 14 พค.58
 
Shock
ShockShock
Shock
 
Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02Acidfaststaining 090911062148 Phpapp02
Acidfaststaining 090911062148 Phpapp02
 
Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01Fluidandelectrolytes 090911071435 Phpapp01
Fluidandelectrolytes 090911071435 Phpapp01
 
Neurogenic shock
Neurogenic shockNeurogenic shock
Neurogenic shock
 
Injury Coughlin 7 7 08
Injury Coughlin 7 7 08Injury Coughlin 7 7 08
Injury Coughlin 7 7 08
 
Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016Salivary gland tumors 23 5-2016
Salivary gland tumors 23 5-2016
 
Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.Absite Review Questions and Topics, Nir Hus MD., PhD.
Absite Review Questions and Topics, Nir Hus MD., PhD.
 
Terbakar industri
Terbakar industriTerbakar industri
Terbakar industri
 
Homestasis Surgery
Homestasis SurgeryHomestasis Surgery
Homestasis Surgery
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01
 
Post dramatic stress disorder mum
Post dramatic stress disorder mumPost dramatic stress disorder mum
Post dramatic stress disorder mum
 
CVSS
CVSSCVSS
CVSS
 
Computerised Asia scoring for SCI- Nursing role
Computerised Asia scoring for SCI- Nursing roleComputerised Asia scoring for SCI- Nursing role
Computerised Asia scoring for SCI- Nursing role
 
Limb salvage
Limb salvage   Limb salvage
Limb salvage
 
Trauma in special Populations
Trauma in special PopulationsTrauma in special Populations
Trauma in special Populations
 
Geriatric trauma special consideration
Geriatric trauma special consideration Geriatric trauma special consideration
Geriatric trauma special consideration
 

Similar a Shock 090914002728 Phpapp02

Similar a Shock 090914002728 Phpapp02 (20)

The Hemodynamic
The HemodynamicThe Hemodynamic
The Hemodynamic
 
shock
shockshock
shock
 
Shock by Dr Ibrahim kimani wainaina
Shock by Dr Ibrahim kimani wainainaShock by Dr Ibrahim kimani wainaina
Shock by Dr Ibrahim kimani wainaina
 
Shock : Types and Management
Shock : Types and ManagementShock : Types and Management
Shock : Types and Management
 
Pathophysiology, Pharmacology and Treatment of Shock
Pathophysiology,  Pharmacology  and Treatment of ShockPathophysiology,  Pharmacology  and Treatment of Shock
Pathophysiology, Pharmacology and Treatment of Shock
 
Congestive hf lect
Congestive hf lectCongestive hf lect
Congestive hf lect
 
Blood pressure regulation
Blood pressure regulationBlood pressure regulation
Blood pressure regulation
 
Approach to paediatric shock dr jason
Approach to paediatric shock dr jasonApproach to paediatric shock dr jason
Approach to paediatric shock dr jason
 
Seminar on shock
Seminar on shockSeminar on shock
Seminar on shock
 
shock seminar
shock seminar shock seminar
shock seminar
 
Physiology of Shock.pdf
Physiology of Shock.pdfPhysiology of Shock.pdf
Physiology of Shock.pdf
 
Conshock
ConshockConshock
Conshock
 
NurseReview.Org - Identification of Shock
NurseReview.Org - Identification of ShockNurseReview.Org - Identification of Shock
NurseReview.Org - Identification of Shock
 
Shock and it's classification
Shock and it's classificationShock and it's classification
Shock and it's classification
 
CARDIOGENIC SHOCK
CARDIOGENIC SHOCKCARDIOGENIC SHOCK
CARDIOGENIC SHOCK
 
shock1.ppt
shock1.pptshock1.ppt
shock1.ppt
 
Heartfailure
HeartfailureHeartfailure
Heartfailure
 
Shock .pptx
Shock .pptxShock .pptx
Shock .pptx
 
shock
shockshock
shock
 
Shock and Blood Transfusion
Shock and Blood TransfusionShock and Blood Transfusion
Shock and Blood Transfusion
 

Más de axix

Cell Injury And Cell Death (2006)(1)
Cell  Injury And  Cell  Death (2006)(1)Cell  Injury And  Cell  Death (2006)(1)
Cell Injury And Cell Death (2006)(1)axix
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Pathoaxix
 
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02axix
 
Ch02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And PharmacodynamicsCh02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And Pharmacodynamicsaxix
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01axix
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01axix
 
Acute And Chronic Inflammation
Acute And Chronic InflammationAcute And Chronic Inflammation
Acute And Chronic Inflammationaxix
 
Labaratory Patho
Labaratory PathoLabaratory Patho
Labaratory Pathoaxix
 
Pharmacology
PharmacologyPharmacology
Pharmacologyaxix
 
Surgery
SurgerySurgery
Surgeryaxix
 
Pharmacology 1
Pharmacology 1Pharmacology 1
Pharmacology 1axix
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patientaxix
 
Surgery Questions
Surgery QuestionsSurgery Questions
Surgery Questionsaxix
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyteaxix
 
Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02axix
 

Más de axix (15)

Cell Injury And Cell Death (2006)(1)
Cell  Injury And  Cell  Death (2006)(1)Cell  Injury And  Cell  Death (2006)(1)
Cell Injury And Cell Death (2006)(1)
 
Cell Injury Patho
Cell Injury PathoCell Injury Patho
Cell Injury Patho
 
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
Irreversiblecellinjury 15thseptpatho121 090915142909 Phpapp02
 
Ch02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And PharmacodynamicsCh02 Drug Receptor Interactions And Pharmacodynamics
Ch02 Drug Receptor Interactions And Pharmacodynamics
 
Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01Autonomicssympa 090916062947 Phpapp01
Autonomicssympa 090916062947 Phpapp01
 
Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01Fluidsandelectrolytes 090912000506 Phpapp01
Fluidsandelectrolytes 090912000506 Phpapp01
 
Acute And Chronic Inflammation
Acute And Chronic InflammationAcute And Chronic Inflammation
Acute And Chronic Inflammation
 
Labaratory Patho
Labaratory PathoLabaratory Patho
Labaratory Patho
 
Pharmacology
PharmacologyPharmacology
Pharmacology
 
Surgery
SurgerySurgery
Surgery
 
Pharmacology 1
Pharmacology 1Pharmacology 1
Pharmacology 1
 
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 PatientFluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
Fluid%20and%20 Electrolyte%20 Management%20in%20 Surgical%20 Patient
 
Surgery Questions
Surgery QuestionsSurgery Questions
Surgery Questions
 
Fluid And Electrolyte
Fluid And ElectrolyteFluid And Electrolyte
Fluid And Electrolyte
 
Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02Vaccinationspclass 090903125222 Phpapp02
Vaccinationspclass 090903125222 Phpapp02
 

Último

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
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 Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
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 Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
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
 
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 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
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426jennyeacort
 
Call Girls 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
 
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
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...narwatsonia7
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...parulsinha
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 

Último (20)

Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
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 Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Agra Just Call 8250077686 Top Class Call Girl Service Available
 
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 Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
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...
 
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 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
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Call Girls 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
 
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...
 
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟  9332606886 ⟟ Call Me For G...
Top Rated Bangalore Call Girls Ramamurthy Nagar ⟟ 9332606886 ⟟ Call Me For G...
 
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
(Low Rate RASHMI ) Rate Of Call Girls Jaipur ❣ 8445551418 ❣ Elite Models & Ce...
 
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Kochi Just Call 8250077686 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 

Shock 090914002728 Phpapp02

  • 1. SHOCK James Taclin C. Banez, M.D.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.