Dr mohamed mukhtar

13/05/2026

Emergency drugs

07/05/2026

Laparoscopic Cholecystectomy at Royal Family Hospital galkacyo

25/04/2026

🧪 Sida loo baaro uurka
Urine Pregnancy Test (hCG Test)

🔬 What does it detect?
• Detects Human chorionic gonadotropin (hCG)
• Hormone-kan waxaa la soo saaraa kadib implantation (bilowga uurka) hormonkaan wa midka masulka ka ah uur wu jira ama ma jiro

⸻

⏱️ waqtigee ugu fican in la is ka qado kadida (
When to test?
• ✔️ Ugu fiican: subaxda h**e (first morning urine) → hCG xiliga ayu ad u badanyahay
• ✔️ Waxaa la ogaan karaa: 7–10 maalmood kadib conception
• ✔️ Ugu reliable: kadib marka caadada kaa baaqato (missed period) xiliga cadad ka imankahed marka la garo marka aya ugu fican in la baro ka horna wa la ogan karaa

⸻

🧪 How to Perform (sida lo sameyo baritanka Steps)
1. Qaado urine nadiif ah
2. Ku rid strip-ka ama ku shub drops cassette-ka
3. Sug 3–5 daqiiqo
4. Akhri natiijada waqtigeeda (ha ka daahin)

📊 Result Interpretation( sida ay uso muqanfonto jawabta marka aad kadida ku dhibcisid kasedka)
• 2 Lines (C + T) → ✅ Positive (Uur jiro)
• 1 Line (C only) → ❌ Negative
• No Control Line (C) → ⚠️ Invalid test (dib u samee) hadi ay hal hariqan ka so muqato dhanka T keliy la qalad aya jira ku celi

💡 Xasuus: Xitaa haddii T line uu khafiif yahay → waa positive.

24/04/2026

ECTOPIC PREGNANCY — A LIFE-THREATENING OBSTETRIC EMERGENCY 🚨

Ectopic pregnancy occurs when a fertilized o**m implants outside the uterine cavity, most commonly in the fallopian tube (ampulla). Early recognition is crucial, as rupture can lead to catastrophic hemorrhage and maternal morbidity.

🔹 Classical triad: Amenorrhea + Abdominal pain + Va**nal bleeding
🔹 Risk factors: PID, prior ectopic, infertility treatment, tubal surgery, smoking
🔹 Diagnosis: β-hCG trends + Transvaginal USG
🔹 Management: Methotrexate in selected stable patients; surgery in rupture/unstable cases

⚠️ High-yield pearl: Shoulder tip pain may indicate hemoperitoneum from ruptured ectopic.

Early diagnosis saves lives.

22/04/2026

🔥📚 Obstetric Hemorrhage
🧠✨ “BLEED SAFE” — MASTER OBSTETRIC BLEEDING 🚨

🩸 1️⃣ Bleeding During Pregnancy

🔴 EARLY (< 20 WEEKS) — “A E V D H”
💡 Mnemonic: “A Very Dangerous Heart” ❤️💣
🅰️ Abortion
🅴 Ectopic Pregnancy
🆅 Vesicular Mole (Molar Pregnancy)
🅳 Decidual Bleeding
🅷 Hartman’s Sign (Implantation Bleeding)

🔵 LATE (> 20 WEEKS / APH) — “P A E”
💡 Mnemonic: “Placenta Always Ends Danger” ⚖️🧠
🅿️ Placenta Previa
🅰️ Placental Abruption
🅴 Extra-placental Causes

⚡ 2️⃣ Intrapartum Hemorrhage — “3P + T”
💡 Mnemonic: “Placenta Problems + Trauma” 💥
🩸 Placenta Previa
🩸 Placental Abruption
🩸 Placental Issues (Retained/Separation)
🔪 Trauma (Birth Canal Injury)

💣 3️⃣ Postpartum Hemorrhage — “4 T’s” (LIFE-SAVING ⚠️)
💡 Mnemonic: “TONE TRAUMA TISSUE THROMBIN” 🧠🔥

🧱 Tone → Uterine Atony (MOST COMMON 💥)
🔪 Trauma → Lacerations / Rupture
🧩 Tissue → Retained Placenta
🧬 Thrombin → Coagulopathy

🧬 4️⃣ Local Gynecological Causes — “V V C U T”
💡 Mnemonic: “Very Vicious Cervix Under Trouble” 😈
🌸 V***a
💧 Va**na
🎯 Cervix (Polyps, HPV, Tumors)
💥 Uterine Rupture
⚠️ Tumors / Ulcers

💡 5️⃣ Special Types You Must Never Miss ⚠️
🌿 Decidual Bleeding
💡 “Fake Period During Pregnancy” 🩸
Occurs early (< 12 weeks)
Scanty, short duration
❤️ Hartman’s Sign (Implantation Bleeding)
💡 “The Misleading Light Period” 🌙
Occurs ≈ 1 week after fertilization
⚠️ May mislead GA calculation

🚨🔥 Clinical Pearls (MRCOG Gold 💎)
⚠️ Any bleeding in pregnancy = ECTOPIC until proven otherwise
⚠️ APH = NO PV EXAM before ultrasound ❌
⚠️ PPH = ACT FAST → Minutes save lives ⏳💣
⚠️ Atony is the #1 cause of PPH 🧱

🎯💥 ULTRA-FAST RECALL (ONE LINE)
🧠
Early → AEV D H
Late → P A E
Intrapartum → Placenta + Trauma
Postpartum → 4 T’s
💥📚

22/04/2026

05/04/2026

Tababar ku sabsan computar ka hoyoyinka uurka leh ( obstetric ultrasound ) aya si wada jir ah u wada bixin dinan Royal college iyo family hospital waxana bixindona Dr mohamed abdulahi wuxu socondona tababarka mudo 2 bilood ah ka fa ideysi wacan
Kala xirir wixi fah fahin ah lambarada hoos ku qoran

19/03/2026

Maxaa sababa dhalmo la aan ta ku timaada dumar ( female infertility)

06/02/2026

Asxabta magacyada alabta aya la is ka raba

05/02/2026

22/12/2025

https://t.me/c/1528039642/53