@smz_zaxoy01: Zakho🫠❤️#smz #زاخو_عشق_لاينتهي #ابناء_جماهير_زاخو #الدوري_نجوم_العراق #zakho_duhok_hawler_slemani_akre

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Saturday 22 August 2026 09:15:33 GMT

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"LunuUuuu"🩷🪐 :

hashkrnaa taaa dleee maaa dayaaa zakhuuu"🥹🫶🫀

2026-08-24 15:57:45

2

younes_05 :

Nave strane be sahmattt 🫶💐

2026-08-23 19:16:23

1

𝙴𝙻𝙰𝙵⁸⁸ 𝚉𝙰𝙺𝙷𝙾𝙻𝙸🇮🇩 :

Allahh postee😍🔥

2026-08-22 09:23:55

4

ᴿᵁᶻᴱ ⁰⁷❣️. :

Hnde sabarat 7ajikrne hatya gutn dbijn , dll aşqe dli dbn , balê am jmhure zaxo aşqe nav û logo yê zaxo na , مافيش حاجة بيستاهل عشق غير ( 𝚉𝚊𝚡𝚑𝚘 ) 🥹♥️🤍,

2026-08-22 10:08:06

2

⚽️خـەجـو||زاخـولـی🇮🇩 :

Bardawamba bra🥰♥️♥️

2026-08-22 14:40:06

2

𝗗𝗶𝗮𝗺𝗼𝗻𝗱||𝗭𝗮𝘅𝗼💎 :

Zaxo daika mna pêshtii daika mn🥹🫶🏻

2026-08-22 09:56:56

4

𝑬𝒃𝒓𝒖✨ :

Jana Kako 🫠💎

2026-08-22 15:09:22

2

𝙴𝙻𝙰𝙵⁸⁸ 𝚉𝙰𝙺𝙷𝙾𝙻𝙸🇮🇩 :

F1🔥

2026-08-22 09:23:11

3

𝗗𝗶𝗮𝗺𝗼𝗻𝗱||𝗭𝗮𝘅𝗼💎 :

Bzhittt brayê mn😍🙌🏻

2026-08-22 09:58:05

3

𝙴𝙻𝙰𝙵⁸⁸ 𝚉𝙰𝙺𝙷𝙾𝙻𝙸🇮🇩 :

Bjiiii braa😍🔥

2026-08-22 09:23:27

3

𝟕𝒶𝐦ℴ🖤 :

Bremn o zaxo tshtak dya😍🔥

2026-08-22 10:23:28

2

yaraa :

Allah🥹♥️🤍

2026-08-24 17:55:02

1

𝑬𝒃𝒓𝒖✨ :

bzhitt bro 😍❤️‍🔥

2026-08-22 15:08:47

2

⚽️خـەجـو||زاخـولـی🇮🇩 :

Jana bzhyy

2026-08-22 14:40:10

2

⚽️خـەجـو||زاخـولـی🇮🇩 :

Bzhyyy kake min🥰♥️♥️

2026-08-22 14:40:05

3

⚽️خـەجـو||زاخـولـی🇮🇩 :

Harhabi 🥰🥰

2026-08-22 14:40:05

2

ꪑꪖ𝘳᭙ꪖ_ɀꪖ᥊ :

😍♥️♥️

2026-08-22 11:22:38

3

amkurdn :

🔥🔥🔥

2026-08-22 13:17:36

3

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Ihh artis kebanggaan bang jokan ituh😭😱#fyppp #viral #paketsantet #filmpaketsantet #dikiriminpaketsantet #fdlyfsl #fatihunru #fikinaki #gabriellaekaputri

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USMLE Step 1 Cardio/ USMLE USMLE Step 1 Cardio/ USMLE Step 2 IM Q 104 🫀 Correct answer: A. Aortic stenosis This patient has the classic findings of severe aortic stenosis: Harsh systolic murmur at the right upper sternal border Diminished carotid pulse = pulsus parvus et tardus Exertional chest pain + presyncope/light-headedness Aortic stenosis creates a fixed obstruction to LV outflow. During exercise, the heart cannot sufficiently increase cardiac output → decreased cerebral perfusion → light-headedness/syncope. The increased LV workload also causes hypertrophy and increased myocardial O₂ demand → exertional angina. Think: Aortic stenosis = SAD Syncope Angina Dyspnea ❌ B. Carotid sinus hypersensitivity: Syncope is usually triggered by neck pressure, shaving, tight collars, or turning the head. ❌ C. Coronary atherosclerosis: Can cause exertional angina, but does not explain the characteristic murmur and diminished carotid pulse. ❌ D. Orthostatic hypotension: Symptoms after standing make this tempting, but the major clues are exertional symptoms + classic aortic stenosis exam findings. ❌ E. Paroxysmal arrhythmia: Usually causes sudden episodic palpitations/syncope and would not explain the murmur or abnormal carotid pulse. High yield: elderly patient + RUSB systolic murmur + slow/weak carotid pulse = aortic stenosis.🫀 Correct answer: A. Aortic stenosis This patient has the classic findings of severe aortic stenosis: Harsh systolic murmur at the right upper sternal border Diminished carotid pulse = pulsus parvus et tardus Exertional chest pain + presyncope/light-headedness Aortic stenosis creates a fixed obstruction to LV outflow. During exercise, the heart cannot sufficiently increase cardiac output → decreased cerebral perfusion → light-headedness/syncope. The increased LV workload also causes hypertrophy and increased myocardial O₂ demand → exertional angina. Think: Aortic stenosis = SAD Syncope Angina Dyspnea ❌ B. Carotid sinus hypersensitivity: Syncope is usually triggered by neck pressure, shaving, tight collars, or turning the head. ❌ C. Coronary atherosclerosis: Can cause exertional angina, but does not explain the characteristic murmur and diminished carotid pulse. ❌ D. Orthostatic hypotension: Symptoms after standing make this tempting, but the major clues are exertional symptoms + classic aortic stenosis exam findings. ❌ E. Paroxysmal arrhythmia: Usually causes sudden episodic palpitations/syncope and would not explain the murmur or abnormal carotid pulse. High yield: elderly patient + RUSB systolic murmur + slow/weak carotid pulse = aortic stenosis.

USMLE Step 1 Cardio/ USMLE USMLE Step 1 Cardio/ USMLE Step 2 IM Q 104 🫀 Correct answer: A. Aortic stenosis This patient has the classic findings of severe aortic stenosis: Harsh systolic murmur at the right upper sternal border Diminished carotid pulse = pulsus parvus et tardus Exertional chest pain + presyncope/light-headedness Aortic stenosis creates a fixed obstruction to LV outflow. During exercise, the heart cannot sufficiently increase cardiac output → decreased cerebral perfusion → light-headedness/syncope. The increased LV workload also causes hypertrophy and increased myocardial O₂ demand → exertional angina. Think: Aortic stenosis = SAD Syncope Angina Dyspnea ❌ B. Carotid sinus hypersensitivity: Syncope is usually triggered by neck pressure, shaving, tight collars, or turning the head. ❌ C. Coronary atherosclerosis: Can cause exertional angina, but does not explain the characteristic murmur and diminished carotid pulse. ❌ D. Orthostatic hypotension: Symptoms after standing make this tempting, but the major clues are exertional symptoms + classic aortic stenosis exam findings. ❌ E. Paroxysmal arrhythmia: Usually causes sudden episodic palpitations/syncope and would not explain the murmur or abnormal carotid pulse. High yield: elderly patient + RUSB systolic murmur + slow/weak carotid pulse = aortic stenosis.🫀 Correct answer: A. Aortic stenosis This patient has the classic findings of severe aortic stenosis: Harsh systolic murmur at the right upper sternal border Diminished carotid pulse = pulsus parvus et tardus Exertional chest pain + presyncope/light-headedness Aortic stenosis creates a fixed obstruction to LV outflow. During exercise, the heart cannot sufficiently increase cardiac output → decreased cerebral perfusion → light-headedness/syncope. The increased LV workload also causes hypertrophy and increased myocardial O₂ demand → exertional angina. Think: Aortic stenosis = SAD Syncope Angina Dyspnea ❌ B. Carotid sinus hypersensitivity: Syncope is usually triggered by neck pressure, shaving, tight collars, or turning the head. ❌ C. Coronary atherosclerosis: Can cause exertional angina, but does not explain the characteristic murmur and diminished carotid pulse. ❌ D. Orthostatic hypotension: Symptoms after standing make this tempting, but the major clues are exertional symptoms + classic aortic stenosis exam findings. ❌ E. Paroxysmal arrhythmia: Usually causes sudden episodic palpitations/syncope and would not explain the murmur or abnormal carotid pulse. High yield: elderly patient + RUSB systolic murmur + slow/weak carotid pulse = aortic stenosis.

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