H.E. Dr. Sami Almustanyir د. سامي المستنير
@HE_Dr_Sami
Followers
229
Following
1,220
Media
7
Statuses
452
MD | CEO | Thought Leader | Scientist on PubMed | Society President | #Influencer | Riyadh, Saudi Arabia | 🌍 LinkedIn | طبيب سعودي | دعواتي لكم بالتوفيق
Riyadh, Saudi Arabia
Joined February 2022
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Oprah
• 389348 Tweets
JIN AT MILAN FASHION WEEK
• 232655 Tweets
FACE OF GUCCI JIN
• 219299 Tweets
FAYEYOKO X SRICHAND LIVE
• 139927 Tweets
XIAO ZHAN REPRESENTS THE HEART
• 76298 Tweets
TRUEDTAC5G X FB
• 66445 Tweets
GULF BA GUCCI IN MFW
• 56032 Tweets
GUCCI PRINCESS HANNI
• 55197 Tweets
大本丸博
• 36038 Tweets
#lovefighters
• 33399 Tweets
真島吾朗
• 31664 Tweets
アニポケ
• 29522 Tweets
ロバート秋山
• 22551 Tweets
Majima
• 19330 Tweets
#獅子堂あかり3D
• 18066 Tweets
貴景勝引退
• 15728 Tweets
転売ヤー
• 13237 Tweets
レイエス
• 11761 Tweets
オースティン
• 11341 Tweets
ビーズリー
• 10219 Tweets
Pinned Tweet
حياكم الله، أقبل الآن المرضى الجدد في عيادتي الافتراضية على منصة كيورا. للاستشارات، احجز موعدًا على عيادتي الإلكترونية عبر منصة الرعاية الصحية عن بعد كيورا:
@AppCura
#كيورا #صحة #صحة_نفسية #تطبيق_صحتي
@waelkabli
1
2
1
🚨 Case Insight: 30-year-old male with sharp chest pain radiating to the neck and shoulder, exhibits a pericardial friction rub and signs of a wide cardiac silhouette and pleural effusion on CXR. Next step? Perform an echocardiogram to further evaluate cardiac function.
#MedEd
0
0
0
🚨 Young patient presents with syncope and a systolic murmur that increases with standing and decreases with hand grip. What's the cause?
👉 The answer: HOCM (Hypertrophic Obstructive Cardiomyopathy)!
💡 Murmur Dynamics:
- The murmur's change with posture and maneuvers like
1
0
0
HTN crisis with eye emergency? 🔍🚑 Found retinal hemorrhages?
The go-to treatment is IV labetalol! Prompt management is crucial to prevent further complications.
#InternalMedicine
#MedEd
#knowmedge
Retweet to help spread critical emergency care tips!
1
0
0
🚨 42-year-old female with recurrent pruritic urticarial rash, no identifiable triggers, lesions persist longer than symptoms. On examination, multiple urticarial lesions noted. Lesions persist after 3 days.
Next step: Skin biopsy of the lesions.
🔎 Consider chronic urticaria
0
0
0
Patient with dizziness and syncope, ECG showing complete AV block?
🫀📉 On examination, look for Cannon A waves—a classic sign! This indicates atrial contractions against a closed tricuspid valve due to AV dissociation.
#InternalMedicine
#MedEd
#knowmedge
#Retweet
to spread
0
0
0
🚨 Female presented with apical heart ballooning after her husband's death.
What's the diagnosis? The answer: Takotsubo Cardiomyopathy.
🧐 Also known as "broken heart syndrome," Takotsubo often mimics a heart attack and can occur after severe emotional stress.
🔄 Please
0
0
1
🔬 What is the main source of Brain Natriuretic Peptide (BNP) in the body?
💡 The answer: The Ventricles!
🧠 BNP is primarily produced by the ventricles of the heart. This hormone plays a key role in cardiac function by helping to regulate blood pressure and fluid balance.
📌
1
0
0
0
0
3
🚨 Clinical Update: Patient with a history of DVT twice now presents with shortness of breath. Examination reveals a loud P2 sound. Initial next step? An echocardiogram to assess for possible pulmonary hypertension or heart issues.
#MedEd
#MedTwitter
#Medicine
#Healthcare
1
0
0
🚨 Overdose Alert: A patient arrives confused and seizing, with an ECG showing a wide QRS after ingesting multiple pills. The likely culprit?
Tricyclic antidepressant overdose. Quick identification and response are critical!
#MedEd
#MedTwitter
#Medicine
#Healthcare
#Toxicology
1
0
0
🤔 Patient with heart failure develops atrial fibrillation. What's the best rate control option?
👨⚕️ The answer: Digoxin!
💡 Why Digoxin?
- Effective in patients with heart failure due to its positive inotropic effects alongside rate control.
- Less likely to exacerbate heart
1
0
0
🚨 A patient presented with STEMI:
What's the strongest risk factor for interventricular septal rupture?
The answer: Anterior MI.
🧐 Anterior MIs are more likely to lead to complications like interventricular septal rupture due to the larger myocardium area at risk.
🔄
1
0
3
شكرا للاستاذه الاخصائية نور الخضير
@Nooralkhodair
سررت بعمل مقطع توعوي للمجتمع معها عن احد الأمراض الشائعة جدا وهو مرض القلق
وناقشنا الفرق بين القلق الطبيعي والقلق المرضي وكيفية التعامل معه
كانت برعاية لجنة جمال الصحة النفسية لتعزيز الصحة النفسية
تفاصيل الحياة
بين الافكار والمشاعر والسلوك
محاضرة مجانية 😍
تقدمها د. نور الخضير
@Nooralkhodair
عبر برنامج زووم
السبت السابعة مساء
تسعدنا مشاركتكم 🙏🏼✨
1
13
13
0
2
3
🚨 72-year-old male with CLL presents with recurrent lip swelling and stridor. Severe angioedema necessitates intubation and mechanical ventilation.
Diagnostic test: C1q inhibitor level and function.
🔎 Consider hereditary or acquired angioedema as a differential!
🔄 RT for
1
0
0
#Reflection
In the rush of everyday life, remember to take a moment to breathe and appreciate the simple joys. 🌿✨ Reflect on the beauty around you, find peace in the present, and nurture your soul with kindness and gratitude.
#Mindfulness
#SelfCare
#MedTwitter
#MentalHealth
0
0
1
Facing a case of unstable tachyarrhythmia? Immediate DC shock is the recommended treatment to restore a stable heart rhythm and prevent further complications. Act fast to save lives! ⚡️🫀
#EmergencyMedicine
#Cardiology
#HeartHealth
1
1
0
⚠️ Cardiology and Pregnancy Advice ⚠️
Patient with severe asymptomatic aortic regurgitation, LVESD and LVEDD below repair thresholds, aortic root dilation of 3.5 cm stable from last year, and potential LVH, considering pregnancy.
💡 Advice: Can get pregnant with careful
0
0
0
🏥 Decompensated heart failure patient with an EF of 25% and inferior hypokinesia shows improvement after diuresis. What's the recommended post-discharge follow-up?
📅 The answer: 1 week!
👩⚕️ Early Follow-Up:
- Essential for monitoring clinical status and adjusting treatment as
1
0
0
⚠️ Cardiology Case Update ⚠️
55-year-old male admitted with pneumonia. Before this illness, the patient was asymptomatic with good exercise capacity. ECHO shows EF 55% and severe aortic regurgitation, LVESD 46 mm, and LVEDD 53 mm.
💡 Next Step: Follow up in 3-6 months
Why?
-
0
0
0
🩺 Which of the following is an indication for steroid therapy in sarcoidosis?
Decreased DLCO.
A decreased DLCO (diffusing capacity of the lungs for carbon monoxide) in sarcoidosis patients can indicate significant lung involvement. Steroid therapy is often initiated to reduce
0
0
0
🔍 Aortic Regurgitation & Pregnancy: What's Safe?
🚨 A 30s female with severe aortic regurgitation, EF of 55%, and LVEDD of 64 mm who is currently asymptomatic may wonder about the safety of pregnancy. Here's what you need to know:
1️⃣ Risks: Pregnancy can significantly increase
1
0
0
🚨 Young patient referred with suspected pericarditis but has a normal ECG. What's the likely diagnosis?
🔍 The answer: Uremic Pericarditis!
💡 Why Uremic Pericarditis?
- Common in patients with advanced renal failure.
- May present with pericarditis-like symptoms without the
1
0
1
Can you retweet to share knowledge?sharing is caring
1.
@TheDrMAWZ
2.
@thinKerDrz
3.
@andrewyu8
4.
@UM_IHPI
5.
@rkalyes1
6.
@AKasingye
7.
@jbcarmody
8.
@Ed4MedUS
🚨 A patient presented with STEMI:
What's the strongest risk factor for interventricular septal rupture?
The answer: Anterior MI.
🧐 Anterior MIs are more likely to lead to complications like interventricular septal rupture due to the larger myocardium area at risk.
🔄
1
0
3
0
0
2
⚠️ Critical Cardiology Case ⚠️
Patient with a history of exercise-induced syncope, and a brother who died in his sleep. Echocardiogram shows a dilated left ventricle.
💡 Definitive Treatment: Implantable Cardioverter Defibrillator (ICD)
Why ICD?
- Prevents Sudden Cardiac
0
0
0
🚨 Diagnostic test for pulmonary arterial hypertension (PAH):
Diagnostic test: Right heart catheterization.
🔎 Gold standard for confirming PAH by measuring pulmonary artery pressures.
🔄 RT for key diagnostics
#MedTwitter
#Cardiology
#Pulmonary
#MedEd
0
0
1
Dealing with heart failure post-CABG and an EF of only 25%? It's time to consider serious preventive measures. 🚨 An Implantable Cardioverter-Defibrillator (ICD) can be a lifesaver, preventing sudden cardiac death by correcting life-threatening arrhythmias. Don't underestimate
1
0
0
Magnesium sulfate is administered to patients at risk for torsades de pointes who present with QT prolongation after ingestion of olanzapine. This intervention helps to stabilize the cardiac membrane and prevent potentially fatal arrhythmias.
🔄 RT to share this critical
0
0
2
📢 ICU Management of ARDS with Complication
A middle-aged male patient was admitted to the ICU 3 days ago with ARDS secondary to sepsis. He was intubated and mechanically ventilated with high PEEP. Suddenly, he became tachycardic, hypotensive, and desaturating, with decreased
1
0
0
🔍 Diagnostic Challenge: A patient presents with platypnea and wide, fixed splitting of the second heart sounds. What’s the diagnosis? ASD (Atrial Septal Defect). Recognizing unique symptoms is key in cardiology!
#MedEd
#MedTwitter
#Medicine
#Healthcare
#Cardiology
🔄 Retweet to
1
0
0
حياكم الله
حياكم الله، أقبل الآن المرضى الجدد في عيادتي الافتراضية على منصة كيورا. للاستشارات، احجز موعدًا على عيادتي الإلكترونية عبر منصة الرعاية الصحية عن بعد كيورا:
@AppCura
#كيورا #صحة #صحة_نفسية #تطبيق_صحتي
@waelkabli
1
2
1
0
0
1
🚨 Case Study: A middle-aged lady experiences chest pain and shortness of breath after distressing news. With ECG showing STE and positive troponin but negative cath results, and ECHO revealing apical ballooning, the diagnosis? Stress-induced cardiomyopathy.
#MedEd
#MedTwitter
1
0
0
📢 Managing Eclampsia: A Critical Step
A pregnant female with eclampsia was stabilized and intubated for decreased LOC. Hours later, she developed an increased heart rate, BP 112/70, and O2 saturation dropped to 84%. The most appropriate next step is to **put her on the left
1
0
0
Rheumatic Fever Alert!
- Symptoms: Erythema marginatum on lower limbs, elevated ASO titers.
- Echo: No valvular disease or vegetations, EF 55%.
Diagnosis: Rheumatic Fever
Management:
- Antibiotics: Penicillin.
- Anti-inflammatory: NSAIDs or corticosteroids.
- Follow-up:
1
0
0
50-Year-Old Patient with Chronic Cough and Smoking History: Next Step
🔬 Case Overview:
- Patient: 50 years old
- Symptoms: Cough with scanty sputum for the past 6 months
- Smoking History: 50 pack-years
- Imaging: Chest x-ray
🔍 Best Next Step:
- Diagnostic Test: Spirometry
1
0
0
🚨 40-year-old female with a history of uterine cancer and past PE, now presenting with liver metastases and new DVT. Currently on low molecular weight heparin (LMWH) for 7 days.
Most appropriate anticoagulation: Continue on LMWH until cancer is cured.
🔎 LMWH is preferred due
1
0
1
👨⚕️ Follow-Up Focus: A 50-year-old male with medically managed angina comes in for a routine check. Labs show a potassium level of 4.9.
Next step? Introducing Atorvastatin can help manage cholesterol levels effectively.
#MedEd
#MedTwitter
#Medicine
#Healthcare
#Cardiology
🔄
1
0
0
Managing an euvolemic patient with HOCM and no signs of heart failure? Consider adding Amlodipine to the treatment regimen. This choice helps manage symptoms without the dehydration risk associated with diuretics. 💊🫀
#Cardiology
#HOCM
#MedEd
0
1
0
In cases of NSTEMI, enoxaparin is a frontline treatment option, alongside statins and other therapies, to stabilize the patient and reduce further cardiac risk. Effective management saves lives! 💔🩺
#Cardiology
#NSTEMI
#HeartHealth
1
1
1
🚨 Patient presents with dizziness and syncope, ECG reveals complete heart block. What should you expect on examination?
🔍 Look for: Cannon A Waves!
💡 Why Cannon A Waves?
- Occur due to atrial contraction against a closed tricuspid valve in the setting of AV dissociation,
0
0
0
🩺 An office worker presented to the hospital with shortness of breath and hemoptysis. The chest X-ray showed bilateral infiltrates. She lost follow-up for an unknown reason and was not given any active treatment for her condition. Several months later, she returned with a
1
0
0
🔍 What is the most common association with sinus venosus atrial septal defect (ASD)?
👉 The answer: Partial Anomalous Pulmonary Venous Return (PAPVR)!
🫁 This condition often coexists with sinus venosus ASD, where one or more of the pulmonary veins connect to the right atrium
1
0
1
🚨 Female patient with Afib on Apixaban, scheduled for a breast biopsy.
Most appropriate anticoagulation management: Continue on Apixaban.
🔎 No need to discontinue Apixaban for minor procedures like a breast biopsy.
🔄 RT for best practices
#MedTwitter
#Cardiology
#Hematology
1
0
0
🔬 Suspected case of infective endocarditis with positive blood cultures for Staph aureus. What else is needed to confirm the diagnosis?
📊 The answer: Echo evidence of vegetation!
🩺 Why is this important?
- Echocardiography can visualize vegetations on heart valves,
1
0
0
🚨 Case Alert: Post-Anterior MI Complication 🚑
🔍 Symptom: Tachycardia with a wide complex on ECG.
🔬 Diagnosis: Ventricular Tachycardia (Vtach)
💡 Quick recognition and management are crucial post-MI, especially with life-threatening arrhythmias like Vtach.
#Cardiology
#ECG
1
1
0
Patient with Poorly Controlled Asthma and Elevated Eosinophils and IgE: Likely Diagnosis
🔬 Case Overview:
- Patient: Poorly controlled asthma
- Labs: High eosinophils, elevated IgE
- Imaging: Chest x-ray
🔍 Most Likely Diagnosis:
- Diagnosis: Allergic Bronchopulmonary
0
0
0
شكرا لله
"اللهم صَل على محمد بعدد من صلى عليه
وصل على محمد بعدد من لم يصل عليه
وصل على محمد كما أمرت بالصلاة عليه
وصل على محمد كما تحب أن يُصلى عليه
وصل على محمد كما تنبغي الصلاة عليه
صلاة لاتعد ولا تحصى كلما ذكره الذاكرون وغفل عن ذكره الغافلون"
#JK1Page
0
0
1
⚠️ Cardiology Case Update ⚠️
Young female referred from primary health care center with an abnormal ECG showing preexcitation with delta waves. The patient is asymptomatic, with no history of syncope or palpitations.
💡 Next Step: Exercise test
Why?
- To assess for arrhythmias
1
0
0
❤️
0
0
1
60-year-old with acute decompensated heart failure, atrial fibrillation, HR 82, normotensive, EF 50%, and signs of volume overload. Next step?
Administer Furosemide to manage fluid overload effectively. 🚑💧
#HeartFailure
#Cardiology
#EmergencyMedicine
1
1
0
Edema and heart failure? 🚫 Avoid thiazolidinediones! These meds can worsen symptoms in HF patients. Stay informed and keep your heart health a priority.
#InternalMedicine
#MedEd
#knowmedge
Retweet to help others stay heart-smart!
1
0
0
🩺 Case Study: A patient with resistant hypertension presents for follow-up. Examination reveals an S4 heart sound and ECG shows left ventricular hypertrophy (LVH). The likely cause?
Diastolic dysfunction. Understanding heart sound patterns is crucial!
#MedEd
#MedTwitter
1
0
0
YouTube video explaining the differences between MVP, HOCM and Aortic Stenosis
Both HOCM and MVP increase with Standing or Valsalva
Both decrease with Hand Grip
Both decrease with squatting which is different from Valsalva
Note these murmers are the opposite of Most other
0
0
0
الحمد لله
شكرا لله
❤️❤️❤️
"اللهم صَل على محمد بعدد من صلى عليه
وصل على محمد بعدد من لم يصل عليه
وصل على محمد كما أمرت بالصلاة عليه
وصل على محمد كما تحب أن يُصلى عليه
وصل على محمد كما تنبغي الصلاة عليه
صلاة لاتعد ولا تحصى كلما ذكره الذاكرون وغفل عن ذكره الغافلون"
#JK1Page
1
0
1
⚠️ Pre-Colonoscopy Management ⚠️
Patient with a metallic aortic valve on warfarin, has a penicillin allergy, going for a colonoscopy and polyp biopsy.
💡 Next Step: In addition to stopping warfarin for 4 days, prescribe Clindamycin.
Why Clindamycin?
- Infection Prevention:
1
0
0
🩺 Clinical Insight: A 50-year-old lady presents with gradual shortness of breath and fatigue. Physical exam shows muffled heart sounds, clear lungs, elevated JVP, pulsus paradoxus, and breast mass.
Echo finding? Diastolic collapse of the right ventricle, suggesting tamponade.
0
0
0
🩺 A 39-year-old gentleman with a BMI of 38 presented with symptoms of morning headaches, unrefreshed sleep, fatigue, and snoring at night. Which of the following will be helpful in establishing the diagnosis?
Polysomnography.
Polysomnography, or a sleep study, is essential for
1
0
0
Young Male with Chest Tightness and Wheezing: Management Plan
🔬 Case Overview:
- Patient: Young male
- Symptoms: Chest tightness, wheezing, waking up at night 2-3 times a week
- Triggers: No obvious triggers
🔍 Best Management Plan:
- Treatment: Short-acting beta-agonist
1
0
0
👨⚕️ Heart Health Update: A patient with ischemic cardiomyopathy, EF 30%, on Lisinopril, Metoprolol & Statins, still at NYHA II?
Consider switching from Lisinopril to Entresto (Sacubitril/ Valsartan) to enhance symptom management and improve quality of life.
#MedEd
#MedTwitter
1
0
0
Patient with Poorly Controlled Asthma and Elevated IgE: Add-on Therapy
🔬 Case Overview:
- Patient: Poorly controlled asthma
- IgE level: 170
- Current treatment: Maximum medications
🔍 Good Add-on Therapy:
- Treatment: Omalizumab
📚 Clinical Insights:
- Omalizumab is an
1
0
0
🚨 Discharge Protocol: An elderly man with NSTEMI managed medically should be prescribed Aspirin and Ticagrelor at discharge to help prevent future cardiac events. This combo is key in secondary prevention!
#MedEd
#MedTwitter
#Medicine
#Healthcare
#Cardiology
🔄 Retweet to help
1
0
0
🚑 Hemodynamic Puzzle: Facing a case with low systemic vascular resistance (SVR), high cardiac index (CI), low pulmonary artery wedge pressure, and low central venous pressure (CVP)?
The likely cause is distributive shock. Timely recognition can save lives!
#MedEd
#MedTwitter
1
0
0
HTN with an S4 gallop & heart failure symptoms? 🫀🔍 An echocardiogram is likely to reveal Diastolic Dysfunction.
Understanding heart function is key in managing HTN and HF effectively.
#InternalMedicine
#MedEd
#knowmedge
Retweet to spread the word on heart health!
1
0
0