SlideShare a Scribd company logo
1 of 47
Prophylaxis of Venous Thromboembolism in the Medical Patient Low Molecular Weight Heparin vs. Standard Heparin Melissa Zorn M.D.
The Case ,[object Object]
QUESTIONS ,[object Object],[object Object],[object Object],[object Object]
Risk Factors For VTE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
LMWH Preparations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
LMWH vs. UFH ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Dahan 1986 ,[object Object],[object Object],[object Object],[object Object]
Dahan 1986 (cont) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dahan 1986 (cont) ,[object Object],[object Object],[object Object],[object Object]
Dahan 1986 (cont) Conclusions ,[object Object],[object Object],[object Object],[object Object]
Harenberg 1990 ,[object Object],[object Object],[object Object],[object Object]
Harenberg 1990 (cont) Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Harenberg 1990 (cont) Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object]
Harenberg (he’s back) 1996 ,[object Object],[object Object],[object Object]
Harenberg 1996 (cont) ,[object Object],[object Object],[object Object]
Harenberg 1996 (cont) Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Harenberg 1996 (cont) Results ,[object Object],[object Object]
Harenberg 1996 (cont) Conclusions ,[object Object],[object Object],[object Object],[object Object]
 
Bergmann 1996 ,[object Object],[object Object],[object Object],[object Object]
Bergmann 1996 (cont) ,[object Object],[object Object],[object Object]
Bergmann 1996 (cont) Conclusions  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lechler 1996  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lechler 1996 (cont) ,[object Object],[object Object],[object Object],[object Object]
Lechler 1996 (cont) Conclusions  ,[object Object],[object Object],[object Object],[object Object]
Kleber 1998 ,[object Object],[object Object],[object Object],[object Object]
Kleber 1998 (cont) Results ,[object Object],[object Object],[object Object]
Kleber 1998 (cont) Conclusions ,[object Object],[object Object]
Samama 2000 ,[object Object],[object Object]
Samama 2000 (cont) ,[object Object],[object Object],[object Object],[object Object]
Samama 2000 (cont) Results ,[object Object],[object Object],[object Object],[object Object],[object Object]
Samama 2000 (cont) Conclusions ,[object Object],[object Object],[object Object]
 
Conclusions ,[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object]
More Questions ,[object Object],[object Object]
What about the hip fx protocol? ,[object Object],[object Object]
What about the squeezers? ,[object Object],[object Object],[object Object]
What about the squeezers? ,[object Object],[object Object],[object Object]
Recommended Regimens at WFUBMC
Cost Comparison of VTE prophylaxis regimens at WFU
Back to the case ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Arriving May 2001

More Related Content

What's hot

Dvt prophylaxis in icu
Dvt prophylaxis in icuDvt prophylaxis in icu
Dvt prophylaxis in icuHany Faisal
 
Dvt prophylaxis in orthopaedic surgery
Dvt prophylaxis in orthopaedic surgeryDvt prophylaxis in orthopaedic surgery
Dvt prophylaxis in orthopaedic surgeryNamithRangaswamy
 
Evidence based practice for dvt prophylaxis - power point
Evidence based practice for dvt prophylaxis - power pointEvidence based practice for dvt prophylaxis - power point
Evidence based practice for dvt prophylaxis - power pointRafie1Davidov
 
Dvt prophylaxis , treatment and anaesthetic considerations
Dvt prophylaxis , treatment and anaesthetic considerationsDvt prophylaxis , treatment and anaesthetic considerations
Dvt prophylaxis , treatment and anaesthetic considerationsDr Nandini Deshpande
 
VTE RISK ASSESSMENT MODELS AND PREVENTION
VTE RISK ASSESSMENT MODELS AND PREVENTIONVTE RISK ASSESSMENT MODELS AND PREVENTION
VTE RISK ASSESSMENT MODELS AND PREVENTIONOmer Khan
 
Deep Vein Thrombosis
Deep Vein ThrombosisDeep Vein Thrombosis
Deep Vein Thrombosisdbridley
 
Dvt prophylaxis
Dvt prophylaxisDvt prophylaxis
Dvt prophylaxisredaahmed
 
DVT prophylaxis and Pradax
DVT prophylaxis and PradaxDVT prophylaxis and Pradax
DVT prophylaxis and PradaxSurgery
 
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease Burden
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease BurdenVenous Thromboembolism (VTE): Recent Advances in Reducing the Disease Burden
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease BurdenNBCA
 
Interventiontionist Treatment of Acute DVT
Interventiontionist Treatment of Acute DVTInterventiontionist Treatment of Acute DVT
Interventiontionist Treatment of Acute DVTSalutaria
 
Thromboprophylaxis in icu patient
Thromboprophylaxis in icu patientThromboprophylaxis in icu patient
Thromboprophylaxis in icu patientpitria gusti ayu
 
Anticoagulation guidelines recent update 2016
Anticoagulation guidelines recent update 2016Anticoagulation guidelines recent update 2016
Anticoagulation guidelines recent update 2016santoshbhskr
 
VTE Prophylaxis Focus on Prevention
VTE Prophylaxis Focus on PreventionVTE Prophylaxis Focus on Prevention
VTE Prophylaxis Focus on Preventionvtesimplified
 
Deep Vein Thrombosis
Deep Vein ThrombosisDeep Vein Thrombosis
Deep Vein Thrombosisdbridley
 

What's hot (20)

Vte prophylaxis
Vte prophylaxisVte prophylaxis
Vte prophylaxis
 
Dvt prophylaxis in icu
Dvt prophylaxis in icuDvt prophylaxis in icu
Dvt prophylaxis in icu
 
Dvt prophylaxis in orthopaedic surgery
Dvt prophylaxis in orthopaedic surgeryDvt prophylaxis in orthopaedic surgery
Dvt prophylaxis in orthopaedic surgery
 
Myths and facts dvt
Myths and facts dvtMyths and facts dvt
Myths and facts dvt
 
Evidence based practice for dvt prophylaxis - power point
Evidence based practice for dvt prophylaxis - power pointEvidence based practice for dvt prophylaxis - power point
Evidence based practice for dvt prophylaxis - power point
 
dvt prophylaxis
dvt prophylaxisdvt prophylaxis
dvt prophylaxis
 
Dvt prophylaxis , treatment and anaesthetic considerations
Dvt prophylaxis , treatment and anaesthetic considerationsDvt prophylaxis , treatment and anaesthetic considerations
Dvt prophylaxis , treatment and anaesthetic considerations
 
VTE RISK ASSESSMENT MODELS AND PREVENTION
VTE RISK ASSESSMENT MODELS AND PREVENTIONVTE RISK ASSESSMENT MODELS AND PREVENTION
VTE RISK ASSESSMENT MODELS AND PREVENTION
 
Deep Vein Thrombosis
Deep Vein ThrombosisDeep Vein Thrombosis
Deep Vein Thrombosis
 
Dvt prophylaxis
Dvt prophylaxisDvt prophylaxis
Dvt prophylaxis
 
DVT prophylaxis and Pradax
DVT prophylaxis and PradaxDVT prophylaxis and Pradax
DVT prophylaxis and Pradax
 
Thromboembolism
ThromboembolismThromboembolism
Thromboembolism
 
VTE.Dr..Nasib
VTE.Dr..NasibVTE.Dr..Nasib
VTE.Dr..Nasib
 
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease Burden
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease BurdenVenous Thromboembolism (VTE): Recent Advances in Reducing the Disease Burden
Venous Thromboembolism (VTE): Recent Advances in Reducing the Disease Burden
 
Accp dvt rx
Accp dvt rxAccp dvt rx
Accp dvt rx
 
Interventiontionist Treatment of Acute DVT
Interventiontionist Treatment of Acute DVTInterventiontionist Treatment of Acute DVT
Interventiontionist Treatment of Acute DVT
 
Thromboprophylaxis in icu patient
Thromboprophylaxis in icu patientThromboprophylaxis in icu patient
Thromboprophylaxis in icu patient
 
Anticoagulation guidelines recent update 2016
Anticoagulation guidelines recent update 2016Anticoagulation guidelines recent update 2016
Anticoagulation guidelines recent update 2016
 
VTE Prophylaxis Focus on Prevention
VTE Prophylaxis Focus on PreventionVTE Prophylaxis Focus on Prevention
VTE Prophylaxis Focus on Prevention
 
Deep Vein Thrombosis
Deep Vein ThrombosisDeep Vein Thrombosis
Deep Vein Thrombosis
 

Viewers also liked

UFH & LMWH & fondaparinux
UFH & LMWH & fondaparinuxUFH & LMWH & fondaparinux
UFH & LMWH & fondaparinuxMohammed Adel
 
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...Asha Reddy
 
Management of Venous Thromboembolism
Management of Venous ThromboembolismManagement of Venous Thromboembolism
Management of Venous ThromboembolismAbhishek Agrawal
 
Vte risk assessment program presentation 2.ppt
Vte risk assessment program presentation 2.pptVte risk assessment program presentation 2.ppt
Vte risk assessment program presentation 2.pptlimgengyan
 
Prevention of Venous Thromboembolism
Prevention of Venous ThromboembolismPrevention of Venous Thromboembolism
Prevention of Venous ThromboembolismJoy Awoniyi
 
Modern management of dvt dr. sharfuddin chowdhury
Modern management of dvt dr. sharfuddin chowdhuryModern management of dvt dr. sharfuddin chowdhury
Modern management of dvt dr. sharfuddin chowdhuryShakila Rifat
 
Adrenergic agonists & antagonists
Adrenergic agonists & antagonistsAdrenergic agonists & antagonists
Adrenergic agonists & antagonistsBrian Piper
 
Deep Venous Thrombosis Ranjith Thampi
Deep Venous Thrombosis Ranjith ThampiDeep Venous Thrombosis Ranjith Thampi
Deep Venous Thrombosis Ranjith ThampiRanjith Thampi
 
Dvt Deep Venous Thrombosis
Dvt Deep Venous ThrombosisDvt Deep Venous Thrombosis
Dvt Deep Venous ThrombosisFazal Hussain
 
Deep vein thrombosis1
Deep vein thrombosis1Deep vein thrombosis1
Deep vein thrombosis1Amir Mahmoud
 
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...SlideShare
 

Viewers also liked (16)

UFH & LMWH & fondaparinux
UFH & LMWH & fondaparinuxUFH & LMWH & fondaparinux
UFH & LMWH & fondaparinux
 
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...
Recommended Thromboprophylaxis for Pregnancies Complicated by Inherited Throm...
 
Management of Venous Thromboembolism
Management of Venous ThromboembolismManagement of Venous Thromboembolism
Management of Venous Thromboembolism
 
Enoxaparin
EnoxaparinEnoxaparin
Enoxaparin
 
Vte risk assessment program presentation 2.ppt
Vte risk assessment program presentation 2.pptVte risk assessment program presentation 2.ppt
Vte risk assessment program presentation 2.ppt
 
Prevention of Venous Thromboembolism
Prevention of Venous ThromboembolismPrevention of Venous Thromboembolism
Prevention of Venous Thromboembolism
 
Modern management of dvt dr. sharfuddin chowdhury
Modern management of dvt dr. sharfuddin chowdhuryModern management of dvt dr. sharfuddin chowdhury
Modern management of dvt dr. sharfuddin chowdhury
 
Adrenergic agonists & antagonists
Adrenergic agonists & antagonistsAdrenergic agonists & antagonists
Adrenergic agonists & antagonists
 
Venous Thromboembolism
Venous ThromboembolismVenous Thromboembolism
Venous Thromboembolism
 
Deep Venous Thrombosis Ranjith Thampi
Deep Venous Thrombosis Ranjith ThampiDeep Venous Thrombosis Ranjith Thampi
Deep Venous Thrombosis Ranjith Thampi
 
Dvt Deep Venous Thrombosis
Dvt Deep Venous ThrombosisDvt Deep Venous Thrombosis
Dvt Deep Venous Thrombosis
 
Vol1Issue3_8OA
Vol1Issue3_8OAVol1Issue3_8OA
Vol1Issue3_8OA
 
Deep vein thrombosis1
Deep vein thrombosis1Deep vein thrombosis1
Deep vein thrombosis1
 
DVT Current Concept
DVT Current ConceptDVT Current Concept
DVT Current Concept
 
Dvt
DvtDvt
Dvt
 
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...
A Guide to SlideShare Analytics - Excerpts from Hubspot's Step by Step Guide ...
 

Similar to Deep Venous Thrombosis

Cancer-Associated Thrombosis.From LMWH to DOACs
Cancer-Associated Thrombosis.From LMWH to DOACsCancer-Associated Thrombosis.From LMWH to DOACs
Cancer-Associated Thrombosis.From LMWH to DOACsmagdy elmasry
 
Vasovagal syncope management Mexico City 2016
Vasovagal syncope management Mexico City 2016Vasovagal syncope management Mexico City 2016
Vasovagal syncope management Mexico City 2016Antonio Raviele
 
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...Stefii Gómez Cedrón
 
Antithrombotic therapy for venous thromboembolic disease
Antithrombotic therapy for venous thromboembolic diseaseAntithrombotic therapy for venous thromboembolic disease
Antithrombotic therapy for venous thromboembolic diseaseMoisés Sauñe Ferrel
 
Superficial vein thrombosis
Superficial vein thrombosisSuperficial vein thrombosis
Superficial vein thrombosisRod Bugawan
 
Thromboprophylaxis in icu
Thromboprophylaxis in icuThromboprophylaxis in icu
Thromboprophylaxis in icusantoshbhskr
 
PONV_VMoll1_2012.pptx
PONV_VMoll1_2012.pptxPONV_VMoll1_2012.pptx
PONV_VMoll1_2012.pptxFiNi17
 
Advances in pharmacology applied to maxillofacial anaesthesia
Advances in pharmacology applied to maxillofacial anaesthesiaAdvances in pharmacology applied to maxillofacial anaesthesia
Advances in pharmacology applied to maxillofacial anaesthesiashabeel pn
 
Anemo 2014 - Lorusso - ESA nel paziente oncologico
Anemo 2014 - Lorusso - ESA nel paziente oncologicoAnemo 2014 - Lorusso - ESA nel paziente oncologico
Anemo 2014 - Lorusso - ESA nel paziente oncologicoanemo_site
 
Venous Thromboembolism and Pregnancy
Venous Thromboembolism and PregnancyVenous Thromboembolism and Pregnancy
Venous Thromboembolism and PregnancyRavulJindal
 
Deep vein thrombosis (dvt)
Deep vein thrombosis (dvt) Deep vein thrombosis (dvt)
Deep vein thrombosis (dvt) Dr. Armaan Singh
 
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer European School of Oncology
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolismcairo1957
 
201911 - Solidoro - Ambiti di utilizzo della “triplice”
201911 - Solidoro - Ambiti di utilizzo della “triplice”201911 - Solidoro - Ambiti di utilizzo della “triplice”
201911 - Solidoro - Ambiti di utilizzo della “triplice”Asmallergie
 

Similar to Deep Venous Thrombosis (20)

Cancer-Associated Thrombosis.From LMWH to DOACs
Cancer-Associated Thrombosis.From LMWH to DOACsCancer-Associated Thrombosis.From LMWH to DOACs
Cancer-Associated Thrombosis.From LMWH to DOACs
 
Vasovagal syncope management Mexico City 2016
Vasovagal syncope management Mexico City 2016Vasovagal syncope management Mexico City 2016
Vasovagal syncope management Mexico City 2016
 
Thrombosis-1.pptx
Thrombosis-1.pptxThrombosis-1.pptx
Thrombosis-1.pptx
 
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...
Addition of propranolol and isosorbide mononitrate to endoscopic variceal lig...
 
Antithrombotic therapy for venous thromboembolic disease
Antithrombotic therapy for venous thromboembolic diseaseAntithrombotic therapy for venous thromboembolic disease
Antithrombotic therapy for venous thromboembolic disease
 
ACC 2020 UPDATES
ACC 2020 UPDATESACC 2020 UPDATES
ACC 2020 UPDATES
 
Superficial vein thrombosis
Superficial vein thrombosisSuperficial vein thrombosis
Superficial vein thrombosis
 
Thromboprophylaxis in icu
Thromboprophylaxis in icuThromboprophylaxis in icu
Thromboprophylaxis in icu
 
PONV_VMoll1_2012.pptx
PONV_VMoll1_2012.pptxPONV_VMoll1_2012.pptx
PONV_VMoll1_2012.pptx
 
Enoxaparin
EnoxaparinEnoxaparin
Enoxaparin
 
Advances in pharmacology applied to maxillofacial anaesthesia
Advances in pharmacology applied to maxillofacial anaesthesiaAdvances in pharmacology applied to maxillofacial anaesthesia
Advances in pharmacology applied to maxillofacial anaesthesia
 
Anemo 2014 - Lorusso - ESA nel paziente oncologico
Anemo 2014 - Lorusso - ESA nel paziente oncologicoAnemo 2014 - Lorusso - ESA nel paziente oncologico
Anemo 2014 - Lorusso - ESA nel paziente oncologico
 
Venous Thromboembolism and Pregnancy
Venous Thromboembolism and PregnancyVenous Thromboembolism and Pregnancy
Venous Thromboembolism and Pregnancy
 
Nov journal watch
Nov journal watchNov journal watch
Nov journal watch
 
Occult cancer and vte
Occult cancer and vteOccult cancer and vte
Occult cancer and vte
 
Deep vein thrombosis (dvt)
Deep vein thrombosis (dvt) Deep vein thrombosis (dvt)
Deep vein thrombosis (dvt)
 
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer
BALKAN MCO 2011 - R. Curca - Palliative and supportive care in lung cancer
 
Pulmonary Embolism
Pulmonary EmbolismPulmonary Embolism
Pulmonary Embolism
 
201911 - Solidoro - Ambiti di utilizzo della “triplice”
201911 - Solidoro - Ambiti di utilizzo della “triplice”201911 - Solidoro - Ambiti di utilizzo della “triplice”
201911 - Solidoro - Ambiti di utilizzo della “triplice”
 
Oral apixaban
Oral apixabanOral apixaban
Oral apixaban
 

Recently uploaded

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...karishmasinghjnh
 
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
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...chandars293
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableGENUINE ESCORT AGENCY
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Ishani Gupta
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...GENUINE ESCORT AGENCY
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableGENUINE ESCORT AGENCY
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 
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
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...parulsinha
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Anamika Rawat
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...adilkhan87451
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...chennailover
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
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
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...khalifaescort01
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls ServiceGENUINE ESCORT AGENCY
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...chandars293
 

Recently uploaded (20)

Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
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...
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 9332606886 ⟟ Call Me For Genuine ...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service AvailableTrichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
Trichy Call Girls Book Now 9630942363 Top Class Trichy Escort Service Available
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
Pondicherry Call Girls Book Now 9630942363 Top Class Pondicherry Escort Servi...
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 
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...
 
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
Premium Call Girls In Jaipur {8445551418} ❤️VVIP SEEMA Call Girl in Jaipur Ra...
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
Russian Call Girls Lucknow Just Call 👉👉7877925207 Top Class Call Girl Service...
 
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
Coimbatore Call Girls in Thudiyalur : 7427069034 High Profile Model Escorts |...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
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...
 
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
💕SONAM KUMAR💕Premium Call Girls Jaipur ↘️9257276172 ↙️One Night Stand With Lo...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 9332606886 𖠋 Will You Mis...
 

Deep Venous Thrombosis