Dr Ihab Suliman can be given in increase idiopathic intra cranial pressure and increase intra ocular pressure (glaucoma). MOA: carbonic anhydrase ll inhibitor

Dr Ihab Suliman Acetazolamide is often used for Idiopathic Intracranial Hypertension (IIH). It reduces intracranial pressure by inhibiting carbonic anhydrase, decreasing cerebrospinal fluid production and relieving symptoms like headaches.

Dr Ihab Suliman Its testicular torsion Here is the Clinical Implications 1.Medical Emergency: Testicular torsion is a urological emergency. If not treated promptly (typically within 6 hours)it can lead to ischemia (lack of blood flow) and potentially permanent damage or loss of the testicle👇

Dr Ihab Suliman 2.Symptoms: Severe sudden onset of testicular pain, swelling, nausea, and sometimes abdominal pain. 3.Treatment: Surgery (orchiopexy) is usually required to untwist the cord and prevent recurrence.

Dr Ihab Suliman Lamotrigine is an antiepileptic drug that might cause aseptic meningitis. => Is there photophobia? => Is there meningeal signs: nuchal rigidity, Babinski & Brudzinski signs. => It's rare, but serious side effect.

Dr Ihab Suliman Bell Clapper deformity Clinical implication- Testicular Torsion

A Child with Palpitations. Before and after. What is the diagnosis?

At First. Then. And Finally. What has happened?

Dr Ihab Suliman Pre-excited AF

A 51 years old. What is the description or diagnosis?