SlideShare una empresa de Scribd logo

Head Trauma Final

•Descargar como PPT, PDF•
•
Shyju Mundayadan
Shyju Mundayadan
Salud y medicina
1 de 22
“ A ‘wheelie’ interesting case” Interactive E-Learning Case - Emergency Medicine -
Module Information ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-Alert ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pre-Arrival Actions ,[object Object],[object Object],[object Object],[object Object]
Ambulance Handover ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Survey ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q1. Immediate Actions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Q1. Answer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Survey ,[object Object],[object Object],[object Object],[object Object]
Q2. Choice of Imaging ,[object Object],[object Object],[object Object],[object Object],[object Object]
Q2. Answer ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT Head
Q3. Interpretation of CT Head ,[object Object],[object Object],[object Object]
Q3. Answer ,[object Object],[object Object],subdural midline shift
Further CT Scan
Q4. Interpretation of CT Head ,[object Object],[object Object],[object Object],[object Object],[object Object]
Q4. Answer ,[object Object]
Q4. Answer cont. ,[object Object]
Q4. Answer cont. ,[object Object]
Q4. Answer cont. ,[object Object]
Potential Problems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Learning Points ,[object Object],[object Object],[object Object],[object Object],[object Object]

Recomendados

The DECRA trial
The DECRA trialThe DECRA trial
The DECRA trialjoemdas
 
Decompressive craniectomy final
Decompressive craniectomy finalDecompressive craniectomy final
Decompressive craniectomy finalKhaled Abdeen
 
Decompressive hemicraniectomy for Large Hemispheric infarction
Decompressive hemicraniectomy for Large Hemispheric infarctionDecompressive hemicraniectomy for Large Hemispheric infarction
Decompressive hemicraniectomy for Large Hemispheric infarctionPrisma Health Upstate
 
Trial of decompressive craniectomy for traumatic intracranial hypertension1
Trial of decompressive craniectomy for traumatic intracranial hypertension1Trial of decompressive craniectomy for traumatic intracranial hypertension1
Trial of decompressive craniectomy for traumatic intracranial hypertension1Dr fakhir Raza
 
Rescue icp
Rescue icpRescue icp
Rescue icpAndrew Alalade
 
Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Ruben Briceño
 
Children at very low risk of brain injuries
Children at very low risk of brain injuriesChildren at very low risk of brain injuries
Children at very low risk of brain injuriesSun Yai-Cheng
 
From Ketamine to Collars Evidence, Controversies And An International Dialogu...
From Ketamine to Collars Evidence, Controversies And An International Dialogu...From Ketamine to Collars Evidence, Controversies And An International Dialogu...
From Ketamine to Collars Evidence, Controversies And An International Dialogu...Barbara Stanley
 

Recomendados

The DECRA trial
The DECRA trialThe DECRA trial
The DECRA trialjoemdas
 
Decompressive craniectomy final
Decompressive craniectomy finalDecompressive craniectomy final
Decompressive craniectomy finalKhaled Abdeen
 
Decompressive hemicraniectomy for Large Hemispheric infarction
Decompressive hemicraniectomy for Large Hemispheric infarctionDecompressive hemicraniectomy for Large Hemispheric infarction
Decompressive hemicraniectomy for Large Hemispheric infarctionPrisma Health Upstate
 
Trial of decompressive craniectomy for traumatic intracranial hypertension1
Trial of decompressive craniectomy for traumatic intracranial hypertension1Trial of decompressive craniectomy for traumatic intracranial hypertension1
Trial of decompressive craniectomy for traumatic intracranial hypertension1Dr fakhir Raza
 
Rescue icp
Rescue icpRescue icp
Rescue icpAndrew Alalade
 
Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Decompressive craniectomy for_elevated.23
Decompressive craniectomy for_elevated.23Ruben Briceño
 
Children at very low risk of brain injuries
Children at very low risk of brain injuriesChildren at very low risk of brain injuries
Children at very low risk of brain injuriesSun Yai-Cheng
 
From Ketamine to Collars Evidence, Controversies And An International Dialogu...
From Ketamine to Collars Evidence, Controversies And An International Dialogu...From Ketamine to Collars Evidence, Controversies And An International Dialogu...
From Ketamine to Collars Evidence, Controversies And An International Dialogu...Barbara Stanley
 
Ease trial
Ease trialEase trial
Ease trialHaroon Chaudhry MD
 
Transfer of Head Injured Patient
Transfer of Head Injured PatientTransfer of Head Injured Patient
Transfer of Head Injured PatientBarbara Stanley
 
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ SHAMEEJ MUHAMED KV
 
Show notes
Show notesShow notes
Show notesGromimd
 
Post Dural Puncture Headache
Post Dural Puncture Headache Post Dural Puncture Headache
Post Dural Puncture Headache Ade Wijaya
 
Code stroke ecc rn (2)
Code stroke ecc rn (2)Code stroke ecc rn (2)
Code stroke ecc rn (2)Raleifoot Chisolm
 
Code stroke ecc rn
Code stroke ecc rn Code stroke ecc rn
Code stroke ecc rn Raleifoot Chisolm
 
Stroke thrombolysis protocol
Stroke thrombolysis protocolStroke thrombolysis protocol
Stroke thrombolysis protocolAnkit Gajjar
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture HeadachePritesh Vyas
 
Cerebral gas embolism
Cerebral gas embolismCerebral gas embolism
Cerebral gas embolismPrisma Health Upstate
 
Brain death and organ donation
Brain death and organ donationBrain death and organ donation
Brain death and organ donationDr Praveen kumar tripathi
 
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...CICM 2019 Annual Scientific Meeting
 
Rethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac ArrestRethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac ArrestSMACC Conference
 
Management of traumatic brain injury
Management of traumatic brain injuryManagement of traumatic brain injury
Management of traumatic brain injuryDr.Anand Tiwari
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture HeadacheArun Gupta
 
Approach to Pediatric Trauma
Approach to Pediatric Trauma Approach to Pediatric Trauma
Approach to Pediatric Trauma Rashid Abuelhassan
 
ATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for ChangeATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for ChangeSun Yai-Cheng
 
American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.Irfaan Shah
 
emergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptemergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptNehaNupur8
 
ATLS update 2018
ATLS update 2018 ATLS update 2018
ATLS update 2018 murugesh sukumar
 
Central Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro BarralCentral Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro BarralIES A Cachada
 
Anaitasuna
AnaitasunaAnaitasuna
Anaitasunaanuskapelusin
 

Más contenido relacionado

La actualidad más candente

Transfer of Head Injured Patient
Transfer of Head Injured PatientTransfer of Head Injured Patient
Transfer of Head Injured PatientBarbara Stanley
 
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ SHAMEEJ MUHAMED KV
 
Show notes
Show notesShow notes
Show notesGromimd
 
Post Dural Puncture Headache
Post Dural Puncture Headache Post Dural Puncture Headache
Post Dural Puncture Headache Ade Wijaya
 
Stroke thrombolysis protocol
Stroke thrombolysis protocolStroke thrombolysis protocol
Stroke thrombolysis protocolAnkit Gajjar
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture HeadachePritesh Vyas
 
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...CICM 2019 Annual Scientific Meeting
 
Rethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac ArrestRethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac ArrestSMACC Conference
 
Management of traumatic brain injury
Management of traumatic brain injuryManagement of traumatic brain injury
Management of traumatic brain injuryDr.Anand Tiwari
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture HeadacheArun Gupta
 
ATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for ChangeATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for ChangeSun Yai-Cheng
 
American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.Irfaan Shah
 
emergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptemergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptNehaNupur8
 

La actualidad más candente (20)

Ease trial
Ease trialEase trial
Ease trial
 
Transfer of Head Injured Patient
Transfer of Head Injured PatientTransfer of Head Injured Patient
Transfer of Head Injured Patient
 
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
DECOMPRESSIVE CRANIECTOMY - DR SHAMEEJ
 
Show notes
Show notesShow notes
Show notes
 
Post Dural Puncture Headache
Post Dural Puncture Headache Post Dural Puncture Headache
Post Dural Puncture Headache
 
Code stroke ecc rn (2)
Code stroke ecc rn (2)Code stroke ecc rn (2)
Code stroke ecc rn (2)
 
Code stroke ecc rn
Code stroke ecc rn Code stroke ecc rn
Code stroke ecc rn
 
Stroke thrombolysis protocol
Stroke thrombolysis protocolStroke thrombolysis protocol
Stroke thrombolysis protocol
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture Headache
 
Cerebral gas embolism
Cerebral gas embolismCerebral gas embolism
Cerebral gas embolism
 
Brain death and organ donation
Brain death and organ donationBrain death and organ donation
Brain death and organ donation
 
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
Lifting the lid on decompressive craniectomy by Associate Professor Lindy Jef...
 
Rethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac ArrestRethinking Adrenaline in Cardiac Arrest
Rethinking Adrenaline in Cardiac Arrest
 
Management of traumatic brain injury
Management of traumatic brain injuryManagement of traumatic brain injury
Management of traumatic brain injury
 
Post Dural Puncture Headache
Post Dural Puncture HeadachePost Dural Puncture Headache
Post Dural Puncture Headache
 
Approach to Pediatric Trauma
Approach to Pediatric Trauma Approach to Pediatric Trauma
Approach to Pediatric Trauma
 
ATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for ChangeATLS 8e, The Evidence for Change
ATLS 8e, The Evidence for Change
 
American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.American Stroke Association recommendations on Ischemic stroke with edema.
American Stroke Association recommendations on Ischemic stroke with edema.
 
emergency nursing (management in emergency) ppt
emergency nursing (management in emergency) pptemergency nursing (management in emergency) ppt
emergency nursing (management in emergency) ppt
 
ATLS update 2018
ATLS update 2018 ATLS update 2018
ATLS update 2018
 

Destacado

Central Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro BarralCentral Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro BarralIES A Cachada
 
You Are My Everything, And I ♥
You Are My Everything, And I ♥You Are My Everything, And I ♥
You Are My Everything, And I ♥anyalicious
 
A Arte De Bruno Torfs
A Arte De Bruno TorfsA Arte De Bruno Torfs
A Arte De Bruno Torfspaquitaguapa
 
Proshare-Making Money in the Nigerian Stock Market-A Foundational Guide
Proshare-Making Money in the Nigerian Stock Market-A Foundational GuideProshare-Making Money in the Nigerian Stock Market-A Foundational Guide
Proshare-Making Money in the Nigerian Stock Market-A Foundational Guideproshare
 
Proshare - Becoming Your Own Stock Analyst
Proshare - Becoming Your Own Stock AnalystProshare - Becoming Your Own Stock Analyst
Proshare - Becoming Your Own Stock Analystproshare
 
Proshare-Moneytize your Certificate
Proshare-Moneytize your CertificateProshare-Moneytize your Certificate
Proshare-Moneytize your Certificateproshare
 

Destacado (8)

Central Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro BarralCentral Hidroelectrica De Ezaro Barral
Central Hidroelectrica De Ezaro Barral
 
Anaitasuna
AnaitasunaAnaitasuna
Anaitasuna
 
You Are My Everything, And I ♥
You Are My Everything, And I ♥You Are My Everything, And I ♥
You Are My Everything, And I ♥
 
A Arte De Bruno Torfs
A Arte De Bruno TorfsA Arte De Bruno Torfs
A Arte De Bruno Torfs
 
Anaitasuna
AnaitasunaAnaitasuna
Anaitasuna
 
Proshare-Making Money in the Nigerian Stock Market-A Foundational Guide
Proshare-Making Money in the Nigerian Stock Market-A Foundational GuideProshare-Making Money in the Nigerian Stock Market-A Foundational Guide
Proshare-Making Money in the Nigerian Stock Market-A Foundational Guide
 
Proshare - Becoming Your Own Stock Analyst
Proshare - Becoming Your Own Stock AnalystProshare - Becoming Your Own Stock Analyst
Proshare - Becoming Your Own Stock Analyst
 
Proshare-Moneytize your Certificate
Proshare-Moneytize your CertificateProshare-Moneytize your Certificate
Proshare-Moneytize your Certificate
 

Similar a Head Trauma Final

2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx
2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx
2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptxMeaganSnow1
 
Cpc Icd-9-Cm Coding Essay
Cpc Icd-9-Cm Coding EssayCpc Icd-9-Cm Coding Essay
Cpc Icd-9-Cm Coding EssayDivya Watson
 
Space-Occupying Bleeds: A Case Review
Space-Occupying Bleeds: A Case ReviewSpace-Occupying Bleeds: A Case Review
Space-Occupying Bleeds: A Case ReviewHasan Arafat
 
Advanced trauma life support
Advanced trauma life supportAdvanced trauma life support
Advanced trauma life supportSunil Poonia
 
Traumatic Brain Injuries: Pathophysiology, Treatment and Prevention
Traumatic Brain Injuries: Pathophysiology, Treatment and PreventionTraumatic Brain Injuries: Pathophysiology, Treatment and Prevention
Traumatic Brain Injuries: Pathophysiology, Treatment and PreventionMedicineAndHealthNeurolog
 
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The WorstEuro CTO Club
 
Pediatric Severe Traumatic Brain Injury-1.pptx
Pediatric Severe Traumatic Brain Injury-1.pptxPediatric Severe Traumatic Brain Injury-1.pptx
Pediatric Severe Traumatic Brain Injury-1.pptxzahramoukhader
 
Avoid Falling Objects: Management of Severe Scalp Lacerations
Avoid Falling Objects: Management of Severe Scalp LacerationsAvoid Falling Objects: Management of Severe Scalp Lacerations
Avoid Falling Objects: Management of Severe Scalp Lacerationsdpark419
 
Extradural hemorrhage by Momen
Extradural hemorrhage by MomenExtradural hemorrhage by Momen
Extradural hemorrhage by MomenMomen Ali Khan
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Managementkk 555888
 
Spinal fracture
Spinal fractureSpinal fracture
Spinal fracturesabayasin
 
Introduction to Critical Care Ultrasound
Introduction to Critical Care UltrasoundIntroduction to Critical Care Ultrasound
Introduction to Critical Care Ultrasoundnswhems
 
Lesson 04
Lesson 04Lesson 04
Lesson 04jopaulv
 
Heroic procedures you should know
Heroic procedures you should knowHeroic procedures you should know
Heroic procedures you should knowEM OMSB
 
Trauma unleashed outreach module pp
Trauma unleashed outreach module ppTrauma unleashed outreach module pp
Trauma unleashed outreach module ppsaltydog911
 
Evaluation of Trauma - AMR.pptx
Evaluation of Trauma - AMR.pptxEvaluation of Trauma - AMR.pptx
Evaluation of Trauma - AMR.pptxssuser0c1992
 

Similar a Head Trauma Final (20)

239403605 atls
239403605 atls239403605 atls
239403605 atls
 
2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx
2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx
2023_Sp_Neuro Case Study_Acute Intracranial Problems-1.pptx
 
Case Discussion - TBI
Case Discussion - TBICase Discussion - TBI
Case Discussion - TBI
 
Cpc Icd-9-Cm Coding Essay
Cpc Icd-9-Cm Coding EssayCpc Icd-9-Cm Coding Essay
Cpc Icd-9-Cm Coding Essay
 
Space-Occupying Bleeds: A Case Review
Space-Occupying Bleeds: A Case ReviewSpace-Occupying Bleeds: A Case Review
Space-Occupying Bleeds: A Case Review
 
Advanced trauma life support
Advanced trauma life supportAdvanced trauma life support
Advanced trauma life support
 
Traumatic Brain Injuries: Pathophysiology, Treatment and Prevention
Traumatic Brain Injuries: Pathophysiology, Treatment and PreventionTraumatic Brain Injuries: Pathophysiology, Treatment and Prevention
Traumatic Brain Injuries: Pathophysiology, Treatment and Prevention
 
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst
08:45 CASE 7 - Galassi - 02. A Septal Perforation: The Best Of The Worst
 
Pediatric Severe Traumatic Brain Injury-1.pptx
Pediatric Severe Traumatic Brain Injury-1.pptxPediatric Severe Traumatic Brain Injury-1.pptx
Pediatric Severe Traumatic Brain Injury-1.pptx
 
Avoid Falling Objects: Management of Severe Scalp Lacerations
Avoid Falling Objects: Management of Severe Scalp LacerationsAvoid Falling Objects: Management of Severe Scalp Lacerations
Avoid Falling Objects: Management of Severe Scalp Lacerations
 
Extradural hemorrhage by Momen
Extradural hemorrhage by MomenExtradural hemorrhage by Momen
Extradural hemorrhage by Momen
 
Never to happen event
Never to happen eventNever to happen event
Never to happen event
 
Initial Assessment And Management
Initial Assessment And ManagementInitial Assessment And Management
Initial Assessment And Management
 
Spinal fracture
Spinal fractureSpinal fracture
Spinal fracture
 
Introduction to Critical Care Ultrasound
Introduction to Critical Care UltrasoundIntroduction to Critical Care Ultrasound
Introduction to Critical Care Ultrasound
 
Lesson 04
Lesson 04Lesson 04
Lesson 04
 
Heroic procedures you should know
Heroic procedures you should knowHeroic procedures you should know
Heroic procedures you should know
 
Trauma unleashed outreach module pp
Trauma unleashed outreach module ppTrauma unleashed outreach module pp
Trauma unleashed outreach module pp
 
Raised intracranial pressure
Raised intracranial pressureRaised intracranial pressure
Raised intracranial pressure
 
Evaluation of Trauma - AMR.pptx
Evaluation of Trauma - AMR.pptxEvaluation of Trauma - AMR.pptx
Evaluation of Trauma - AMR.pptx
 

Último

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...parulsinha
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...khalifaescort01
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...BhumiSaxena1
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...mahaiklolahd
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...parulsinha
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappInaaya Sharma
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
(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
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Vipesco
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...GENUINE ESCORT AGENCY
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In AhmedabadGENUINE ESCORT AGENCY
 
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
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Dipal Arora
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Mechennailover
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...tanya dube
 

Último (20)

Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...
 
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
Saket * Call Girls in Delhi - Phone 9711199012 Escorts Service at 6k to 50k a...
 
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
Call Girl in Indore 8827247818 {LowPrice} ❤️ (ahana) Indore Call Girls * UPA...
 
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Amritsar Just Call 8250077686 Top Class Call Girl Service Available
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available
 
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
Independent Call Girls In Jaipur { 8445551418 } ✔ ANIKA MEHTA ✔ Get High Prof...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
Low Rate Call Girls Bangalore {7304373326} ❤️VVIP NISHA Call Girls in Bangalo...
 
(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...
 
Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510Kollam call girls Mallu aunty service 7877702510
Kollam call girls Mallu aunty service 7877702510
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Mumbai Just Call 8250077686 Top Class Call Girl Service Available
 
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
🌹Attapur⬅️ Vip Call Girls Hyderabad 📱9352852248 Book Well Trand Call Girls In...
 
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
8980367676 Call Girls In Ahmedabad Escort Service Available 24×7 In Ahmedabad
 
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...
 
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
Top Rated Pune Call Girls (DIPAL) ⟟ 8250077686 ⟟ Call Me For Genuine Sex Serv...
 
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near MeTop Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
Top Rated Call Girls Kerala ☎ 8250092165👄 Delivery in 20 Mins Near Me
 
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
Premium Bangalore Call Girls Jigani Dail 6378878445 Escort Service For Hot Ma...
 

Head Trauma Final