congenital heart disease ppt

•Download as PPTX, PDF•

27 likes•18,757 views

Jerin Thunduparambil

Health & Medicine

JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

ETIOLOGY
 Unknown
 Maternal rubella and teratogenic viral infections like herpes simplex
 Teratogenic effects of Drugs such as thalidomide consumed during
pregnancy and alchohol
 Maternal insulin dependent diabetes
 Family history
 Genetic factors ,genetic disease like Marfan syndrome, Holt –Orams
syndrome .turners syndrome, Williams syndrome
 Chromosomal defects
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

CLASSIFICATION
 Acyanotic (left- to -right shunt)
 Cyanotic (right –to-left shunt)
 Obstructive
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

SIGNS AND SYMPTOMS
 Many congenital heart defects have few or no signs or symptoms
 depend on the number, type, and severity of the defects.
 Tachypnoea and tachy cardia
 Recurrent respiratory infections
 Cyanosis (a bluish tint to the skin, lips, and fingernails) and
polycythemia
 Tissue hypoxia
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

CONTINUE………………….
 Fatigue (tiredness),decreased exercise tolerance
 Abnormal heart sounds-murmers
 Growth retardation
 Cardiac failure
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

DIAGNOSIS
 Physical Exam
 Diagnostic Tests
Echo cardiography
EKG (Electrocardiogram
Chest X Ray
Pulse Oximetry
Cardiac Catheterization
Blood studies
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

VENTRICULAR SEPTAL DEFECT
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

MANAGEMENT
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

ATRIAL SEPTAL DEFECT
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

 Ostium primum –opening at lower end of septum
 Ostium secundum –opening near centrte of septum
 Sinus venous defect –opening near junction of
superior venacava and right atrium
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

ATRIOVENTRICULAR SEPTAL DEFECT
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

PATENT DUCTUS ARTERIOSUS
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

TETRALOGY OF FALLOT
The classic forms includes four defects
 Ventricular septal defect
 Pulmonic stenosis
 Over riding of aorta
 Right ventricular hypertrophy
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

TRICUSPID ATRESIA
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

TRANSPOSITION OF GREAT
ARTERIES
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

RESTELLIS OPERATION
The Rastelli Operation is a procedure in which a valved or unvalved conduit is
inserted to connect the pulmonary artery to the anatomical right ventricle
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

HYPOPLASTIC LEFT HEART
SYNDROME
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

TRUNCUS ARTERIOSUS
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

PULMONARY STENOSIS
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

AIORTIC STENOSIS
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

COARTATION OF AIORTA
JERIN.T.S, 3RD YEAR BSC NURSING, KRSMCON MANGALORE. PH:+919496743672

What's hot

Congenital heart diseases

ABHIJIT BHOYAR

Patent ductus arteriosus

Jerin Thunduparambil

A cyanotic heart defect is a group-type of congenital heart defects (CHDs). The patient appears blue (cyanotic), due to deoxygenated blood bypassing the lungs and entering the systemic circulation. This can be caused by right-to-left or bidirectional shunting, or malposition of the great arteries. Cyanotic heart defects, which account for approximately 25% of all CHDs, include: Tetralogy of Fallot (ToF) Total anomalous pulmonary venous connection Hypoplastic left heart syndrome (HLHS) Transposition of the great arteries (d-TGA) Truncus arteriosus (Persistent) Tricuspid atresia Interrupted aortic arch Pulmonary atresia (PA) Pulmonary stenosis (critical) Eisenmenger syndrome(Reversal of Shunt due to Pulmonary Hypertension) . Patent ductus arteriosus may cause cyanosis in late stage.

Cyanotic heart disease

Ramachandra Barik

CONGENITAL HEART DISEASES

Dona Mathew

Myocarditis

saheli chakraborty

Cardiomyopathy

Abhay Rajpoot

Rheumatic heart disease

Abhay Rajpoot

tertalogy of fallot

Patel Dharmendra

Congenital heart disease

Dr. Vitthalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar

CONGENITAL HEART DISEASES PPT

Dr.Thirunagalinga Pandiyan

Cardiomyopathy

Ratheeshkrishnakripa

Cyanotic spells/ TET Spells

Muhammad Adnan

Congenital Heart Disease

Jessie Madz

Cardiac tamponade

Jinumol Jacob

Rheumatic heart disease

SUDESHNA BANERJEE

Pulmonary stenosis

DR .PALLAVI PATHANIA

Coarctation of aorta

Jerin Thunduparambil

ATRIAL SEPTAL DEFECT ( ASD)

Akshu Agrawal

Ventricular Septal Defect

Dr.Sayeedur Rumi

Atrial septal defect

Dr. Maimuna Sayeed

What's hot (20)

Congenital heart diseases

Patent ductus arteriosus

Cyanotic heart disease

CONGENITAL HEART DISEASES

Myocarditis

Cardiomyopathy

Rheumatic heart disease

tertalogy of fallot

Congenital heart disease

CONGENITAL HEART DISEASES PPT

Cardiomyopathy

Cyanotic spells/ TET Spells

Congenital Heart Disease

Cardiac tamponade

Rheumatic heart disease

Pulmonary stenosis

Coarctation of aorta

ATRIAL SEPTAL DEFECT ( ASD)

Ventricular Septal Defect

Atrial septal defect

Similar to congenital heart disease ppt

TOF.pptx

GrashiaBlessy1

Congestive cardiac failure

Jerin Thunduparambil

acute rheumatic fever

Jerin Thunduparambil

Rheumatic fever

Jerin Thunduparambil

خالد العمري

cancer5445

Myocardial infarction

Dr Subodh Shah

Samir rafla principles of cardiology pages 1 61

Alexandria University, Egypt

Thyroid Carcinoma.02

Dr. ZAHID IQBAL MIR

External signs of internal injuries tfinal

Troy Pennington

Electro k gram interpretation

Jerin Thunduparambil

Congenital heart diseases

Snehil Agrawal

rheumatic heart disease and fever INDIA

Karan Rawat

IHD.pptx

harshamummaka

Congenital heart disease

Loveis1able Khumpuangdee

Ac Coronary Syndrome

vineet malik

Principles of cardiology total.samir rafla

Alexandria University, Egypt

Samir rafla principles of cardiology pages 1 61 .. revised

Alexandria University, Egypt

pulmonary embolism

aravazhi

“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...

MUHAMMAD FAROOQUE

IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.

A case of Marfan syndrome with complications

iosrjce

Similar to congenital heart disease ppt (20)

TOF.pptx

Congestive cardiac failure

acute rheumatic fever

Rheumatic fever

خالد العمري

Myocardial infarction

Samir rafla principles of cardiology pages 1 61

Thyroid Carcinoma.02

External signs of internal injuries tfinal

Electro k gram interpretation

Congenital heart diseases

rheumatic heart disease and fever INDIA

IHD.pptx

Congenital heart disease

Ac Coronary Syndrome

Principles of cardiology total.samir rafla

Samir rafla principles of cardiology pages 1 61 .. revised

pulmonary embolism

“Differential diagnosis of chest pain” by Dr Muhammad Farooque presented on 2...

A case of Marfan syndrome with complications

Recently uploaded

Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Available Call Mrs Leela Ji +91-8630512678 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Lucknow Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Lucknow Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 8630512678 !! Thank you for Visiting.

Call Girls in Lucknow Just Call 👉👉8630512678 Top Class Call Girl Service Avai...

soniyagrag336

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts service book now CALL WATTSAPP THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT

Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...

Dipal Arora

Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow Uttar Pradesh WhatsApp Chat : +91-9984666624 Get More Information About Lucknow Escorts Service Lucknow Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Lucknow Call Girls Service { 9984666624 } ❤️VVIP ROCKY Call Girl in Lucknow U...

Janvi Singh

Call Girls in Lucknow Just Call 👉👉8875999948 Top Class Call Girl Service Available WhatsApp Chat : +91-8875999948 Get More Information About Lucknow Escorts Service Lucknow Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Call Girls in Lucknow Just Call 👉👉 8875999948 Top Class Call Girl Service Ava...

Janvi Singh

Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos and Number ★ CALL US High Class Luxury and Premium Escorts ServiCe We Provide Well Educated, Royal Class Female, High-Class Escorts Offering a Top High-Class Escorts Service In the & Several Nearby All Places Of . ★ Get The High Profile, Bollywood Queens , Well Educated , Good Looking , Full Cooperative Model Services. You Can See Me at My Comfortable Hotels or I Can Visit You In hotel Our Service Available IN All SERVICE, 3/4/5 STAR HOTEL , In Call /Out Call Services.24 hrs ,$P13 ★ To Enjoy With Hot and Sexy Girls . ★ We Are Providing :- • Models • Vip Models • Russian Models • Foreigner Models • TV Actress and Celebrities • Receptionist • Air Hostess • Call Center Working Girls/Women • Hi-Tech Co. Girls/Women • Housewife • Collage Going Girls. • Travelling Escorts. • Ramp-Models • Foreigner And Many More.. Incall & Outcall Available… • INDEPENDENT GIRLS / HOUSE WIFES ★ I Guarantee You To Have An Unforgettable Experience With Me.A Curvy Body, long Hair and Silky Smooth Skin. She Is an Independent Escorts Model Will Give You More Pleasure & Full Satisfaction. Call Now Seema:- 9332606886

Call girls Service Phullen / 9332606886 Genuine Call girls with real Photos a...

call girls hydrabad

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Rajasthan Booking Details Are here 05-May-2024( Mj) Click On WhatsApp Chat +91-9521753030 Jaipur Escorts Make You Feel Like Royalty Jaipur Escorts catering to high profile clients are available 24-7 to meet their clients' needs and are also available for dinner dates, business conferences, foreign travel trips and clubbing activities. Their customers are contacted directly through in order to prevent risky situations from developing.is home to some of India's most beautiful women. These girls come highly educated with great backgrounds; furthermore they are extremely beautiful and will make you feel like royalty if hired for hours or days! Siya Khan | FOR BOOKING CALL Our All Services :- 1 )★ (Oral to consummation) bjnonCovered 2 )★ Special Massage 3 )★ O-Level (Oral sex) 4 )★ Blow Job; 5 )★ COB (Come On Body) 6 )★. Extraball (Have sex ordinarily) 7 )★ A-Level (5 star escort) 8 )★ Strip-bother 9 )★ BBBJ (Bareback Blowjob) 10 )★ Spending time in my rooms 11 )★ BJ (Blowjob Without a Condom) 12 )★ COF (Come On Face) 13 )★ Completion

Call Girls Service Jaipur {9521753030 } ❤️VVIP BHAWNA Call Girl in Jaipur Raj...

Janvi Singh

Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Available 24*7 Book Chat On WhatsApp: +91-📞 7427069034 📞 Book A Meeting Now With Our Call Girls Chennai Call Girls Chennai are available for any special event from birthday parties to romantic dinners, and provide an unforgettable experience that will have you wanting more. Their seductive presence will leave you wanting more; these air hostesses escorts are guaranteed to get your kink on and provide hours of sexual fun - they will become your personal fantasy girl; making every event that much better. They truly stand out as some of the finest professionals available; their services cannot be rivalled. Call Now :- 📞 7427069034 📞 Independent Call Girls Chennai dance will leave #N06 you breathless with breathtaking performances that'll take away all your worries while making you feel like royalty - they're sure to leave an impactful impression that leaves you feeling empowered. From providing you with a romantic date night full of excitement and sex to just hanging out and talking, they're there for whatever it is you require. Listening attentively as you share stories or telling theirs, these ladies provide great conversation as well as delicious dinner or beverages to remember the experience by. Just one encounter with Call girls in Chennai will have you calling back for more. They're sure to transform any party into an unforgettable night of fun and adventure - you won't be the only one smitten. Don't miss this chance; arrange your next date with an exotic Foreign Escort today. Chennai offers many beautiful call girls Not only are they enjoyable companions, but travelling is something they truly love to do and will happily go on weekend tours with you. Additionally, businessmen can hire one of these young ladies as an escort during business trips. ★OUR BEST SERVICES: - FOR BOOKING ★ A-Level (5-star escort) ★ Strip-tease ★ BBBJ (Bareback Blowjob) ★ Spending time in my rooms ★ BJ (Blowjob Without a Condom) ★ COF (Come on Face) ★ Completion ★ (Oral to completion) noncovered ★ Special Massage ★ O-Level (Oral) ★ Blow Job; ★ Oral fun uncovered) ★ COB (Come on Body) ★. Extra ball (Have ride many times) ☛ ☛ ☛ ✔✔ secure✔✔ 100% safe

Call Girl in Chennai | Whatsapp No 📞 7427069034 📞 VIP Escorts Service Availab...

amritaverma53

Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited hard sex call girls VIP Call Girl Pune As Enjoy Never Ending Pune VIP Call Girls is highly qualified professionals. #S07 They will offer only top quality services and never try to scam or drain you of money; in fact, they strive to give complete satisfaction so that each cent spent was worth its worth. Furthermore, these professionals pride themselves in keeping customer details confidential; any information gleaned will never be shared with any third party. Two shots with one girl: ₹4500/in-call, ₹7500/out-call Body to body massage with : ₹5500/in-call Full night for one person: ₹7000/in-call, ₹12000/out-call •𝐂𝐨𝐥𝐥𝐞𝐠𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐇𝐨𝐮𝐬𝐞𝐰𝐢𝐯𝐞𝐬 •𝐇𝐢𝐠𝐡 𝐏𝐫𝐨𝐟𝐢𝐥𝐞 𝐆𝐢𝐫𝐥𝐬 •𝐑𝐚𝐦𝐩 𝐌𝐨𝐝𝐞𝐥𝐬 •𝐅𝐨𝐫𝐞𝐢𝐠𝐧𝐞𝐫 𝐆𝐢𝐫𝐥𝐬 𝐎𝐮𝐫 𝐞𝐬𝐜𝐨𝐫𝐭 𝐬𝐞𝐫𝐯𝐢𝐜𝐞𝐬 •𝐇𝐉 (𝐇𝐚𝐧𝐝 𝐉𝐨𝐛) •𝐁𝐉 (𝐁𝐥𝐨𝐰𝐣𝐨𝐛) # Completion # (Oral To Completion) # Special Massage # O-Level (Oral ) # Oral With A Noncondom) # COB (Come On Body) # Extraball (Have Many Times) # All Meetings 100%Safe Call Vindiya:-- 9352988975

Russian Call Girls In Pune 👉 Just CALL ME: 9352988975 ✅❤️💯low cost unlimited ...

chanderprakash5506

7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta

Lifecare Centre

Call Girls Rishikesh Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Rishikesh Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Rishikesh Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Rishikesh Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available

Steve Davis

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now CALL WATTSAPP 6378878445 THE MOST BEAUTIFUL INDEPENDENT ESCORT CALL GIRL SERVICE, Chennai WE ARE PROVIDING GENUINE CALL GIRL SERVICE I AM A a NATURAL BRUNETTES, SLIM BODY, NATURAL LONG HAIR AND ALL TYPE OF HAIR IS A NATURAL BRUNETTE IN THE MOST BEAUTIFUL INDEPENDENT ESCORT GIRL I AM A NATURAL BRUNETTE WITH ROOM AND HOTEL AND A NATURAL BRUNETTE WITH A BODY MADE FOR SIN AND ALL TYPE OF ME ALL THE TIME I SEND YOU A HAIR, VERY SOCIABLE AND FUNNY, READY TO ENTERTAIN TO ENTERTAIN U AND MAKE FORGET ABOUT TO GET ENTERTAIN U AND MAKE FORGET#v08 ABOUT ALL THE PROBLEMS. LET'S HAVE A WONDERFUL TIME TOGETHER AND FORGET ABOUT EVERYTHING ALL TYPE SERVICE ENJOYMENT SAFE AND SECURE IN CALL OUT CALL HOME AND HOTEL ANYTIME AVAILABLE AND ALL TYPE SERVICE ENJOYMENT

Chennai ❣️ Call Girl 6378878445 Call Girls in Chennai Escort service book now

tanudubay92

Chennai Call Girls Service {7857862533 } ❤️VVIP ROCKY Call Girl in Chennai WhatsApp Chat : +91-7857862533 Get More Information About Chennai Escorts Service Chennai Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Chennai Call Girls Service {7857862533 } ❤️VVIP ROCKY Call Girl in Chennai

khalifaescort01

In this lecture on circulatory shock, Dr. Faiza, an Assistant Professor of Physiology, delves into the profound implications of inadequate blood flow throughout the body, leading to tissue damage. The session begins by defining circulatory shock and elucidating its physiological causes, including decreased cardiac output, diminished blood volume, decreased vascular tone, obstruction to blood flow, excess metabolic rate, and abnormal perfusion patterns. Dr. Faiza categorizes shock into various types, such as cardiogenic shock, hypovolemic shock, neurogenic shock, obstructive shock, anaphylactic shock, and septic shock, and explores the pathophysiological basis of each. Furthermore, the lecture examines the stages of shock, from the non-progressive phase where compensatory mechanisms aim for full recovery to the progressive phase where shock worsens steadily without intervention, potentially leading to irreversible damage. Dr. Faiza discusses therapeutic interventions for shock, including replacement therapy, blood and plasma transfusion, sympathomimetic drugs, and other adjunctive treatments like head-down positioning, oxygen therapy, and glucocorticoids.

Circulatory Shock, types and stages, compensatory mechanisms

MedicoseAcademics

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available Easy & Fast Booking Procedure Of Kathua Escorts Call girls are ready and waiting to provide the quality essentialness that will help ease away life's tensions Kathua Escorts are regular companions of elite gentlemen and can take them places they could only dream of visiting. These ladies take great care in maintaining themselves to look appealing; visiting salons and spas regularly keeps them looking their best; their portfolios can be found online via an escort’s agency website. EXCITING OPTIONS AVAILABLE AT OUR INDEPENDENT ESCORTS Candlelight dinner Evening date Night clubs or parties Hotels or your flats Business trip Business party Stripping party Kathua Escort Service are adept at performing wild anal sex, deep throat sex and cum eating - perfect for satisfying all your sexual needs and playing any game imaginable. Affordable professional assistants are readily available and ready to assist with any situation - be it romantic date or solo night. Their beautiful appearances and striking personalities will leave you speechless, while they can accompany you to restaurants or bars where their presence will surely leave an impression.

Call Girls Kathua Just Call 8250077686 Top Class Call Girl Service Available

Dipal Arora

Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 Neha Thakur Call Mrs Naina Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Call Girls Bangalore - 450+ Call Girl Cash Payment 💯Call Us 🔝 6378878445 🔝 💃 ...

gragneelam30

Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available WhatsApp Chat : +91-8854095900 Get More Information About Mussoorie Escorts Service Mussoorie Escorts offer their services to their clients at any time of day or night - including sex, travel and tours. Contact them via telephone or the internet. Hire an escort as your movie partner, date or party companion - they're sure to exceed all your expectations. Girls available 24/7 make for great companions who offer sensual body massages and drinks/food service during your time together. Find one who fits with your personality or budget - these girls have you covered.

Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available

Janvi Singh

These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

Cardiac Output, Venous Return, and Their Regulation

MedicoseAcademics

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP Escorts Service Available 24*7 Book Call Mrs Janvi Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in Bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In Bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...

dishamehta3332

ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx

Swetaba Besh

💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalore Call Girls Service 💰 Call Girls In Bangalore Call Mrs Naina Ji +91-6378878445 We offer all types of girls of your choice with space. Our escorts are fully cooperative and understand your needs. All types of call girls like Housewives, College girls,#J11 Russian girls, Muslim girls, Afghani girls, Bengali girls, Working girls, south Indian girls, Punjabi girls, etc. In-Call: — You Can Reach At Our Place in bangalore Our place Which Is Very Clean Hygienic 100% safe Accommodation. Out-Call: — Service for Out Call You have To Come Pick The Girl From My Place We Also Provide Door-Step Services Hygienic: — Full Ac Neat And Clean Rooms Available In Hotel 24 * 7 Hrs In bangalore Our Services and Rates: – One Shot — 2500/in call (time ½ hour), 5000/out call Two shot with one girl — 5000/in call (time 1 hour), 6000/out call Body to body massage with sex- 3000/in call (time 1 hour) full night for one person– 8000/in call, 10000/out call (shot limit 4 shot) We are available 24*7 all days of the year Call us — 6378878445 !! Thank you for Visiting.

💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...

gragneelam30

Recently uploaded (20)