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Dr Ihab Suliman

@IhabFathiSulima • 114,029 subscribers

Consultant Cardiologist | FESC | Assistant Professor, KSAU-HS | Award-winning medical educator | Clinical cases, imaging & AI-powered learning

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A 46-year-old woman develops progressive abdominal distension, early satiety, and right upper abdominal discomfort. Despite marked hepatomegaly, her liver function is preserved. Surgery reveals the appearance shown. What is the most likely diagnosis, and which associated condition should be sought in the kidneys?

A 46-year-old woman develops progressive abdominal distension, early satiety, and right upper abdominal discomfort. Despite marked hepatomegaly, her liver function is preserved. Surgery reveals the appearance shown. What is the most likely diagnosis, and which associated condition should be sought in the kidneys?

968,005 Aufrufe

🚨 “Doctor… even swallowing water feels like fire.” A 42-year-old man presents with progressive painful swallowing and retrosternal burning. Over the past week, he has barely eaten. He has lost 8 kg over three months and reports recurrent oral thrush. Upper GI endoscopy reveals the striking appearance shown above: extensive, confluent white plaques covering friable, inflamed esophageal mucosa, with narrowing of the lumen. What is your diagnosis—and which underlying condition must you urgently investigate?

🚨 “Doctor… even swallowing water feels like fire.” A 42-year-old man presents with progressive painful swallowing and retrosternal burning. Over the past week, he has barely eaten. He has lost 8 kg over three months and reports recurrent oral thrush. Upper GI endoscopy reveals the striking appearance shown above: extensive, confluent white plaques covering friable, inflamed esophageal mucosa, with narrowing of the lumen. What is your diagnosis—and which underlying condition must you urgently investigate?

622,596 Aufrufe

A 68-year-old woman presents with worsening fatigue and recurrent iron-deficiency anemia. She has no visible gastrointestinal bleeding. During upper endoscopy, the gastroenterologist sees red stripes running across the gastric antrum and converging toward the pylorus. What is the diagnosis?

A 68-year-old woman presents with worsening fatigue and recurrent iron-deficiency anemia. She has no visible gastrointestinal bleeding. During upper endoscopy, the gastroenterologist sees red stripes running across the gastric antrum and converging toward the pylorus. What is the diagnosis?

3,115,375 Aufrufe

🚨 The ovarian cyst was opened—and inside were hair and a tooth! A 24-year-old woman presents with intermittent pelvic pain and abdominal fullness. Ultrasound reveals a complex right ovarian mass containing cystic and echogenic components. During surgery, the excised lesion reveals greasy yellow material, a tuft of hair, and a tooth-like structure. ❓ What is the most likely diagnosis, and which acute complication should be suspected if she develops sudden severe pelvic pain with vomiting?

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🚨 The ovarian cyst was opened—and inside were hair and a tooth! A 24-year-old woman presents with intermittent pelvic pain and abdominal fullness. Ultrasound reveals a complex right ovarian mass containing cystic and echogenic components. During surgery, the excised lesion reveals greasy yellow material, a tuft of hair, and a tooth-like structure. ❓ What is the most likely diagnosis, and which acute complication should be suspected if she develops sudden severe pelvic pain with vomiting?

2,354,101 Aufrufe

During laparoscopic cholecystectomy, severe inflammation has completely distorted Calot’s triangle—and the surgeon is no longer certain which structure is the cystic duct. What must be done before applying any clip, and what is the safest bailout strategy if the anatomy remains unclear?

During laparoscopic cholecystectomy, severe inflammation has completely distorted Calot’s triangle—and the surgeon is no longer certain which structure is the cystic duct. What must be done before applying any clip, and what is the safest bailout strategy if the anatomy remains unclear?

2,441,135 Aufrufe

🚨 His father died of colon cancer at 39. Now, at just 19, he notices blood in his stool… A young man presents with intermittent rectal bleeding, fatigue, and iron-deficiency anemia. His paternal aunt also underwent bowel surgery in her twenties. Colonoscopy reveals hundreds of polyps carpeting the colon, with barely any normal mucosa visible between them. What is the most likely diagnosis, which gene is implicated—and what intervention could prevent him from sharing his father’s fate?

🚨 His father died of colon cancer at 39. Now, at just 19, he notices blood in his stool… A young man presents with intermittent rectal bleeding, fatigue, and iron-deficiency anemia. His paternal aunt also underwent bowel surgery in her twenties. Colonoscopy reveals hundreds of polyps carpeting the colon, with barely any normal mucosa visible between them. What is the most likely diagnosis, which gene is implicated—and what intervention could prevent him from sharing his father’s fate?

135,477 Aufrufe

A 24-year-old woman presents with sharp right-upper-quadrant pain, fever, and vaginal discharge. Pregnancy testing and hepatobiliary investigations are unremarkable. Laparoscopy reveals thin “violin-string” adhesions between the liver capsule and abdominal wall. What is the diagnosis?

A 24-year-old woman presents with sharp right-upper-quadrant pain, fever, and vaginal discharge. Pregnancy testing and hepatobiliary investigations are unremarkable. Laparoscopy reveals thin “violin-string” adhesions between the liver capsule and abdominal wall. What is the diagnosis?

2,707,817 Aufrufe

“Doctor… it doesn’t hurt, but it keeps getting bigger.” A 65-year-old man with a long history of chewing tobacco presents with a slowly enlarging oral lesion over eight months. Examination reveals a broad-based, white, cauliflower-like mass on the inner cheek. No cervical lymph nodes are palpable. What is the most likely diagnosis—and why might a superficial biopsy be misleading?

“Doctor… it doesn’t hurt, but it keeps getting bigger.” A 65-year-old man with a long history of chewing tobacco presents with a slowly enlarging oral lesion over eight months. Examination reveals a broad-based, white, cauliflower-like mass on the inner cheek. No cervical lymph nodes are palpable. What is the most likely diagnosis—and why might a superficial biopsy be misleading?

1,252,335 Aufrufe

A 24-year-old woman arrives in the ER with sudden, severe lower abdominal pain and repeated vomiting. Pregnancy testing is negative. Emergency laparoscopy reveals the finding shown above. What is the diagnosis, and what immediate surgical action could save her ovary?

A 24-year-old woman arrives in the ER with sudden, severe lower abdominal pain and repeated vomiting. Pregnancy testing is negative. Emergency laparoscopy reveals the finding shown above. What is the diagnosis, and what immediate surgical action could save her ovary?

627,721 Aufrufe

🚨 Two ovarian masses… but where did the story begin? A 43-year-old woman presents with progressive abdominal distension, pelvic discomfort, and unexplained weight loss. For months, she has felt full after just a few bites. During surgery, both ovaries are strikingly enlarged, with firm, lobulated masses. The surgeon pauses: could these tumours have originated elsewhere? ❓ What is the most likely diagnosis, and which primary site should be investigated first?

🚨 Two ovarian masses… but where did the story begin? A 43-year-old woman presents with progressive abdominal distension, pelvic discomfort, and unexplained weight loss. For months, she has felt full after just a few bites. During surgery, both ovaries are strikingly enlarged, with firm, lobulated masses. The surgeon pauses: could these tumours have originated elsewhere? ❓ What is the most likely diagnosis, and which primary site should be investigated first?

321,168 Aufrufe

What had happened?

What had happened?

1,471,703 Aufrufe

A 68-year-old chronic tobacco chewer presents with a slowly enlarging, painless white cauliflower-like lesion on the buccal mucosa. It is broad-based and locally invasive, but cervical lymph nodes are not palpable. What is the most likely diagnosis?

A 68-year-old chronic tobacco chewer presents with a slowly enlarging, painless white cauliflower-like lesion on the buccal mucosa. It is broad-based and locally invasive, but cervical lymph nodes are not palpable. What is the most likely diagnosis?

879,484 Aufrufe

A 46-year-old woman develops progressive abdominal distension, early satiety, and right upper abdominal discomfort. Despite marked hepatomegaly, her liver function is preserved. Surgery reveals the appearance shown. What is the most likely diagnosis, and which associated condition should be sought in the kidneys?

A 46-year-old woman develops progressive abdominal distension, early satiety, and right upper abdominal discomfort. Despite marked hepatomegaly, her liver function is preserved. Surgery reveals the appearance shown. What is the most likely diagnosis, and which associated condition should be sought in the kidneys?

441,045 Aufrufe

The surgeon opened an ovarian mass—and froze. Inside were tangled hair, yellow sebaceous material, fragments of bone…and fully formed teeth. 🦷 What is the diagnosis—and how can a tumour produce tissues from several different parts of the human body?

The surgeon opened an ovarian mass—and froze. Inside were tangled hair, yellow sebaceous material, fragments of bone…and fully formed teeth. 🦷 What is the diagnosis—and how can a tumour produce tissues from several different parts of the human body?

1,110,174 Aufrufe

During liver surgery, the cyst bursts—dozens of daughter cysts spill into the abdomen as the blood pressure suddenly crashes. What lethal diagnosis has just revealed itself?

During liver surgery, the cyst bursts—dozens of daughter cysts spill into the abdomen as the blood pressure suddenly crashes. What lethal diagnosis has just revealed itself?

873,837 Aufrufe

A 29-year-old patient presents with six weeks of worsening bloody diarrhea, urgency, tenesmus, and crampy lower abdominal pain. He has lost 7 kg and now passes stool 10 times daily. Laboratory tests reveal anemia and elevated inflammatory markers. Stool cultures and C. difficile testing are negative. Colonoscopy shows continuous, circumferential inflammation beginning at the rectum, with erythematous, friable mucosa, loss of vascular markings, and multiple superficial ulcerations. What is the most likely diagnosis?

A 29-year-old patient presents with six weeks of worsening bloody diarrhea, urgency, tenesmus, and crampy lower abdominal pain. He has lost 7 kg and now passes stool 10 times daily. Laboratory tests reveal anemia and elevated inflammatory markers. Stool cultures and C. difficile testing are negative. Colonoscopy shows continuous, circumferential inflammation beginning at the rectum, with erythematous, friable mucosa, loss of vascular markings, and multiple superficial ulcerations. What is the most likely diagnosis?

625,736 Aufrufe

She arrived with sudden, unbearable lower abdominal pain—and minutes later she was in the operating room. What is the diagnosis, and what must be done before the ovary is lost?

She arrived with sudden, unbearable lower abdominal pain—and minutes later she was in the operating room. What is the diagnosis, and what must be done before the ovary is lost?

635,685 Aufrufe

A 26-year-old woman presents with sharp right upper-quadrant pain worsened by movement. Liver enzymes and ultrasound are normal, but she reports pelvic pain and abnormal vaginal discharge. Laparoscopy reveals thin “violin-string” adhesions between the liver capsule and diaphragm. What is the diagnosis?

A 26-year-old woman presents with sharp right upper-quadrant pain worsened by movement. Liver enzymes and ultrasound are normal, but she reports pelvic pain and abnormal vaginal discharge. Laparoscopy reveals thin “violin-string” adhesions between the liver capsule and diaphragm. What is the diagnosis?

443,185 Aufrufe

A 24-year-old woman arrives in the ER with sudden, severe lower abdominal pain and repeated vomiting. Pregnancy testing is negative. Emergency laparoscopy reveals the finding shown above. What is the diagnosis, and what immediate surgical action could save her ovary?

A 24-year-old woman arrives in the ER with sudden, severe lower abdominal pain and repeated vomiting. Pregnancy testing is negative. Emergency laparoscopy reveals the finding shown above. What is the diagnosis, and what immediate surgical action could save her ovary?

309,956 Aufrufe

🚨 Her speech returned—but the danger remained. A 58-year-old woman suddenly loses the ability to speak and develops right-hand weakness. Within 20 minutes, both symptoms disappear. She has no fever, no known atrial fibrillation, and no significant carotid stenosis. Transesophageal echocardiography reveals a small, highly mobile mass attached to the aortic valve. During surgery, the team discovers this delicate, sea-anemone-like lesion. ❓ What is the diagnosis—and how can such a tiny lesion cause a potentially devastating stroke?

🚨 Her speech returned—but the danger remained. A 58-year-old woman suddenly loses the ability to speak and develops right-hand weakness. Within 20 minutes, both symptoms disappear. She has no fever, no known atrial fibrillation, and no significant carotid stenosis. Transesophageal echocardiography reveals a small, highly mobile mass attached to the aortic valve. During surgery, the team discovers this delicate, sea-anemone-like lesion. ❓ What is the diagnosis—and how can such a tiny lesion cause a potentially devastating stroke?

119,832 Aufrufe

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Great Super Aid. Great People of South Sudan. Nice Management (outside the hospital) of Compartment Syndrome. Enjoy the Music.

Great Super Aid. Great People of South Sudan. Nice Management (outside the hospital) of Compartment Syndrome. Enjoy the Music.

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There may be Many Causes. But One Drug Exposure during Antenatal Period may be responsible. What is the Drug?

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He is A Great hero. What Vein is Canulated and Why ⁉️

He is A Great hero. What Vein is Canulated and Why ⁉️

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دكتور يقلد اصوات الهارتheart sounds رهيب جداً 😁😁 🔗 Dr Ihab Suliman (@Dr Ihab Suliman)

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100,580 Aufrufe • vor 1 Monat

The dressing comes off… then long wires begin sliding out of the patient’s back! 😳 What procedure are you watching—and why were these leads inserted in the first place?

The dressing comes off… then long wires begin sliding out of the patient’s back! 😳 What procedure are you watching—and why were these leads inserted in the first place?

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84,068 Aufrufe • vor 1 Monat

An Excellent Idea. Thank you so much. You are very intelligent.

An Excellent Idea. Thank you so much. You are very intelligent.

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457,258 Aufrufe • vor 10 Monaten

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❓A few drops of clear nasal fluid. No blood. No pus. Only when leaning forward. Benign... or a neurosurgical emergency?

❓A few drops of clear nasal fluid. No blood. No pus. Only when leaning forward. Benign... or a neurosurgical emergency?

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76,008 Aufrufe • vor 2 Monaten

What has happened?

What has happened?

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