SlideShare a Scribd company logo

Medicine 5th year, 12th lecture (Dr. Mohammad Shaikhani)

•Download as PPT, PDF•
•
College of Medicine, Sulaymaniyah
College of Medicine, Sulaymaniyah

This document provides an overview of toxicology and approaches to common poisonings and overdoses. It outlines clinical presentations and treatments for various physiologic stimulants and depressants, including anticholinergics, opioids, benzodiazepines, and more. Case scenarios exemplify how to recognize cholinergic, anticholinergic, and opioid poisonings based on symptoms and develop appropriate treatment plans focused on decontamination and supportive care.

Health & Medicine
1 of 50
TOXIDROMES Dr.Mohamed Shekhani
Searching for Clues
HISTORY ,[object Object],[object Object],[object Object]
PHYSICAL EXAMINATION ,[object Object],[object Object],[object Object],[object Object]
LABORATORY EXAM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APPROACH TO TREATMENT ,[object Object],[object Object],[object Object],[object Object]
TOXIC SYNDROMES AND DRUG OVERDOSAGES ,[object Object],[object Object],[object Object]
PHYSIOLOGIC STIMULANTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
ANTICHOLINERGICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANTICHOLINERGICS: ATROPINE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ANTICHOLINERGIC: ATROPINE ,[object Object],[object Object],[object Object],[object Object]
COCAINE ,[object Object],[object Object],[object Object],[object Object]
COCAINE ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hallucinogens ,[object Object],[object Object],[object Object],[object Object]
Hallucinogens ,[object Object],[object Object],[object Object],[object Object],[object Object]
PHYSIOLOGIC DEPRESSANTS ,[object Object],[object Object],[object Object],[object Object],[object Object]
CHOLINERGICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOLINERGICS: CLINICAL PRESENTATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOLINERGICS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPIATES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPIATES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OPIATES ,[object Object],[object Object],[object Object],[object Object],[object Object]
BENZODIAZIPINES ,[object Object],[object Object],[object Object],[object Object]
BENZODIAZIPINES ,[object Object],[object Object],[object Object]
CYCLIC ANTIDEPRESSANTS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CYCLIC ANTIDEPRESSANTS ,[object Object],[object Object],[object Object],[object Object]
Carbon Monoxide Poisoning ,[object Object],[object Object],[object Object],[object Object],[object Object]
Carbon Monoxide Poisoning ,[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER DRUGS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISSOCIATIVE DRUGS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISSOCIATIVE DRUGS ,[object Object],[object Object],[object Object],[object Object],[object Object]
ACETAMINOPHEN ,[object Object],[object Object]
ACETAMINOPHEN ,[object Object],[object Object],[object Object]
SALICYLATES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DIGOXIN ,[object Object],[object Object],[object Object],[object Object]
DIGOXIN ,[object Object],[object Object],[object Object]
SEROTONIN SYNDROME ,[object Object],[object Object],[object Object],[object Object]
SEROTONIN SYNDROME ,[object Object],[object Object],[object Object],[object Object],[object Object]
LITHIUM ,[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]
“CLUB DRUGS” ,[object Object],[object Object]
MDMA “Ectasy” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GHB: Date rape drug “Georgia homeboy, liquid ectasy, or grievous bodily harm” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Ketamine: “K”, “special K” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL SCENARIO 1 ,[object Object]
CLINICAL SCENARIO 1 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL SCENARIO 2 ,[object Object]
CLINICAL SCENARIO 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CLINICAL SCENARIO 3 ,[object Object]
CLINICAL SCENARIO 3 ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]

Recommended

Toxidromes
ToxidromesToxidromes
Toxidromes
Magdy Khames Aly
 
Toxidromes
ToxidromesToxidromes
Toxidromes
SCGH ED CME
 
Toxidromes
ToxidromesToxidromes
Toxidromes
SCGH ED CME
 
Toxicology pgy 1+2 2013
Toxicology pgy 1+2 2013Toxicology pgy 1+2 2013
Toxicology pgy 1+2 2013
chricres
 
Toxicology
ToxicologyToxicology
Toxicology
Linda Fowler
 
Toxidrome approach in emergency room
Toxidrome approach in emergency room Toxidrome approach in emergency room
Toxidrome approach in emergency room
Dr.Venugopalan Poovathum Parambil
 
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
John Dayton, MD, FACEP, FAAEM
 
TCA
TCATCA
TCA
Mohammad Mahdi Shater
 

Recommended

Toxidromes
ToxidromesToxidromes
Toxidromes
Magdy Khames Aly
 
Toxidromes
ToxidromesToxidromes
Toxidromes
SCGH ED CME
 
Toxidromes
ToxidromesToxidromes
Toxidromes
SCGH ED CME
 
Toxicology pgy 1+2 2013
Toxicology pgy 1+2 2013Toxicology pgy 1+2 2013
Toxicology pgy 1+2 2013
chricres
 
Toxicology
ToxicologyToxicology
Toxicology
Linda Fowler
 
Toxidrome approach in emergency room
Toxidrome approach in emergency room Toxidrome approach in emergency room
Toxidrome approach in emergency room
Dr.Venugopalan Poovathum Parambil
 
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
Dayton - the Poison Control Center, toxidromes, and "deadly in a dose" pediat...
John Dayton, MD, FACEP, FAAEM
 
TCA
TCATCA
TCA
Mohammad Mahdi Shater
 
Tca toxicity
Tca toxicityTca toxicity
Tca toxicity
ehsan hasanpour
 
An approach to a case of poisoning (MBBS)
An approach to a case of poisoning (MBBS)An approach to a case of poisoning (MBBS)
An approach to a case of poisoning (MBBS)
Homendra Sah
 
Managment guideline of common Poisioning
Managment guideline of common PoisioningManagment guideline of common Poisioning
Managment guideline of common Poisioning
Shivshankar Badole
 
Antidepressants toxictiy
Antidepressants toxictiyAntidepressants toxictiy
Antidepressants toxictiy
Amira Badr
 
Organophosphate poisoning national guideline
Organophosphate poisoning national guidelineOrganophosphate poisoning national guideline
Organophosphate poisoning national guideline
charithwg
 
Acute poisoning of antidepressants
Acute poisoning of antidepressantsAcute poisoning of antidepressants
Acute poisoning of antidepressants
velspharmd
 
drug poisoning
drug poisoningdrug poisoning
drug poisoning
Doha Rasheedy
 
Toxicology Lecture
Toxicology LectureToxicology Lecture
Toxicology Lecture
Ian Bauernsmith
 
Emergencies Caused By Psychiatric Drugs
Emergencies Caused By Psychiatric DrugsEmergencies Caused By Psychiatric Drugs
Emergencies Caused By Psychiatric Drugs
Shah Parind
 
Coccain and Sympathomimatic
Coccain and Sympathomimatic Coccain and Sympathomimatic
Coccain and Sympathomimatic
EM OMSB
 
Management of antipsychotic overdose
Management of antipsychotic overdoseManagement of antipsychotic overdose
Management of antipsychotic overdose
sunil kumar daha
 
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMAAcute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
GauravPandit17
 
Organophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical featuresOrganophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical features
Yugal Nepal
 
Drugs for bronchial asthma
Drugs for bronchial asthmaDrugs for bronchial asthma
Drugs for bronchial asthma
Chintan Doshi
 
Pharmacology drug chart
Pharmacology drug chartPharmacology drug chart
Pharmacology drug chart
shveta arya
 
Unusual Complication of OPC Poisoning
Unusual Complication of OPC PoisoningUnusual Complication of OPC Poisoning
Unusual Complication of OPC Poisoning
Stanley Medical College, Department of Medicine
 
Neuroleptic malignant syndrome
Neuroleptic malignant syndromeNeuroleptic malignant syndrome
Neuroleptic malignant syndrome
Angela Jackson
 
Anticholinergic pharmacology
Anticholinergic pharmacologyAnticholinergic pharmacology
Anticholinergic pharmacology
Nunkoo Raj
 
pharmacology
pharmacology pharmacology
pharmacology
Omer Muayed Al-Naqib
 
Opoids analgesic 1
Opoids analgesic 1Opoids analgesic 1
Opoids analgesic 1
Chintan Doshi
 
general management of toxicological cases
general management of toxicological casesgeneral management of toxicological cases
general management of toxicological cases
Sama Queen
 
Ana etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygAna etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8yg
segeato
 

More Related Content

What's hot

Antidepressants toxictiy
Antidepressants toxictiyAntidepressants toxictiy
Antidepressants toxictiy
Amira Badr
 
Organophosphate poisoning national guideline
Organophosphate poisoning national guidelineOrganophosphate poisoning national guideline
Organophosphate poisoning national guideline
charithwg
 
Coccain and Sympathomimatic
Coccain and Sympathomimatic Coccain and Sympathomimatic
Coccain and Sympathomimatic
EM OMSB
 
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMAAcute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
GauravPandit17
 
Organophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical featuresOrganophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical features
Yugal Nepal
 
Neuroleptic malignant syndrome
Neuroleptic malignant syndromeNeuroleptic malignant syndrome
Neuroleptic malignant syndrome
Angela Jackson
 
Anticholinergic pharmacology
Anticholinergic pharmacologyAnticholinergic pharmacology
Anticholinergic pharmacology
Nunkoo Raj
 

What's hot (20)

Tca toxicity
Tca toxicityTca toxicity
Tca toxicity
 
An approach to a case of poisoning (MBBS)
An approach to a case of poisoning (MBBS)An approach to a case of poisoning (MBBS)
An approach to a case of poisoning (MBBS)
 
Managment guideline of common Poisioning
Managment guideline of common PoisioningManagment guideline of common Poisioning
Managment guideline of common Poisioning
 
Antidepressants toxictiy
Antidepressants toxictiyAntidepressants toxictiy
Antidepressants toxictiy
 
Organophosphate poisoning national guideline
Organophosphate poisoning national guidelineOrganophosphate poisoning national guideline
Organophosphate poisoning national guideline
 
Acute poisoning of antidepressants
Acute poisoning of antidepressantsAcute poisoning of antidepressants
Acute poisoning of antidepressants
 
drug poisoning
drug poisoningdrug poisoning
drug poisoning
 
Toxicology Lecture
Toxicology LectureToxicology Lecture
Toxicology Lecture
 
Emergencies Caused By Psychiatric Drugs
Emergencies Caused By Psychiatric DrugsEmergencies Caused By Psychiatric Drugs
Emergencies Caused By Psychiatric Drugs
 
Coccain and Sympathomimatic
Coccain and Sympathomimatic Coccain and Sympathomimatic
Coccain and Sympathomimatic
 
Management of antipsychotic overdose
Management of antipsychotic overdoseManagement of antipsychotic overdose
Management of antipsychotic overdose
 
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMAAcute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
Acute poisoning of barbiturates and benzodiazepines GAURAV SHARMA
 
Organophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical featuresOrganophosphorus and organoochlorine poisoning clinical features
Organophosphorus and organoochlorine poisoning clinical features
 
Drugs for bronchial asthma
Drugs for bronchial asthmaDrugs for bronchial asthma
Drugs for bronchial asthma
 
Pharmacology drug chart
Pharmacology drug chartPharmacology drug chart
Pharmacology drug chart
 
Unusual Complication of OPC Poisoning
Unusual Complication of OPC PoisoningUnusual Complication of OPC Poisoning
Unusual Complication of OPC Poisoning
 
Neuroleptic malignant syndrome
Neuroleptic malignant syndromeNeuroleptic malignant syndrome
Neuroleptic malignant syndrome
 
Anticholinergic pharmacology
Anticholinergic pharmacologyAnticholinergic pharmacology
Anticholinergic pharmacology
 
pharmacology
pharmacology pharmacology
pharmacology
 
Opoids analgesic 1
Opoids analgesic 1Opoids analgesic 1
Opoids analgesic 1
 

Similar to Medicine 5th year, 12th lecture (Dr. Mohammad Shaikhani)

Ana etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygAna etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8yg
segeato
 
Symptom management
Symptom managementSymptom management
Symptom management
judygold
 
Endocrine disorders
Endocrine disordersEndocrine disorders
Endocrine disorders
efghijklm
 
Endocrine week 4 pt
Endocrine week 4 ptEndocrine week 4 pt
Endocrine week 4 pt
iothman
 
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
HoangSinh10
 
Toxicological emergencies ppt
Toxicological emergencies pptToxicological emergencies ppt
Toxicological emergencies ppt
Michelle Harris
 
Disorders of the Adrenal Glands
Disorders of the Adrenal GlandsDisorders of the Adrenal Glands
Disorders of the Adrenal Glands
Patrick Carter
 

Similar to Medicine 5th year, 12th lecture (Dr. Mohammad Shaikhani) (20)

general management of toxicological cases
general management of toxicological casesgeneral management of toxicological cases
general management of toxicological cases
 
Ana etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8ygAna etic gency emerging fitcutctictivviyg8yg
Ana etic gency emerging fitcutctictivviyg8yg
 
Symptom management
Symptom managementSymptom management
Symptom management
 
Paediatric Emergencies
Paediatric EmergenciesPaediatric Emergencies
Paediatric Emergencies
 
Endocrine emergency cases
Endocrine emergency casesEndocrine emergency cases
Endocrine emergency cases
 
Endocrine disorders
Endocrine disordersEndocrine disorders
Endocrine disorders
 
MEDICAL EMERGENCIES IN DENTAL THEATER AND SOLUTION.
MEDICAL EMERGENCIES IN DENTAL THEATER AND SOLUTION.MEDICAL EMERGENCIES IN DENTAL THEATER AND SOLUTION.
MEDICAL EMERGENCIES IN DENTAL THEATER AND SOLUTION.
 
Endocrine week 4 pt
Endocrine week 4 ptEndocrine week 4 pt
Endocrine week 4 pt
 
ACUTE ILLNESS MANGEMENT nursing ambulatory care.pptx
ACUTE ILLNESS MANGEMENT nursing ambulatory care.pptxACUTE ILLNESS MANGEMENT nursing ambulatory care.pptx
ACUTE ILLNESS MANGEMENT nursing ambulatory care.pptx
 
Neurology
NeurologyNeurology
Neurology
 
Intraoperative crisis manegement
Intraoperative crisis manegementIntraoperative crisis manegement
Intraoperative crisis manegement
 
Adrenal Crisis.pptx
Adrenal Crisis.pptxAdrenal Crisis.pptx
Adrenal Crisis.pptx
 
adrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdfadrenalcrisis-220627010816-f7d5cddb.pdf
adrenalcrisis-220627010816-f7d5cddb.pdf
 
Pericardities, Myocarditis
Pericardities, MyocarditisPericardities, Myocarditis
Pericardities, Myocarditis
 
Acute Respiratory Distress syndrome.pptx
Acute Respiratory Distress syndrome.pptxAcute Respiratory Distress syndrome.pptx
Acute Respiratory Distress syndrome.pptx
 
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
4 2018 Mirza - Step Wise Approach in ICU Management of a patient in Respirato...
 
Shock
ShockShock
Shock
 
Toxicological emergencies ppt
Toxicological emergencies pptToxicological emergencies ppt
Toxicological emergencies ppt
 
Approach to a poisoned child
Approach to a poisoned childApproach to a poisoned child
Approach to a poisoned child
 
Disorders of the Adrenal Glands
Disorders of the Adrenal GlandsDisorders of the Adrenal Glands
Disorders of the Adrenal Glands
 

More from College of Medicine, Sulaymaniyah

More from College of Medicine, Sulaymaniyah (20)

Pediatrics 6th year, Tutorial (Dr. Tara Husain)
Pediatrics 6th year, Tutorial (Dr. Tara Husain)Pediatrics 6th year, Tutorial (Dr. Tara Husain)
Pediatrics 6th year, Tutorial (Dr. Tara Husain)
 
Pediatrics 6th year, Tutorial (Dr. Adnan)
Pediatrics 6th year, Tutorial (Dr. Adnan)Pediatrics 6th year, Tutorial (Dr. Adnan)
Pediatrics 6th year, Tutorial (Dr. Adnan)
 
Tubes, Suture Materials, IV Fluids photos
Tubes, Suture Materials, IV Fluids photosTubes, Suture Materials, IV Fluids photos
Tubes, Suture Materials, IV Fluids photos
 
Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)
 
Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)Surgery 6th year, Tutorial (Dr. Aram Baram)
Surgery 6th year, Tutorial (Dr. Aram Baram)
 
Surgery 6th year, Tutorial (Dr. Hamid)
Surgery 6th year, Tutorial (Dr. Hamid)Surgery 6th year, Tutorial (Dr. Hamid)
Surgery 6th year, Tutorial (Dr. Hamid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
Surgery 6th year, Tutorial (Dr. Ali A. Nabi)
 
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
 
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
Surgery 6th year, Tutorial (Dr. Khalid Shokor Mahmood)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
Surgery 6th year, Tutorial (Dr. Bakhtyar Rasul)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
Surgery 6th year, Tutorial (Dr. Ahmed Al-Azzawi)
 
Surgery 6th year, Tutorial (Dr. Sarwar Noori)
Surgery 6th year, Tutorial (Dr. Sarwar Noori)Surgery 6th year, Tutorial (Dr. Sarwar Noori)
Surgery 6th year, Tutorial (Dr. Sarwar Noori)
 
Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)Surgery 6th year, Tutorial (Dr. AbdulWahid)
Surgery 6th year, Tutorial (Dr. AbdulWahid)
 
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
Surgery 6th year, Tutorial (Dr. Bakhtyar Baram)
 
Surgery 6th year, Tutorial (Dr. Aso Omar)
Surgery 6th year, Tutorial (Dr. Aso Omar)Surgery 6th year, Tutorial (Dr. Aso Omar)
Surgery 6th year, Tutorial (Dr. Aso Omar)
 

Recently uploaded

👉 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
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Namrata Singh
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Sheetaleventcompany
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Namrata Singh
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
jimmihoslasi
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Sheetaleventcompany
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Oleg Kshivets
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Sheetaleventcompany
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Sheetaleventcompany
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Sheetaleventcompany
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
Sheetaleventcompany
 
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
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
Sheetaleventcompany
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Sheetaleventcompany
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
Sheetaleventcompany
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
MedicoseAcademics
 

Recently uploaded (20)

👉 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...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
Kolkata Call Girls Shobhabazar 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Gir...
 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
 
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
Goa Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Goa No💰Advanc...
 
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
Gastric Cancer: Сlinical Implementation of Artificial Intelligence, Synergeti...
 
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service DehradunDehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
Dehradun Call Girl Service ❤️🍑 8854095900 👄🫦Independent Escort Service Dehradun
 
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
Dehradun Call Girls Service {8854095900} ❤️VVIP ROCKY Call Girl in Dehradun U...
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
 
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
👉 Amritsar Call Girls 👉📞 8725944379 👉📞 Just📲 Call Ruhi Call Girl Near Me Amri...
 
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...
 
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
👉Chandigarh Call Girl Service📲Niamh 8868886958 📲Book 24hours Now📲👉Sexy Call G...
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
💚Chandigarh Call Girls Service 💯Piya 📲🔝8868886958🔝Call Girls In Chandigarh No...
 
Control of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronicControl of Local Blood Flow: acute and chronic
Control of Local Blood Flow: acute and chronic
 

Medicine 5th year, 12th lecture (Dr. Mohammad Shaikhani)