SlideShare a Scribd company logo
1 of 21
Syncope Anthony Ho, DO PGY4 Emergency Medicine
Introduction ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
“ Passed Out”
Pathophysiology ,[object Object],[object Object],[object Object],[object Object]
Etiology ,[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]
Cardiac Syncope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vasovagal or Neurally/Reflex-Mediated Syncope ,[object Object],[object Object],[object Object]
Orthostatic Syncope ,[object Object],[object Object],[object Object],[object Object]
Psychiatric Illnesses ,[object Object],[object Object],[object Object]
Neurologic Syncope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medication-Induced Syncope ,[object Object],[object Object]
Elderly Population ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object]
Physical Exam ,[object Object],[object Object],[object Object],[object Object]
EKG ,[object Object],[object Object],[object Object],[object Object],[object Object]
Other test ,[object Object],[object Object],[object Object],[object Object],[object Object]
Unexplained Syncope ,[object Object],[object Object]
Disposition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Practice Guideline
Post ED Evaluation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

What's hot (20)

Raynauds phenomenon
Raynauds phenomenonRaynauds phenomenon
Raynauds phenomenon
 
Cardioembolic stroke
Cardioembolic strokeCardioembolic stroke
Cardioembolic stroke
 
Approach to Syncope
Approach to SyncopeApproach to Syncope
Approach to Syncope
 
Pulmonary artery Hypertension
Pulmonary artery HypertensionPulmonary artery Hypertension
Pulmonary artery Hypertension
 
Ischaemic stroke
Ischaemic stroke Ischaemic stroke
Ischaemic stroke
 
Cardiac tamponade
Cardiac tamponadeCardiac tamponade
Cardiac tamponade
 
TIA
TIATIA
TIA
 
Arrhythmia
ArrhythmiaArrhythmia
Arrhythmia
 
Complications of acute mi
Complications of acute miComplications of acute mi
Complications of acute mi
 
Intracerebral hemorrhage hypertensive
Intracerebral hemorrhage hypertensiveIntracerebral hemorrhage hypertensive
Intracerebral hemorrhage hypertensive
 
Ischemic Heart Disease
Ischemic Heart DiseaseIschemic Heart Disease
Ischemic Heart Disease
 
Motor neuron disease - Etiology, Pathogenesis, Clinical Features, Classificat...
Motor neuron disease - Etiology, Pathogenesis, Clinical Features, Classificat...Motor neuron disease - Etiology, Pathogenesis, Clinical Features, Classificat...
Motor neuron disease - Etiology, Pathogenesis, Clinical Features, Classificat...
 
Atrial Fibrillation by Dr. Aryan
Atrial Fibrillation by Dr. AryanAtrial Fibrillation by Dr. Aryan
Atrial Fibrillation by Dr. Aryan
 
Differential diagnosis of chest pain
Differential diagnosis of chest painDifferential diagnosis of chest pain
Differential diagnosis of chest pain
 
Syncope
SyncopeSyncope
Syncope
 
secondary hypertension
secondary hypertensionsecondary hypertension
secondary hypertension
 
Neuropathy and its classification
Neuropathy and its classificationNeuropathy and its classification
Neuropathy and its classification
 
Multiple Sclerosis[1]
Multiple Sclerosis[1]Multiple Sclerosis[1]
Multiple Sclerosis[1]
 
Peripheral neuropathy
Peripheral neuropathyPeripheral neuropathy
Peripheral neuropathy
 
Neurosarcoidosis
NeurosarcoidosisNeurosarcoidosis
Neurosarcoidosis
 

Viewers also liked

Syncope (Mary Collins)
Syncope (Mary Collins)Syncope (Mary Collins)
Syncope (Mary Collins)honorhealth
 
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Indian dental academy
 
Fainting in dental clinic ppt
Fainting in dental clinic pptFainting in dental clinic ppt
Fainting in dental clinic pptDr.Noreen
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramCardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramFarjad Ikram
 
Syncope medical emergency
Syncope medical emergencySyncope medical emergency
Syncope medical emergencyKrutika Mistry
 
Unconsciousness
UnconsciousnessUnconsciousness
UnconsciousnessIAU Dent
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edemabajah423
 

Viewers also liked (13)

Syncope (Mary Collins)
Syncope (Mary Collins)Syncope (Mary Collins)
Syncope (Mary Collins)
 
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
Syncope (nx power lite) /certified fixed orthodontic courses by Indian dental...
 
Fainting in dental clinic ppt
Fainting in dental clinic pptFainting in dental clinic ppt
Fainting in dental clinic ppt
 
Syncope
Syncope  Syncope
Syncope
 
Syncope ppt
Syncope pptSyncope ppt
Syncope ppt
 
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad IkramCardiology 1.2. Dyspnea - by Dr. Farjad Ikram
Cardiology 1.2. Dyspnea - by Dr. Farjad Ikram
 
Palpitation
PalpitationPalpitation
Palpitation
 
Syncope medical emergency
Syncope medical emergencySyncope medical emergency
Syncope medical emergency
 
Unconsciousness
UnconsciousnessUnconsciousness
Unconsciousness
 
Syncope
SyncopeSyncope
Syncope
 
Dyspnea and Pulmonary Edema
Dyspnea and Pulmonary EdemaDyspnea and Pulmonary Edema
Dyspnea and Pulmonary Edema
 
Syncope
SyncopeSyncope
Syncope
 
Palpitation
PalpitationPalpitation
Palpitation
 

Similar to Syncope

Paediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptPaediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptSalam467227
 
6. presenting problems
6. presenting problems6. presenting problems
6. presenting problemsAhmad Hamadi
 
7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptxMisaleHaile
 
Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Varsha Shah
 
Syncope A Case Presentation Edited
Syncope A Case Presentation EditedSyncope A Case Presentation Edited
Syncope A Case Presentation EditedMedicineAndHealthUSA
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11atsmp
 
Cardiovascular diseases modified
Cardiovascular diseases modifiedCardiovascular diseases modified
Cardiovascular diseases modifiedxtrm nurse
 
Screening For Cardiovascular Disease
Screening For Cardiovascular DiseaseScreening For Cardiovascular Disease
Screening For Cardiovascular DiseaseMuhammadasif909
 
Stroke, etc. 082808.ppt
Stroke, etc. 082808.pptStroke, etc. 082808.ppt
Stroke, etc. 082808.pptRiyaSharma295
 
Stroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementStroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementBINITADASH3
 

Similar to Syncope (20)

Syncope dr yate
Syncope  dr yateSyncope  dr yate
Syncope dr yate
 
Paediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.pptPaediatric Cardiology for General Paediatrics.ppt
Paediatric Cardiology for General Paediatrics.ppt
 
Syncope
SyncopeSyncope
Syncope
 
6. presenting problems
6. presenting problems6. presenting problems
6. presenting problems
 
7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx7. Ischemic heart disease DBU.pptx
7. Ischemic heart disease DBU.pptx
 
Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]Cardiology for g psaediatrics[1]
Cardiology for g psaediatrics[1]
 
Heart disorders
Heart disordersHeart disorders
Heart disorders
 
Syncope iman
 Syncope iman Syncope iman
Syncope iman
 
Syncope A Case Presentation Edited
Syncope A Case Presentation EditedSyncope A Case Presentation Edited
Syncope A Case Presentation Edited
 
Syncope
Syncope  Syncope
Syncope
 
Palpitations
PalpitationsPalpitations
Palpitations
 
Unit 5 f11
Unit 5 f11Unit 5 f11
Unit 5 f11
 
Cardiovascular diseases modified
Cardiovascular diseases modifiedCardiovascular diseases modified
Cardiovascular diseases modified
 
Syncope
SyncopeSyncope
Syncope
 
Sudden cardiac death
Sudden cardiac deathSudden cardiac death
Sudden cardiac death
 
Palpitations
PalpitationsPalpitations
Palpitations
 
Screening For Cardiovascular Disease
Screening For Cardiovascular DiseaseScreening For Cardiovascular Disease
Screening For Cardiovascular Disease
 
Stroke, etc. 082808.ppt
Stroke, etc. 082808.pptStroke, etc. 082808.ppt
Stroke, etc. 082808.ppt
 
Stroke, acute ischemic stroke management
Stroke, acute ischemic stroke managementStroke, acute ischemic stroke management
Stroke, acute ischemic stroke management
 
Hypertension - Approach & Management
Hypertension - Approach & ManagementHypertension - Approach & Management
Hypertension - Approach & Management
 

More from Troy Pennington

Promoting innovation in ems 2019
Promoting innovation in ems 2019Promoting innovation in ems 2019
Promoting innovation in ems 2019Troy Pennington
 
Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Troy Pennington
 
Accidental death and disability
Accidental death and disabilityAccidental death and disability
Accidental death and disabilityTroy Pennington
 
Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Troy Pennington
 
Crc section three 9 9-14
Crc section three 9 9-14Crc section three 9 9-14
Crc section three 9 9-14Troy Pennington
 
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...Troy Pennington
 
Jens rapid review cardio
Jens rapid review  cardioJens rapid review  cardio
Jens rapid review cardioTroy Pennington
 
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Troy Pennington
 
Josh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureJosh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureTroy Pennington
 
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Troy Pennington
 
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Troy Pennington
 

More from Troy Pennington (20)

Tccc handbook 2012
Tccc handbook 2012Tccc handbook 2012
Tccc handbook 2012
 
Promoting innovation in ems 2019
Promoting innovation in ems 2019Promoting innovation in ems 2019
Promoting innovation in ems 2019
 
Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019Icema overview our lemsa rev 5: 2019
Icema overview our lemsa rev 5: 2019
 
Hartford consensus
Hartford consensusHartford consensus
Hartford consensus
 
Ems agenda-2050
Ems agenda-2050Ems agenda-2050
Ems agenda-2050
 
Accidental death and disability
Accidental death and disabilityAccidental death and disability
Accidental death and disability
 
History of EMS
History of EMSHistory of EMS
History of EMS
 
Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation Baker 2 Vegas 2017 Medical Team Orientation
Baker 2 Vegas 2017 Medical Team Orientation
 
Crc section two 9 9-14
Crc section two 9 9-14Crc section two 9 9-14
Crc section two 9 9-14
 
Crc section three 9 9-14
Crc section three 9 9-14Crc section three 9 9-14
Crc section three 9 9-14
 
Crc section one 9 9-14
Crc section one 9 9-14Crc section one 9 9-14
Crc section one 9 9-14
 
Crc section four 9 9-14
Crc section four 9 9-14Crc section four 9 9-14
Crc section four 9 9-14
 
Crc section five 9 9-14
Crc section five 9 9-14Crc section five 9 9-14
Crc section five 9 9-14
 
Hemostasis in txa
Hemostasis in txaHemostasis in txa
Hemostasis in txa
 
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...American Heart Association Emergency Medicine Update Cardiology- EM Residency...
American Heart Association Emergency Medicine Update Cardiology- EM Residency...
 
Jens rapid review cardio
Jens rapid review  cardioJens rapid review  cardio
Jens rapid review cardio
 
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
Andrew Crouch, DO- Cardiac Emergencies...Emergency Medicine Board Review 2014...
 
Josh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lectureJosh johnson std's 2014 +++ lecture
Josh johnson std's 2014 +++ lecture
 
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
Arbi Ayvazian, DO- Valvular Disease, Conduction Disorders & Bradydysrhythmias...
 
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
Michael Kulczycki, DO- Infectious Disease Board Review 2014- ARMC Emergency M...
 

Recently uploaded

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...narwatsonia7
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiSuhani Kapoor
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...narwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...Neha Kaur
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...astropune
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...Taniya Sharma
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...Garima Khatri
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 

Recently uploaded (20)

Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
Top Rated Bangalore Call Girls Mg Road ⟟ 8250192130 ⟟ Call Me For Genuine Sex...
 
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service KochiLow Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
Low Rate Call Girls Kochi Anika 8250192130 Independent Escort Service Kochi
 
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Cuttack Just Call 9907093804 Top Class Call Girl Service Available
 
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...Bangalore Call Girls Nelamangala Number 7001035870  Meetin With Bangalore Esc...
Bangalore Call Girls Nelamangala Number 7001035870 Meetin With Bangalore Esc...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
VIP Russian Call Girls in Varanasi Samaira 8250192130 Independent Escort Serv...
 
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
Best Rate (Hyderabad) Call Girls Jahanuma ⟟ 8250192130 ⟟ High Class Call Girl...
 
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
(👑VVIP ISHAAN ) Russian Call Girls Service Navi Mumbai🖕9920874524🖕Independent...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Nagpur Just Call 9907093804 Top Class Call Girl Service Available
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Siliguri Just Call 9907093804 Top Class Call Girl Service Available
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
VIP Mumbai Call Girls Hiranandani Gardens Just Call 9920874524 with A/C Room ...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋  9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Dehradun Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls JaipurCall Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
Call Girls Service Jaipur Grishma WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 

Syncope