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AAS Medical Notes

AAS Medical Notes

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The True Medicine ุฑุงุจุท ู‚ู†ุงุชูŠ ุนู„ู‰ ุงู„ูŠูˆุชูŠูˆุจ https://www.youtube.com/@the_true_medicine ุฑุงุจุท ุตูุญุชูŠ ุนู„ู‰ ุงู„ุฃู†ุณุชุง (ุงู†ุดุฑ ุจูŠู‡ุง ูƒูŠุณุงุช ุชููŠุฏ ุงู„ู…ู‡ุชู…ูŠู†) https://www.instagram.com/ahmedabdsam?igsh=MTBldm4yaHk2ZnFoYw==

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๐Ÿ“ˆ Analytical overview of Telegram channel AAS Medical Notes

Channel AAS Medical Notes (@amedicalnotes) is an active participant. Currently, the community unites 19 871 subscribers, ranking 1 158 in the Medicine category and 3 637 in the Saudi Arabia region.

๐Ÿ“Š Audience metrics and dynamics

Since its creation on ะฝะตะฒั–ะดะพะผะพ, the project has demonstrated rapid growth, gathering an audience of 19 871 subscribers.

According to the latest data from 04 July, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -40 over the last 30 days and by 1 over the last 24 hours, overall reach remains high.

  • Verification status: Not verified
  • Engagement rate (ER): The average audience engagement rate is 25.16%. Within the first 24 hours after publication, content typically collects 7.73% reactions from the total number of subscribers.
  • Post reach: On average, each post receives 4 999 views. Within the first day, a publication typically gains 1 536 views.
  • Reactions and interaction: The audience actively supports content: the average number of reactions per post is 102.
  • Thematic interests: Content is focused on key topics such as ู…ูŽุฑููŠุถ, ูƒูŽูŠุณ, ูƒูุชูŽุงุจ, ุทูŽุจููŠุจ, ุฌูุฏู‘.

๐Ÿ“ Description and content policy

The author describes the resource as a platform for expressing subjective opinions:
โ€œThe True Medicine ุฑุงุจุท ู‚ู†ุงุชูŠ ุนู„ู‰ ุงู„ูŠูˆุชูŠูˆุจ https://www.youtube.com/@the_true_medicine ุฑุงุจุท ุตูุญุชูŠ ุนู„ู‰ ุงู„ุฃู†ุณุชุง (ุงู†ุดุฑ ุจูŠู‡ุง ูƒูŠุณุงุช ุชููŠุฏ ุงู„ู…ู‡ุชู…ูŠู†) https://www.instagram.com/ahmedabdsam?igsh=MTBldm4yaHk2ZnFoYw==โ€

Thanks to the high frequency of updates (latest data received on 05 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.

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๐Ÿ“‘ Hyper-segmented neutrophil It is defined as the presence of neutrophils with 6 or more lobes or the presence of more than
๐Ÿ“‘ Hyper-segmented neutrophil It is defined as the presence of neutrophils with 6 or more lobes or the presence of more than 3% of neutrophils with at least 5 lobes. ๐ŸŽ— It is seen in ๐Ÿ‘‰ Megaloblastic anemia (deficiency of folate or vit.B12) ๐ŸŽ— It is Not seen ๐Ÿ‘‰ Macrocytic non megaloblastic anemia (alcohol, liver disease, phenytoin therapy, hypothyroidism) ๐Ÿ”– So Clinicians may send requests to search a hyper-segmented neutrophils to differentiate between megaloblastic vs non megaloblastic macrocytic anemia. ๐Ÿ”– But hyper-segmented neutrophils are not pathognomic of megaloblastic anemia as they are also seen in: ๐Ÿ‘‰Uremia ๐Ÿ‘‰Patients on methotrexate or other chemotherapeutic agents ๐Ÿ‘‰Severe Iron deficiency anemia ๐Ÿ‘‰Myelodyplastic syndrome #hematology

ุชูุฑูŠุบ ุงู„ hypocalcaemia ุงู„ูŠ ุณุฌู„ุช ุงู„ููˆูŠุณ ุงู„ุฏูƒุชูˆุฑุฉ ู…ุฑูŠู… ุนุงุดุช ุงูŠุฏู‡ุง ูˆ ุดูƒุฑุงู‹ ุฌุฒูŠู„ุงู‹ ุงู„ู‡ุง

Very Nice case to see This 39 yo medically free female presented with central chest pain which was sudden in onset. ุงู„ู…ูุฑูˆุถ ู‡
Very Nice case to see This 39 yo medically free female presented with central chest pain which was sudden in onset. ุงู„ู…ูุฑูˆุถ ู‡ุฌูŠ ูƒูŠุณ ู†ุจุฏูŠ ุจ ECG ุงู„ู…ู‡ู…ุŒ ุงู„ูŠ ูƒุงู† ู…ูˆุฌูˆุฏ ุฏุฒุงู‡ุง Chest X rayุŒ ูˆ ุงู„ูŠ ู…ู† ุงู„ูˆู‡ู„ุฉ ุงู„ุฃูˆู„ู‰ ุชุจุฏูŠ ู†ูˆุฑู…ู„ In this CXR : there are 2 important and highly specific signs : Fleischner sign on the right and Westermark's sign on the left. ุชฺฏุฏุฑ ุชุจุฏูŠ ุจุงู„ anti coagulants ูˆ ุชุนุงู…ู„ ู‡ุฐุง ุงู„ูƒูŠุณ ุน ุงู†ู‡ pulmonary embolism ูู‚ุท ุจู†ุงุกุงู‹ ุน ู‡ุงูŠ ุงู„ chest X ray. Later on : CTPA was done which confirm bilateral PE. #emergency #respiratory #radiology

๐Ÿ“‘ Iron deficiency anemia (IDA) ๐Ÿ“ IDA + dysphagia + esophageal webs ๐Ÿ‘‰ Plummer Vinson ๐Ÿ“ IDA + angiodysplasia + aortic stenosis ๐Ÿ‘‰ Heyde syndrome ๐Ÿ“ IDA + nocturnal leg discomfort ๐Ÿ‘‰ Restless leg syndrome ๐Ÿ“ IDA + Gluten intolerance ๐Ÿ‘‰ Celiac ๐Ÿ“ IDA + urine loss of iron + intravascular hemolysis ๐Ÿ‘‰ Paroxysmal nocturnal hemoglobinuria ๐Ÿ“ IDA + Haemolytic Anaemia + Eosinophilia ๐Ÿ‘‰ Infection cause (Ankylostoma) ๐Ÿ“ IDA + Middle age or post menopausal + Hx of melena or rectal blood loss ๐Ÿ‘‰ Colon cancer #hematology

Pulmonary embolism #respiratory #emergency
Pulmonary embolism #respiratory #emergency

ุงูŠ ุชุทุจูŠู‚ ุฒูŠู† ูŠุฏู…ุฌ ุตูˆุฑ ุจุญูŠุซ ูŠุญุงูุธ ุน ุงู„ุญุฌู… ู„ู„ุตูˆุฑู‡ ูˆู…ุง ูŠุงุซุฑ ุจุฏู‚ุชู‡ุง ุฎู„ ูŠุฑุณู„ู‡ ู„ู„ ุฏ ุงุญู…ุฏ ๐Ÿ˜‚ @AASmedicalbot

Acute Coronary Syndrome ACS Vs pulmonary embolism PE in ECG ุฃุซู†ูŠู†ู‡ู… ูŠุตูŠุฑ ุนุฏู‡ู… Chest pain, positive troponin, ST-T changes, an
Acute Coronary Syndrome ACS Vs pulmonary embolism PE in ECG ุฃุซู†ูŠู†ู‡ู… ูŠุตูŠุฑ ุนุฏู‡ู… Chest pain, positive troponin, ST-T changes, and high D-dimer ู ุงุดู„ูˆู† ุฃฺฏุฏุฑ ุงูุฑู‚ู‡ู… ุนู† ุจุนุถ ุจ ุงุณุชุฎุฏุงู… ุงู„ ECG ๐Ÿ™„๐Ÿ™„ Look to the T wave in V1-V4 and inferior leads : ูก. ุฅุฐุง ู„ูƒูŠุช Inverted T in V1 and in Lead IIIุŒ ูู‡ุฐุง ุชุนุงู…ู„ู‡ ู…ุนุงู…ู„ุฉ ุงู„ PE ูข. ุฅุฐุง ู„ฺฏูŠุช discordant T wavesุŒ ูŠุนู†ูŠ ูˆุญุฏุฉ ุนูƒุณ ุงู„ุซุงู†ูŠู‡ in V1 and lead IIIุŒ ู ุชุนุงู…ู„ู‡ ู…ุนุงู…ู„ุฉ ุงู„ ACS. ูฃ. ุฅุฐุง ู„ฺฏูŠุช Inverted T in V3-V4 ุฃูƒุซุฑ ู…ู† V1-V2ุŒ ู ุชุนุงู…ู„ู‡ุง ู…ุนุงู…ู„ุฉ ุงู„ ACS. ุฃู‡ู… ู†ู‚ุทุฉ ูˆ ุงู„ูŠ ู„ุงุฒู… ุงู„ูƒู„ ูŠุนุฑูู‡ุง ู‡ูŠ ุงู„ู†ู‚ุทุฉ ุงู„ุฃูˆู„ู‰. ุงู„ุจุงู‚ูŠ ุฒูŠุงุฏุฉ ุฎูŠุฑ This pt presented with chest pain and positive troponin ุทุจุนุง ุงูƒูˆ ู‡ูˆุงูŠ signs ุจู‡ุฐุง ุงู„ ecg ุจุณ ุญุจูŠุช ุงุดุฑุญ ู‡ุงูŠ ุงู„ุณุงูŠู† ู„ุฃู† ู‡ูŠ ุงู„ most specific ูˆ ุงู„ูŠ ุฏุงุฆู…ุง ุชูู†ุณู‰. S1Q3T3 pattern neither sensitive nor specific ๐Ÿ˜’๐Ÿ˜’ By #Ahmed_Abdsam #ECG

๐Ÿ“” PPI ๐Ÿ“„ Best time to take PPI ๐Ÿ‘‰ 30 min before breakfast.Why? ๐Ÿ‘‰To ensure maximum plasma concentration of PPI in plasma before activation of proton pump. ๐Ÿ“„ Omeprazole & esomeprazole is described as inhibiting CYP2C19 ๐Ÿ‘‰ decreasing clearance of diazepam, phenytoin & warfarin. ๐Ÿ“„ Lansoprazole ๐Ÿ‘‰ increases metabolism of theophylline by inducing CYP1A. ๐Ÿ“„ Long-term PPI in older pt on high dosages ๐Ÿ‘‰ increased risk of hip fractures by inhibition of calcium absorption by PPI-induced hypochlorhydia. ๐Ÿ“„ PPIs ๐Ÿ‘‰ increased risk of infections (e.g,pneumonias, enteric infections) ๐Ÿ‘‰ less acidic environment #pharma

ู‡ู„ูˆูˆูˆ ุฑุฏุช ุงุดูˆููƒู… ู‡ุงูŠ ุงู„ sign ุงุณู…ู‡ุง Strawberry tongue ู„ุณุงู† ุงู„ูุฑุงูˆู„ู‡ ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ Causes : Kawasaki disease Scarlet fever Allergy B12
ู‡ู„ูˆูˆูˆ ุฑุฏุช ุงุดูˆููƒู… ู‡ุงูŠ ุงู„ sign ุงุณู…ู‡ุง Strawberry tongue ู„ุณุงู† ุงู„ูุฑุงูˆู„ู‡ ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ Causes : Kawasaki disease Scarlet fever Allergy B12 deficiency #pediatric

๐Ÿ“‘ Sharp stabbing chest pain โœ“ Sharp stabbing chest pain, fever and cough ๐Ÿ‘‰ suggests pneumonia โœ“ Sudden sharp stabbing chest pain, dyspnea without fever ๐Ÿ‘‰ suggests pulmonary embolism โœ“ Sharp stabbing chest pain improves on leaning forward ๐Ÿ‘‰suggests pericarditis

Cullen's sign and Grey Turner's sign in necro-haemorrhagic acute pancreatitis By #Ahmed_AbdSam
Cullen's sign and Grey Turner's sign in necro-haemorrhagic acute pancreatitis By #Ahmed_AbdSam

Cullen's sign and Grey Turner's sign in necro-haemorrhagic acute pancreatiti
Cullen's sign and Grey Turner's sign in necro-haemorrhagic acute pancreatiti

ุงุฎูˆุงู† ู‡ุฐุง ุงู„ููˆูŠุณ ูƒู„ุด ู…ู‡ู… ูƒู„ุด Hypocalcaemia Pseudo hypo Calcaemia Ionized vs total calcium Etiologies of hypocalcaemia Calcium gluconate

23 yo M marfanoid-looking with Arachnodactyly (spider fingers) ๐Ÿ‘‰ fingers are long, slender, and curved. Note: ๐Ÿ“‘ALL pt with
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23 yo M marfanoid-looking with Arachnodactyly (spider fingers) ๐Ÿ‘‰ fingers are long, slender, and curved. Note: ๐Ÿ“‘ALL pt with Marfan's syndrome should be on BB"Beta-blocker" ๐Ÿ‘‰BB significantly reduce the risk of Aortic Dissection "the most serious complication of Marfan"

Brugada syndrome _ ุจุงู„ุชูุตูŠู„ ุงู„ู…ู…ู„๐Ÿ˜…_ ุชูู‡ู…ู‡ุง ุจุงู„ูƒุงู…ู„ ๐Ÿ’ช From A to Z ๐Ÿ‘‰ From Start to End #ECG

ุตุงุฑ ู„ุงุฒู… ู†ุดุฑุญ ุงู„ hypo Calcaemia ูˆ ุจุงู„ุชูุตูŠู„ ุงู„ู…ู…ู„ ูŠุนู†ูŠ ู…ู† ุชุณู…ุน ุงู„ููˆูŠุณ ุงู„ูŠ ุฑุงุญ ูŠู†ุฒู„ุŒ ุงุฎู„ูŠูƒ ุงูˆู„ ู…ุฑุฉ ุชุญุณ ุจู†ูุณูƒ ุชุนุฑู ุงู„ูƒุงู„ุณูŠูˆู… ๐Ÿ˜‚๐Ÿ˜‚๐Ÿ˜‚ ู„ุง ู„ุง ุฃุชุดุงู‚ู‡ Remember : The devil in the details ๐Ÿ˜Ž๐Ÿ˜Ž๐Ÿ˜Ž๐Ÿ˜Ž

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24 yo M has facial muscle wasting and weakness, wasting of scapular muscles with winging of scapula, He also have deltiod mus
24 yo M has facial muscle wasting and weakness, wasting of scapular muscles with winging of scapula, He also have deltiod muscle atrophy with whistling difficulty. ๐Ÿ‘‡ Diagnosed as case of Facio-scapulo-humeral muscular dystrophy clinically.

๐Ÿ“‘ Edema: โœ’๏ธ Initially leg edema then facial edema & ascites ๐Ÿ‘‰ suggests cardiac cause (congestive heart failure) ---------- โœ’๏ธ Initially facial edema followed by leg edema ๐Ÿ‘‰ suggests renal cause of edema (CKD, GN/Nephrotic syndrome) ---------- โœ’๏ธ Initially ascites followed by leg or facial swelling ๐Ÿ‘‰ suggests liver cause (decompensated liver cirrhosis ) ---------- โœ’๏ธ Sudden onset perioral or periorbital swelling associated with shortness of breath or abdominal pain ๐Ÿ‘‰ suggests angioedema

Dental cleaning ๐Ÿ‘‡ Fevers ๐Ÿ‘‡ Pulsatile mass ๐Ÿ‘‡ Ulnar artery mycotic aneurysm ๐Ÿ‘‰ Infective Endocarditis #nejm
Dental cleaning ๐Ÿ‘‡ Fevers ๐Ÿ‘‡ Pulsatile mass ๐Ÿ‘‡ Ulnar artery mycotic aneurysm ๐Ÿ‘‰ Infective Endocarditis #nejm