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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 19 903 subscribers, ranking 1 158 in the Medicine category and 3 648 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 19 903 subscribers.

According to the latest data from 26 June, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -6 over the last 30 days and by -9 over the last 24 hours, overall reach remains high.

  • Verification status: Not verified
  • Engagement rate (ER): The average audience engagement rate is 26.21%. Within the first 24 hours after publication, content typically collects 12.39% reactions from the total number of subscribers.
  • Post reach: On average, each post receives 5 216 views. Within the first day, a publication typically gains 2 466 views.
  • Reactions and interaction: The audience actively supports content: the average number of reactions per post is 61.
  • 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 27 June, 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.

19 903
Subscribers
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Posts Archive
ุงู„ูƒู… ูˆุงู‡ุณ ู†ุตุนุฏ ุจ ุจุซ ู‚ุตูŠุฑ ุนู† ุงู„ู€ approach to abdominal pain in ermergency room ู„ูˆ ุน ุบูŠุฑ ูˆู‚ุชุŸุŸ

Diabetic patient . Diabetic foot with Eron class 4. ddx of thrombocytosis in this pt??? #haematology
Diabetic patient . Diabetic foot with Eron class 4. ddx of thrombocytosis in this pt??? #haematology

This patient has severe abdominal pain with change in the behavior. his urine as above. your ddx ???
This patient has severe abdominal pain with change in the behavior. his urine as above. your ddx ???

Name this sign?? its significance??

severe acute headache ddx??
severe acute headache ddx??

Metronidazole and pregnancy
Metronidazole and pregnancy

Rhythm ?? #ECG

Why such slow rising of S Na is recommended, this slow elevation has been achieved within 3 days. #metabolic
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Why such slow rising of S Na is recommended, this slow elevation has been achieved within 3 days. #metabolic

13 yo female presented with DKA After the regimen of DKA, the patient began to complain of a diffuse frontal headache and vom
13 yo female presented with DKA After the regimen of DKA, the patient began to complain of a diffuse frontal headache and vomiting then patient became progressively more lethargic Stop the regimen Send CT CT: cerebral edema

ACEI in treating acute MI ู…ู† ุงู„ุดุบู„ุงุช ุงู„ู…ู†ุณูŠุฉ ุจุฑุฌูŠู… MI ู‡ูˆ ACEI ู„ุงู† ุจูŠู‡ ุนุฏุฉ ููˆุงุฆุฏ ู…ู†ู‡ุง Reduce MI size, improve ventricular remodeling and have beneficial effect on morbidity and mortality ุดูˆูƒุช ุงู†ุทูŠู‡ ุจุงูŠ ูˆู‚ุช ุŸุŸ ุงุบู„ุจ ูƒุงูŠุฏู„ุงูŠู†ุฒ ุชูƒูˆู„ Should be initiated within 24hr of suspected acute MI ุฎู„ุงู„ 24 ุณุงุนุฉ ุชูƒุฏุฑ ุชู†ุทูŠุฉ ูˆุชุณุชู…ุฑ ุจูŠู‡ 4-6 ุฃุณุงุจูŠุน ุงุฐุง ู…ุงูƒูˆ contraindications ู…ุซู„ - Symptomatic hypotension - Renovascular hypertension (bilateral RAS) - Pregnancy - Severe HyperK Etc, .. ุงู…ุง ุงู„ุญุงู„ุงุช ู†ุทูŠู‡ ุจูŠู‡ุง - Anterior MI - HF - LV EF <40% ุงู„ุณุคุงู„ ูŠุทุฑุญ ู†ูุณู‡ ุงูƒุฏุฑ ุงู†ุทูŠู‡ ุจุญุงู„ุฉ inferior MI ุŸ ุชูƒุฏุฑ ุชู†ุทูŠู‡ ุงุฐุง ุณูˆูŠุช exclude ู„ู„ RV infarction ุงู…ุง ุจุงู„ู†ุณุจุฉ ู„ู„ dose ูˆุงู„ู…ุชูˆูุฑ ุนุฏู†ุง ุจุงู„ุทูˆุงุฑุฆ Captopril 25mg ุงุฐุง ุงุดูˆู ุนู†ุฏู‡ hypertension ุงู†ุทูŠ ุงู„ุญุจุงูŠุฉ ูƒุงู…ู„ุฉ ุงุฐุง borderline ุงู†ุทูŠู‡ ู†ุต ุญุจุงูŠุฉ 12,5mg Lisinopril 5mg ุงุฐุง ุนู†ุฏู‡ hypertension ุงู†ุทูŠ ุงู„ุญุจุงูŠุฉ ูƒู„ู‡ุง ูˆุงุฐุง ู…ุง ุนู†ุฏู‡ ู†ุต ุงู„ุญุจุงูŠุฉ (ุญุณุจ ุงู„ู…ุชูˆูุฑ ุนุฏู†ุง ู…ุง ุงุณุชู‡ู„ูƒ ุงู„ู…ุฑูŠุถ๐Ÿ˜…) ูˆุงุฐุง ู‡ูˆ ูŠุฑูŠุฏ ู…ู† ุจุฑุฉ ุงูุถู„ Ramipril 2,5mg

nice case of BRASH syndrome
nice case of BRASH syndrome

ุงุฌุชู†ุง ุนุฌูˆุฒ ู„ู„ุทูˆุงุฑุฆ ุนู†ุฏู‡ุง ุงู„ู… ู‚ูˆูŠ ุจุทู†ู‡ุง Acute abdominal pain & radiation to back ูˆุชูƒูˆู„ ุงุญุณู‡ ูŠู†ุจุถ ูˆูŠุฑูŠุฏ ูŠู†ูุฌุฑ ูˆ ุฃูˆู„ ู…ุฑุฉ ูŠุตูŠุฑ ุนู†ุฏู‡ุง ู‡ู„ ุงู„ู… ุจุดูƒู„ ู…ูุงุฌุฆ PMHx: AF, Stroke & HTN Vital signs ๐Ÿ‘‰ SpO2: 98% ๐Ÿ‘‰ BP: Lt arm 200/110 mmHg Rt arm 160/90 mmHg ๐Ÿ‘‰ PR: Lt 81 bpm Rt 70 bpm ูˆุฎู„ุงู„ ุงู„ุงูƒุฒุงู…ู†ูŠุดู† ู„ู„ abdomen ู…ุงูƒูˆ ูุงูŠู†ุฏูƒ ุชููƒูŠุฑูŠ ุตุงุฑ Acute abdominal pain is out of proportional to physical finding ู‡ุฐุง ูŠุฎู„ูŠู†ุง ู†ุชู…ุงุดู‰ ูˆูŠู‡ Ddx - Mesenteric infarction - Aortic rupture/dissection - Acute pancreatitis - Torsion of an ovarian cyst ุจู…ุง ุนุฏู†ุง pulse deficit & radio-radial delay AD/AA is most likely ูˆุญูˆู„ุชู‡ุง ู„ู„ู…ุฑูƒุฒ ุชุจูŠู† ุจุนุฏูŠู† ู‡ูŠ AD type A #emergency

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8.37 KB

Old age male presented with typical chest pain PMHx: IHD, PCI .................................... How to differentiate betwe
Old age male presented with typical chest pain PMHx: IHD, PCI .................................... How to differentiate between ACS from non ACS in this case (ST elevation in lead aVR + diffuse ST-Depression) #emergency #cardio #ecg

Keep this in your mind
Keep this in your mind

The last lecture in metabolic chapter in my emergency case ุทุจุนุงู‹ ู„ุญุฏ ู‡ุณู‡ ูˆุตู„ู† ุนุฏุฏ ุงู„ู…ุญุงุถุฑุงุช ููŠ ุงู„ูƒูˆุฑุณ ุงู„ู‰ 44 ู…ุญุงุถุฑุฉ ุงู„ู…ูˆุงุถูŠุน
The last lecture in metabolic chapter in my emergency case ุทุจุนุงู‹ ู„ุญุฏ ู‡ุณู‡ ูˆุตู„ู† ุนุฏุฏ ุงู„ู…ุญุงุถุฑุงุช ููŠ ุงู„ูƒูˆุฑุณ ุงู„ู‰ 44 ู…ุญุงุถุฑุฉ ุงู„ู…ูˆุงุถูŠุน ุงู„ูŠ ุฎู„ุตู†ุงู‡ู† ู‡ู… Neuro emergencies Cardiac emergencies Respiratory emergencies Metabolic emergencies ุจู‚ู‰ ุนุฏู†ุง GIT emergencies Renal emergencies Miscellaneous (sepsis, blood products, etc) ุชูุงุตูŠู„ ุงู„ูƒูˆุฑุณ ู…ู†ุดูˆุฑุฉ ุจุงู„ู‚ู†ุงุฉ ุจุงู„ุชูุตูŠู„ุŒ ูˆ ุงูŠ ุงุณุชูุณุงุฑ ุชูƒุฏุฑูˆู† ุชุฑุงุณู„ูˆู† ุงุญุฏ ุงู„ู…ุนุฑููŠู† @AhmedAbdSaam @AASmedicalbot

65 yo male Hx of HF + CVA presented with altered mental status BP less than 90 systolic SpO2 94% Interpretation of X ray and
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65 yo male Hx of HF + CVA presented with altered mental status BP less than 90 systolic SpO2 94% Interpretation of X ray and ECG? Next step?

ุงุฎูˆุงู† ุจุงู„ู†ุณุจุฉ ู„ู‡ุงูŠ ุงู„ุตูุญุฉ ุจุงู„ูƒุชุงุจ ู‡ุฐุง ุชุนุฑูŠุฌ ุจุณูŠุท ุนู† ุนู„ุงุฌ ุงู„ู€ hyperkalemia ููŠ ุญุงู„ุงุช ุงู„ู€ digoxin toxicity. ุงุฐุง ุชุชุฐูƒุฑูˆู† ุงู„ู…ูˆุถูˆุน
ุงุฎูˆุงู† ุจุงู„ู†ุณุจุฉ ู„ู‡ุงูŠ ุงู„ุตูุญุฉ ุจุงู„ูƒุชุงุจ ู‡ุฐุง ุชุนุฑูŠุฌ ุจุณูŠุท ุนู† ุนู„ุงุฌ ุงู„ู€ hyperkalemia ููŠ ุญุงู„ุงุช ุงู„ู€ digoxin toxicity. ุงุฐุง ุชุชุฐูƒุฑูˆู† ุงู„ู…ูˆุถูˆุน ุงู„ุงุณุงุณูŠ ู‡ูˆ AFุŒ ูˆ ู…ู† ุนุฏู‡ุง ุนุฑุฌู†ุง ุน ุงู„ุฏูŠุฌูˆูƒุณูŠู† ูˆ ุจุนุฏู‡ุง ุงู„ุชุณู…ู… ุจุงู„ุฏูŠุฌูˆูƒุณูŠู† ูˆ ุจุนุฏู‡ุง ุงู„ู€ phenytoin ูˆ ุงู„ู€ dyskalemia ุจู†ูˆุนูŠู‡ุง ุงู„ู€ hypo ูˆ hyper. ูู‡ุฐุง ุดุฑุญ ุจุณูŠุท ูˆ ุชุนุฑูŠุฌ ุจุณูŠุทุŒ ูˆ ู„ูŠุณ ู…ูˆุถูˆุน ูƒุงู…ู„.

Maintenance fluid The maintenance fluid therapy should be started as glucosaline, not alternating between glucose water and NS. ๐Ÿ‘‰ The recommended glucosaline GS of choice is glucose 4% and saline 0.18% This prepared by adding 100 ml of 0.9% saline to 400 ml glucose water. ๐Ÿ‘‰ we can restrict the glucose-containg fluid if the patient is diabetic. ๐Ÿ‘‰ Potassium should be replaced with each infused fluid with a rate 1 mEq/Kg/d. ๐Ÿ‘‰ insensible water loss is โ‰ˆ 10 ml/kg, from which 8 ml/kg is through sweating and 2 ml/kg is through respiration: A. for each 1 C above 38 C, we add 2.5 ml/kg to the insensible loss, or 12% to 8 ml/kg. B. for tachypneic patient, we add 10-30% (according to the severity of tachypnea) to 2 ml/kg. ุจุจุณุงุทุฉ: ุงู„ู€ maintenance fluid ู‡ูˆ 30 ml/kg ู…ู† ุนุฏู‡ุง 20ml/kg ู‡ุงูŠ ุนู† ุทุฑูŠู‚ ุงู„ sensible water loss ูˆ ู‡ุฐุง ู†ุดูˆู ูˆ ู†ุญุณุจุŒ ู…ู…ูƒู† ูŠุทู„ุน ุจุงู„ู†ู‡ุงูŠุฉ ุงูƒุซุฑ ู…ู† 20 ุณูŠุณูŠ/ูƒูŠู„ูˆุŒ ูˆ ู…ู…ูƒู† ูŠุทู„ุน ุงู‚ู„ุŒ ูˆ ุญุณุงุจู‡ุง ุณู‡ู„. ู…ู† ุนุฏู‡ุง 10ml/kg ูˆูˆู‡ุงูŠ insensible water loss: 8 ml/kg via sweating and 2 ml/kg via respiration ู…ุซู„ุง ุจูŠุดู†ุช ูˆุฒู†ู‡ 60 ูˆ ุนู†ุฏู‡ sepsis ูˆ ุตุงูŠุฑ feverish ูˆ ุญุฑุงุฑุชู‡ 39ุŒ ูˆ ุนู†ุฏู‡ tachypnea ูˆ ู…ุนุฏู„ ุงู„ุชู†ูุณ 25ุŒ ุดู„ูˆู† ู†ุญุณุจ ุŸุŸุŸ initial sensible loss = 20 ml/kg = 1200 ml/d. insensible water loss, wee start with: A. sweating: 8 ml/kg = 480 ml per day. Temp >38 by 1 we replace with 2.5 ml/kg = 150 cc B. Breathing: 2 ml/kg = 120. moderate tachypnea : we can replace with 20% from 120 ml = 24 ml/day So total insensible loss = 480 + 150 + 120 + 24 = 675 ml/day. Total loss = 1200 + 675 = 1875 ml/d.