AAS Medical Notes

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The True Medicine رابط قناتي على اليوتيوب https://www.youtube.com/@the_true_medicine رابط صفحتي على الأنستا (انشر بيها كيسات تفيد المهتمين) https://www.instagram.com/ahmedabdsam?igsh=MTBldm4yaHk2ZnFoYw==

Saudi Arabia3 642 Medicine1 167...

📈 Analytical overview of Telegram channel AAS Medical Notes

Channel AAS Medical Notes (@amedicalnotes) is an active participant. Currently, the community unites 19 833 subscribers, ranking 1 167 in the Medicine category and 3 642 in the Saudi Arabia region.

📊 Audience metrics and dynamics

Since its creation on невідомо, the project has demonstrated rapid growth, gathering an audience of 19 833 subscribers.

According to the latest data from 10 July, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -90 over the last 30 days and by -3 over the last 24 hours, overall reach remains high.

Verification status: Not verified
Engagement rate (ER): The average audience engagement rate is 28.62%. Within the first 24 hours after publication, content typically collects 8.71% reactions from the total number of subscribers.
Post reach: On average, each post receives 5 676 views. Within the first day, a publication typically gains 1 727 views.
Reactions and interaction: The audience actively supports content: the average number of reactions per post is 96.
Thematic interests: Content is focused on key topics such as مَرِيض, كَيس, كِتَاب, طَبِيب, جِدّ.

📝 Description and content policy

The author describes the resource as a platform for expressing subjective opinions:
“The True Medicine رابط قناتي على اليوتيوب https://www.youtube.com/@the_true_medicine رابط صفحتي على الأنستا (انشر بيها كيسات تفيد المهتمين) https://www.instagram.com/ahmedabdsam?igsh=MTBldm4yaHk2ZnFoYw==”

Thanks to the high frequency of updates (latest data received on 11 July, 2026), the channel maintains relevance and a high level of publication reach. Analytics show that the audience actively interacts with content, making it an important point of influence in the Medicine category.

19 833

Subscribers

-324 hours

-377 days

-9030 days

5 676

Post views

~ 1 72724 hours

~ 1 99448 hours

28.62%

Engagement rate

No data

Posts per day

Ads index

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Posts Archive

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Guttate psoriasis

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Note : In chronic liver disease and if the patient develop anaemia that did not respond to blood transfusions, think about spur cell anaemia SCA . SCA occur due to change of RBCs membrane by cholesterol, making these RBCs ready for destruction, so even if you transfuse the patient, the new cells will become spur and destructed . The only treatment for this anaemia is liver transplantation.

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Good morning . 9 yo boy presented with these skin lesions since 2 months ago, mild itchy , no other abnormal findings apart from this . What is your ddx?? @AhmedAbdSambot

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نجي نجاوب الكيس

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Fever is a frequent feature of which of the following? A. Acute alcoholic hepatitis B. Acute hepatitis C C. Autoimmune hepatitis D. Chronic hepatitis B E. Chronic hepatitis C

Anonymous voting

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For more than 6 months . Spot dx . @AhmedAbdSambot

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نجاوب هالكيس

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Firstly, begin in the chin then spread gradually to involve the entire face . What is your dx and how will you manage her ??? @AhmedAbdSambot

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نجي نحل هذا الكيس بفويسات مبسطة إن شاء الله. اغلب الإجابات صحيحه و هي myasthenia gravis

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Normal bilirubin concentration is 1-1.5mg/dl in adults and this is principally unconjugate bilirubin UB with trace conjugate bilirubin CB . اكو مادة اسمها diazo reagent, يضيفوها ع ال serum, ف اذا تفاعل البليروبين مباشرة (يعني بسرعة) فسموا هذا البليروبين direct bilirubin, و اذا تفاعل ببطىء فسموه indirect bilirubin . و لأن ال Un conjugated bilirubin يحتوي على hydrogen bond الي تعرقل تفاعله مع ال diazo reagent, فكالوا ال UB=IB .و العكس بالنسبة لل CB يعني CB = DB . و بالحالة الطبيعية فقط 10-15% من البليروبين will react directly (DB) . اريدك تنتبه وياي اشوية، شغلة ان ال DB = CB و ال IB=UB, هذا صحيح بس مو 100% و ممكن يخربط التشخيص !!! 15% of direct reacting bilirubin is due to unconjugated bilirubin !!!! يعني لو اجاك التحليل و كايلك 90% هو اندايركت و 10% هو دايركت بليروبين ، و ال total bilirubin =5mg/dl ، فهسه اشكد ال CB and UB؟ هذا كله معناها unconjugated bilirubin UB ، ليش ؟ لان ال indirect reacting bilirubin هو 10% (يعني اقل من 15%)، يعني ايضا كان سببها ال UB . لو گايل ال indirect bilirubin =80% while DB is 20%, فهنا راح يكون ٩٥٪؜ هو UB و ٥٪؜ هو CB . تريد تتأكد من كلامك، دز البيشنت على GUE، اذا لكيت bilirubinuria, معناها هذا البيشنت عنده conjugated hyperbilirubinaemia . ضروري تفهم هذا الكلام.

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A 35-year-old woman comes to the clinic complaining of double vision that seems to worsen near the end of the day. She also complains of difficulty chewing meat and other hard foods. She notices that her symptoms improve following a good night’s sleep. On neurologic examination, you note a snarling appearance when the patient is asked to smile, and a nasal tone is heard in her voice. You also note a weakness in the upper extremities when the patient is asked to clench her fist around your finger repeatedly. @AhmedAbdSambot

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She had covid 2 weeks ago. PCR is negative now, but she developed this rash on her neck and chest. It's not itchy. Some fluid is coming out of the pustules. Fir discussion, @AhmedAbdSambot

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Jaundiced patient presented to you with behavioral changes 👉🏽👉🏽 you must think about these ddx : 1) hepatic encephalopathy: there is astrexisis (flapping tremer), very characteristic. 2) Wernke-Korsakoff syndrome : occur in alcoholic persons due to thiamine deficiency . Any alcoholic person presented to you with neuronal abnormality👉🏽👉🏽 give Thiamine. DO NOT GIVE GLUCOSE BEFORE THIAMINE . 3) Wilson disease : there is KF ring (may be non-observable clinically and need slit lamp) . 4) subdural haemorrhage SDH : sudden in onset if it was acute SDH and there is headache . هاي اهم اربع نقاط لازم تخليهن ع بالك ، و كلهن موجودات بالكتاب الي راح انزله الكم من اكمل من عنده ان شاء الله .

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For intractable cases of seizures, give the patient trial of B6 injections before intubation and GA . NELSON

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Kidney function test in context of liver failure : ١- اكيد تعرفون ان اليوريا تتصنع بالكبد، فلو واحد عند liver failure و نريد نقيس ال kidney function , ف urea level ما راح يعكس ال kidney function لان اصلا ناكو تصنيع لليوريا ٢- الكرياتينين، بعض الكرياتيتين يتصنع بالكبد و بعض منه بال muscles ، و جماعة ال liver failure عدهم muscle wasting , ف بالتالي creatinine production راح يكون قليل، فبالتالي ما يعكس ال kidney function . اتمنى هالنقطتين صارن واضحات عدكم الي بعده ما فاهمهن، يراسل ع البوت اعلاه .