Dr Suldan Abdullahi

Dr Suldan Abdullahi Daignostic schemas, clinical pearls, infographics, upadates and insights regarding internal medicine.

๐Ÿšจ ๐”๐ฅ๐ญ๐ข๐ฆ๐š๐ญ๐ž ๐Œ๐‘๐‚๐ ๐๐š๐ซ๐ญ ๐Ÿ ๐๐ซ๐ž๐ฉ๐š๐ซ๐š๐ญ๐ข๐จ๐ง ๐‘๐ž๐ฌ๐จ๐ฎ๐ซ๐œ๐ž๐ฌ (๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“ ๐”๐ฉ๐๐š๐ญ๐ž) ๐Ÿ“š๐Ÿ”ฅEverything you need for MRCP Part 1 in one place:โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”...
02/09/2026

๐Ÿšจ ๐”๐ฅ๐ญ๐ข๐ฆ๐š๐ญ๐ž ๐Œ๐‘๐‚๐ ๐๐š๐ซ๐ญ ๐Ÿ ๐๐ซ๐ž๐ฉ๐š๐ซ๐š๐ญ๐ข๐จ๐ง ๐‘๐ž๐ฌ๐จ๐ฎ๐ซ๐œ๐ž๐ฌ (๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“ ๐”๐ฉ๐๐š๐ญ๐ž) ๐Ÿ“š๐Ÿ”ฅ

Everything you need for MRCP Part 1 in one place:

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐๐€๐’๐“๐„๐’๐“ ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“

๐ŸŽฅ Videos & Podcasts
https://t.me/sulmedd/2104

๐Ÿ“– Notes
https://t.me/sulmedd/2106

๐Ÿ“ Past Papers
https://t.me/sulmedd/2107
https://t.me/sulmedd/2108

๐Ÿ“‚ Questions by Branches + Single Bookmarked File
https://t.me/sulmedd/2109

๐ŸŽฅ MRCP Part 2 Videos (also useful for Part 1)
https://t.me/sulmedd/2110
https://t.me/sulmedd/2111

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐๐š๐ฌ๐ฌ๐Œ๐ž๐๐ข๐œ๐ข๐ง๐ž ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ“

๐Ÿ“š Questions + High-Yield Textbook
https://t.me/sulmedd/2113

๐Ÿ“– PassMedicine 2024 (Questions then Answers)
https://t.me/sulmedd/2115

๐Ÿ“˜ MRCP Rapid Pass for PassMedicine 2025
https://t.me/sulmedd/2122

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐Ž๐ง๐ž๐„๐ฑ๐š๐ฆ๐ข๐ง๐š๐ญ๐ข๐จ๐ง ๐Ÿ๐ŸŽ๐Ÿ๐Ÿ’

๐Ÿ“Œ 1500 Random High-Yield Questions
Excellent for rapid revision for those who cannot solve the full Qbank.

๐Ÿ”— [https://t.me/sulmedd/2117]

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐‚๐จ๐ซ๐ž ๐’๐ญ๐ฎ๐๐ฒ ๐๐จ๐จ๐ค๐ฌ & ๐๐จ๐ญ๐ž๐ฌ

๐Ÿ“˜ Step Up to MRCP
https://t.me/sulmedd/2119

๐Ÿ“™ Notes & Notes
https://t.me/sulmedd/2120

๐Ÿ“— MRCP Part 1 & 2 Compiled Notes
https://t.me/sulmedd/2121

๐Ÿ“• The Only MRCP Notes You Will Ever Need
https://t.me/sulmedd/2073

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐‚๐จ๐ง๐๐ž๐ง๐ฌ๐ž๐ ๐‘๐ž๐ฏ๐ข๐ฌ๐ข๐จ๐ง ๐…๐ข๐ฅ๐ž๐ฌ

๐Ÿ“š Dr. Faraz compilations
Helpful for both Part 1 & Part 2 concepts.

https://t.me/sulmedd/2130

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

โœ… ๐Ž๐Ÿ๐Ÿ๐ข๐œ๐ข๐š๐ฅ ๐Œ๐‘๐‚๐ ๐’๐š๐ฆ๐ฉ๐ฅ๐ž ๐„๐ฑ๐š๐ฆ

๐Ÿ“„ Official Royal Colleges sample exam PDF
https://t.me/sulmedd/2131

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐Ÿ“Œ ๐ˆ๐ฆ๐ฉ๐จ๐ซ๐ญ๐š๐ง๐ญ ๐š๐๐ฏ๐ข๐œ๐ž:
Choose ONE main source and stay consistent.

๐Ÿ’ก If you are an intern/recent graduate:
Notes & Notes is highly recommended, especially if you wonโ€™t solve the full OneExamination Qbank.

๐Ÿ’ก If using compiled notes only:
Try solving questions from all major Qbanks for better exam coverage.

โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”โ”

๐Ÿ’™ Best of luck to everyone preparing for MRCP.
Please remember us in your prayers ๐Ÿคฒ




Heart Failure Guidelines 2026
01/09/2026

Heart Failure Guidelines 2026

29/08/2026

2026 ESC Heart Failure Guidelines โ€” What has changed?

The biggest conceptual change is a simplification of HF phenotypes. HFrEF now includes LVEF

29/08/2026

2026 ESC one-line takeaway

HF = โ€œEF simplified, treat earlier, treat across EF, titrate faster, continue therapy after EF recovery, start SGLT2i in hospital, use MRA across the EF spectrum, treat obesity actively, intervene earlier with TEER/advanced-HF therapies, and think beyond the heart to exercise, frailty and palliative care.โ€

New ESC guidance on preventing contrast-induced kidney injuryKey points: donโ€™t delay contrast-based procedures for CKD p...
29/08/2026

New ESC guidance on preventing contrast-induced kidney injury

Key points: donโ€™t delay contrast-based procedures for CKD patients (Class I), prophylactic haemodialysis NOT recommended (Class III), and risk-stratify by eGFR, DM, LVEF, Hb & age. eGFR

๐Ÿ”ฅ ESC 2026: DECONGESTION IS NO LONGER โ€œGIVE FUROSEMIDE & WAIT.โ€In acute heart failure with congestion, the message is ag...
29/08/2026

๐Ÿ”ฅ ESC 2026: DECONGESTION IS NO LONGER โ€œGIVE FUROSEMIDE & WAIT.โ€

In acute heart failure with congestion, the message is aggressive and measurable:

๐Ÿ’‰ Start IV loop diuretic
โ†’ Furosemide 40 mg IV if diuretic-naรฏve, or roughly double the daily oral dose in chronic users.

โฑ๏ธ Then check the response EARLY:
Spot urine Naโบ at 2 h โ‰ฅ70 mmol/L
OR
Urine output at 6 h โ‰ฅ100 mL/h

โœ… Good response? Continue the regimen every 12 h until adequate decongestion.

๐Ÿšจ Poor response? DONโ€™T JUST WAIT.
โ†’ Double the loop-diuretic dose
โ†’ Consider sequential nephron blockade with IV acetazolamide or an eGFR-based hydrochlorothiazide strategy in chronic loop users
โ†’ Reassess urine Naโบ/urine output
โ†’ If still resistant, progressively escalate loop diuretics and consider other non-loop agents.

โš ๏ธ Persistent congestion despite maximal therapy?
โ†’ Consider ultrafiltration.

๐Ÿซ€ And throughout treatment: initiate/up-titrate foundational medical therapy, while closely watching BP, perfusion, creatinine and electrolytes.

The dramatic shift:
๐Ÿ’ฅ Donโ€™t judge decongestion tomorrow.
Measure the diuretic response within HOURS โ€” and escalate when the kidneys arenโ€™t responding.

โค๏ธ๐Ÿ”ฅ
29/08/2026

โค๏ธ๐Ÿ”ฅ

๐Ÿซ€ ESC HEART FAILURE GUIDELINES 2026 โ€” WHAT HAS CHANGED?The new ESC HF Guidelines bring major changes in classification, ...
29/08/2026

๐Ÿซ€ ESC HEART FAILURE GUIDELINES 2026 โ€” WHAT HAS CHANGED?

The new ESC HF Guidelines bring major changes in classification, treatment, decompensation, devices and precision phenotyping.

๐Ÿ”น 1 | New HF classification
โžก๏ธ HFrEF: LVEF

26/08/2026

Important Anemia Points ;-

MICROCYTIC : THE IRON PANEL

1. Low iron, high TIBC, low ferritin : iron deficiency anemia

2. Low iron, low/normal TIBC, normal/high ferritin : anemia of chronic inflammation

3. High serum iron, high ferritin, high transferrin saturation : sideroblastic anemia

4. Microcytosis with raised HbA2 (>3.5%) : beta thalassemia trait

5. Mentzer index 13 : suggests iron deficiency anemia

7. Raised RDW with microcytosis : favors iron deficiency anemia

8. Normal RDW with microcytosis : favors thalassemia trait

9. Earliest routinely used serum marker of depleted iron stores : low ferritin

Pls remember, hemoglobin may normalize before iron stores are fully replenished : iron therapy is continued after Hb correction to restore stores

MACROCYTIC

10. Hypersegmented neutrophils : megaloblastic anemia

11. High methylmalonic acid + high homocysteine : vitamin B12 deficiency

12. Normal methylmalonic acid + high homocysteine : folate deficiency

13. Neurologic deficits in megaloblastic anemia : strongly suggest vitamin B12 deficiency; classic B12 neurologic disease is not caused by folate deficiency

14. Anti-intrinsic factor antibody : highly specific for pernicious anemia; a negative test does not exclude it

15. Macrocytosis with normal B12 and folate : consider alcohol, liver disease, hypothyroidism, reticulocytosis, medications and myelodysplastic syndrome

16. Round macrocytes without hypersegmented neutrophils : favor non-megaloblastic macrocytosis

HEMOLYTIC

17. Positive direct antiglobulin test (direct Coombs/DAT) with hemolysis : supports immune hemolytic anemia

18. Warm autoimmune hemolytic anemia : usually IgG; associated with SLE, CLL and methyldopa

19. Cold agglutinin-mediated hemolysis : usually IgM; associated with Mycoplasma pneumoniae and infectious mononucleosis

20. Spherocytes + negative DAT : suggest hereditary spherocytosis

21. Increased osmotic fragility : classically seen in hereditary spherocytosis, but is not specific and may also occur in autoimmune hemolytic anemia

22. Decreased EMA binding/fluorescence : supports hereditary spherocytosis

23. Bite cells + Heinz bodies : G6PD deficiency

24. Schistocytes + thrombocytopenia : microangiopathic hemolytic anemia; consider TTP, HUS and DIC

25. Schistocytes + thrombocytopenia + normal PT/APTT : favors TTP or HUS over DIC

26. Schistocytes + thrombocytopenia + prolonged PT/APTT + high D-dimer ยฑ low fibrinogen : rapidly evolving DIC

27. Severe ADAMTS13 deficiency (activity

26/08/2026

โ€œThe trick to learning is ๐ž๐ง๐ฃ๐จ๐ฒ๐ข๐ง๐ .โ€

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