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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 19 870 subscribers, ranking 1 161 in the Medicine category and 3 650 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 19 870 subscribers.

According to the latest data from 03 July, 2026, the channel demonstrates stable activity. Although there has been a change in the number of participants by -45 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 24.72%. Within the first 24 hours after publication, content typically collects 8.36% reactions from the total number of subscribers.
  • Post reach: On average, each post receives 4 912 views. Within the first day, a publication typically gains 1 662 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 04 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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ALL 3 will give you Microcytic Erythrocytosis (Low MCV + High RBC Count): ๐Ÿ‘‰ Polycythemia Vera ๐Ÿ‘‰ Hypoxia ๐Ÿ‘‰ Thalassemia Note
ALL 3 will give you Microcytic Erythrocytosis (Low MCV + High RBC Count): ๐Ÿ‘‰ Polycythemia Vera ๐Ÿ‘‰ Hypoxia ๐Ÿ‘‰ Thalassemia Note: Microcytosis is disproportionately with very low MCV for the near normal Hb level that characteristics of thalassemia. ( Low MCV + High RBC count + Normal Hb) in this case ๐Ÿ‘‡ So thalassemia is more suggestive than hypoxia and polycythemia vera #hematology

๐Ÿ“‘ Fatigue plus Suggestive diagnosis ๐Ÿ“ Female + fatigue + photosensitivity+ active urine sediment ๐Ÿ‘‰ SLE nephritis ๐Ÿ“ Female + fatigue + pruritis + Raised ALP > AST and AST ๐Ÿ‘‰ Primary biliary cirrhosis ๐Ÿ“Female + Fatigue + dyspnea+ Syncope ๐Ÿ‘‰ Pulmonery HTN ๐Ÿ“Obesity + fatigue + daytime sleepiness ๐Ÿ‘‰ Obstructive sleep apnea ๐Ÿ“Fatigue + hyperCa + cough ๐Ÿ‘‰ Sarcoidosis ๐Ÿ“Fatigue + hyperCa + tummy pain + positive family history ๐Ÿ‘‰ MEN type 1 ๐Ÿ“ Female + fatigue + double vission ๐Ÿ‘‰ Myasthenia gravis or Graves disease ๐Ÿ“ Female + Fatigue + hypoNatrimia ๐Ÿ‘‰ Acute intermittent porphyria with SIADH ๐Ÿ“ Fatigue + hypoNa + hyperK ๐Ÿ‘‰ Addison's disease ๐Ÿ“ Fatigue + hyperNa+ borderlime low k ๐Ÿ‘‰ Conn's disease ๐Ÿ“ Male+ Facial appeance change + fatigue + uncontrol HTN/DM ๐Ÿ‘‰ Acromegaly ๐Ÿ“ Fatigue + deranged LFT + joint pain + bloody diarrhoea ๐Ÿ‘‰ Primary sclerosing cholangitis ๐Ÿ“ Male + fatigue + proximal myopathy after exercise or heavy carbohydrate meal ๐Ÿ‘‰ Periodic paralysis ๐Ÿ“ Male + fatigue + Frontal baldness+ Ptosis+ Delayed relaxation of Hand grip ๐Ÿ‘‰ Myotonic dystrophy ๐Ÿ“ Female + fatigue + proximal weakness + Muscle pain + raised CPK ๐Ÿ‘‰ Polymyositis ๐Ÿ“ Female + Fatigue+ Low mood + Hot weather preference+ constipation ๐Ÿ‘‰ Hypothyroidism ๐Ÿ“ ELDERLY + fatigue + shoulder & Hip girdle pain ๐Ÿ‘‰ Polymyalgia rheumatica ๐Ÿ“ Young + Unusual fatigue + loss motion+ Iron & B12deficiency ๐Ÿ‘‰ Celiac disease ๐Ÿ“ Female + fatigue all the time + sleep problem ๐Ÿ‘‰ Chronic fatigue syndrome ๐Ÿ“ Fatigue + Other autoimmune disease or Gastrectomy ๐Ÿ‘‰ Anemia (pernicious) ๐Ÿ“ Fatigue+ weight loss + fever+ night sweat ๐Ÿ‘‰ Case for D.D (Cancer, lymphoma, HIV, infective endocarditis) ๐Ÿ“ Young female + Fatigue + deranged LFTs + secondary amenorrhoea ๐Ÿ‘‰ Autoimmune hepatitis

This pt presented with insidious shortness pf breath. He is hypeetensive and asthmatic. What are the ECG findings @AASmedical
This pt presented with insidious shortness pf breath. He is hypeetensive and asthmatic. What are the ECG findings @AASmedicalbot #ECG

Please, donโ€™t perform carotid sinus massage CSM for the following patients: 1. Older than 45 years 2. Hx of transient ischaemic attack TIA or stroke 3. Hx of heart attacks (MI or angina) 4. Hx of VT/VF ู„ุงู† ู‡ุฐูˆู„ ุงู„ู…ุฑุถู‰ ุนุฏู‡ู… peripheral vascular disease PVD ูˆ ู…ู…ูƒู† ุนุฏู‡ุง carotid atherma ุงู„ูŠ ูŠุตูŠุฑ ุจูŠู‡ุง dislodgment ูˆ ุชุณุจุจ stroke. ู…ู„ุงุญุธุฉ ุซุงู†ูŠุฉ: ุงุฐุง ุงู„ู…ุฑูŠุถ ู…ุง ุฃุณุชุฌุงุจ ุฅู„ู‰ 10 second course of CSM ูู‡ุฐุง poor responderุŒ ูˆ ุดูˆูู„ูƒ ุบูŠุฑ ุทุฑูŠู‚ุฉ ุจุนุฏุŒ ู„ุงู† ู…ู‡ู…ุง ุชุญุงูˆู„ ู…ุง ุฑุงุญ ูŠุณุชุฌูŠุจ ุจุนุฏ. ุจุณ ุงูƒูˆ ุทุฑูŠู‚ุฉ ุญู„ูˆุฉ: ูŠูƒู„ูƒ ุงูƒูˆ ู†ุณุจุฉ ุฌูŠุฏุฉ ู…ู† ุงู„ุงุดุฎุงุต ุนุฏู‡ู… unilateral non respinsiveุŒ ูู„ุงุฒู… ุชู†ุชู‚ู„ ู„ู„ุฌู‡ุฉ ุงู„ุซุงู†ูŠุฉ ู…ู„ุงุญุธุฉ ุซุงู„ุซุฉ: CSM = compression on the carotid sinus with or without rubbing #cardio

ุฃุฌุชูƒู… ูƒูŠุณุงุช ุงู„ู€ Acute exacerbation of asthma??? ูƒู… ูƒูŠุณ ุงุฌุงูƒู… ุจุนุฏ ู‡ุฐุง ุงู„ุชุฑุงุจ ุŸุŸุŸ ุดู„ูˆู† ุณูˆูŠุชูˆู„ู‡ู… ู…ู†ุฌู…ู†ุชุŸุŸุŸ ุญุชู‡ ุจุงุฌุฑ ุงู† ุดุงุก ุงู„ู„ู‡ ุฑุงุญ ู†ุดุฑุญ ุงู„ู€ Managment of asthma exacerbation ุญุณุจ ุงู„ู€ recent guideline @AASmedicalbot

๐Ÿ‘‰ Beta blocker (Propranolol) >> Use as a Prophylaxis for Migraine. ๐Ÿ‘‰ CCB (Verapamil) >>Use as a prophylaxis for Cluster Headache. #pharma

ูŠู„ุง ูŠุดุจุงุจ ุฃุทุฑุจูˆู†ุง ู‡ู‡ู‡ุฎุฎู‡ู‡ DM, HT, presented with shorteness of the voice. @AASmedicalbot #ECG
ูŠู„ุง ูŠุดุจุงุจ ุฃุทุฑุจูˆู†ุง ู‡ู‡ู‡ุฎุฎู‡ู‡ DM, HT, presented with shorteness of the voice. @AASmedicalbot #ECG

Shock #cardio

ูŠู…ุชู‡ ุงูƒูˆู„ ุนู„ู‰ ู…ุฑูŠุถ ุงู„ุถุบุท ุงู†ู‡ ุตุงุฑ shockedุŸุŸุŸ Shock in Previously hypertensive pt = decrease systolic BP by > 40 mmHg. ู…ูˆ ูƒู„ hypotension ู‡ูˆ shock ูŠุง ุงุฎูˆุงู†ุŸุŸุŸ Hypotension + hypoperfusion = shocked What is the hypoperfusion?? Hypoperfusion = end organ dysfunction due to hypotension like mental confusion, peripheral coldness, oliguria, and increase lactic acids ูู‡ุณู‡ ู‡ุฐุง ุงู„ู…ุฑูŠุถ ู‡ูˆ shockedุŒ ู„ุงุฒู… ู†ุณุฃู„ ู†ูุณู†ู‡ ูŠุง ู†ูˆุน ู…ู† ุงู„ุดูˆูƒ ู…ู…ูƒู† ูŠูƒูˆู† ุนู†ุฏุฉุŸุŸ ู„ุฃู† ู…ุซู„ ู…ุง ุชุนุฑููˆู† ุนุฏู†ุง ุงู†ูˆุงุน ู…ู† ุงู„ุดูˆูƒ Hypovolaemic Anaphylactic Neurogenic Obstructive (like pulm embolism, cardiac tampinade) Septic, and Cardiac This patient has shock + congested lung + peripheral edema ๐Ÿ‘‰๐Ÿ‘‰ so, he has cardiogenic shock. What is the Rx??? Since the SBP > 89 mmHg ๐Ÿ‘‰๐Ÿ‘‰ so the drug of choice is dobutamine + high flow Oxygen + sitting position + try to exclude mechanical causes like mitral regurgitation ูˆ ุจุณ ุงูƒุชุจ ุจุงู„ุจุญุซ dobutamine ุฑุงุญ ูŠุทู„ุนูƒ ุดู„ูˆู† ู†ู†ุทูŠุฉ ูˆ ุดู„ูˆู† ูŠุฌูŠ ูˆ ูƒู„ุดูŠ ูŠุทู„ุนู„ูƒ ุนู†ู‡. #cardio

Masquarding bundle branch block VS bifascicular block ุดู„ูˆู†ู‡ ุงู„ููŠุฏูŠูˆุŸุŸ ุตุฑุงุญุฉ ู…ุง ุฑุฏุช ุงุทูˆู„ ุจูŠู‡ุŒ ุฑุฏุช ู‡ูŠุฏู„ุงูŠู† ุจุณ #ECG

This pt presented with insidious shortness of breath for the last 3 days. He is known case of asthma + heart failure + hypert
This pt presented with insidious shortness of breath for the last 3 days. He is known case of asthma + heart failure + hypertension, but he is mot smoker. O/E: SPO2 93% at room air Warm extremities Good capillary refill BP 90/60 mmHg Bilbasilar crepitation What are the ECG finding #ECG @AASmedicalbot

ุดู„ูˆู† positive energy โค๏ธโค๏ธโค๏ธ. ุดูƒุฑุง ู„ูƒู„ ู…ุชุงุจุนูŠู†ุง. ุฃุณุฃู„ ุงู„ู„ู‡ ู„ูƒู… ูˆ ู„ูŠ ุงู„ุชูˆููŠู‚ ุงู„ุฏุงุฆู…. @AASmedicalbot
ุดู„ูˆู† positive energy โค๏ธโค๏ธโค๏ธ. ุดูƒุฑุง ู„ูƒู„ ู…ุชุงุจุนูŠู†ุง. ุฃุณุฃู„ ุงู„ู„ู‡ ู„ูƒู… ูˆ ู„ูŠ ุงู„ุชูˆููŠู‚ ุงู„ุฏุงุฆู…. @AASmedicalbot

ูˆ ู‡ุงูŠ ุงู„ุชูƒู…ู„ุฉ Bifascicular block BFB #ECG
ูˆ ู‡ุงูŠ ุงู„ุชูƒู…ู„ุฉ Bifascicular block BFB #ECG

Bifascicular block ุงู‚ุฑูˆู‡ุง ุฒูŠู†ุŒ ุนุฏู†ุง ูƒูŠุณ ุนู„ูŠู‡ุง ุงู† ุดุงุก ุจุนุฏ ุดูˆูŠู‡ ู†ู†ุฒู„ู‡ #ECG
Bifascicular block ุงู‚ุฑูˆู‡ุง ุฒูŠู†ุŒ ุนุฏู†ุง ูƒูŠุณ ุนู„ูŠู‡ุง ุงู† ุดุงุก ุจุนุฏ ุดูˆูŠู‡ ู†ู†ุฒู„ู‡ #ECG

60yo pt, heavy smocker, presented with progressive fatigue, SOB with orthopnea, dizziness and mental confusion. PMHx:HTN & DM On medications: aspirin, metformin & anti-HTN O/E: Vital signs: BP = 90/ 75 mm Hg PR = 110 bpm regular RR = 22 breath/min SpO2 = 90% Cardiac auscultation: systolic murmur at cardiac apex His extremities: cool with edema in both legs Chest auscultation: wheezes. Neurological examination: confused, no lateralization ABG shows: pH 7.25 pCO2 36 mm Hg pO2 90 mm Hg HCO3 19 mEq/L lactate 7 mEq/L What is the most likely Dx? What is the most initial test? What is the most important initial Mx? ๐Ÿ‘‡ @AASmedicalbot #cardio #emergency

ุทุจุนุง ู‡ุฌูŠ ูƒูŠุณุงุช ุงุชู…ู†ู‰ ุงุดุฑุญู‡ุง ุน ุงู„ุตุจูˆุฑุฉ ุงูˆ ูˆุฑู‚ุฉ ูˆู‚ู„ู… ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ๐Ÿ˜ญ ูˆ ู†ูู‡ู… ุดู†ูˆ ูƒู‡ุฑุจุงุฆูŠุฉ ุงู„ู‚ู„ุจ ูˆ ู†ูู‡ู… ุดู†ูˆ ุงู„ู€ ecg ุจุทุฑูŠู‚ุฉ 100ูช ุญุชู‰ ู†ุนุฑู ู†ุญู„ ูƒูŠุณุงุช ecg ุญุชู‰ ู„ูˆ ุงุญู†ู‡ ู…ุง ุดุงูŠููŠู† ู…ุซู„ู‡ุง ู‚ุจู„.

Antero-infero-lateral MI due to proximal LAD occlusion #ECG ุงู†ูŠ ุฌุฏุง ุงุณู ู„ุงู† ุฌุงูŠ ุงู†ุดุฑ ุงู‡ูˆุงูŠ.

ุงฺฏูˆู„ ุดูŠ ู…ู‡ู… ูˆ ูƒู„ุด ู…ู‡ู… In DKA, we send urine exam for ketone bodies ุงู„ูŠูˆุฑู† ุฏุจุณุชูƒ ุงู„ูŠ ู…ูˆุฌูˆุฏ ูŠุชูุงุนู„ ูู‚ุท ู…ุน ุงู„ู€ acetoacetate ุงู„ูŠ ู‡ูˆ ุงุญุฏ ุงู†ูˆุงุน ุงู„ูƒูŠุชูˆู† ุจูˆุฏูŠ. ู…ุง ูŠุชูุงุนู„ ู…ุน ุงู„ู€ beta hydroxybutyrate. ูˆ ู…ุซู„ ู…ุง ุชุนุฑููˆู† DKA is state of beta hydroxybytarate acidosis ููŠ ุญุงู„ุงุช ุงู„ู€ DKA ุงู‡ู… ุดูŠ ุนุฏู†ุง ู‡ูˆ ุงู„ู‡ูŠุฏุฑูˆูƒุณูŠ ุจูŠูˆุชุงุฑูŠุช ุงู„ูŠ ูŠูƒูˆู† 3 ุงุถุนุงู ุงู„ุงุณูŠุชูˆุงุณูŠุชูŠุช. ูู„ุง ุชุนุชู…ุฏ ุนู„ู‰ ุงู„ู€ GUE ูƒู„ุดุŒ ูˆ ุญุงูˆู„ ุชุฏุฒ ุงู„ู…ุฑูŠุถ blood gas. This is the home message in DKA. Reference: Marinoโ€™s guideline #emergency

Inhaled insulin ูุฏ ุดูŠ ุนุธูŠู… โค๏ธโค๏ธโค๏ธ ุงู† ุดุงุก ุงู„ู„ู‡ ุชุชุฎู„ุต ุงู„ุงุทูุงู„ ู…ู† ุญู‚ู† ุงู„ุงู†ุณูˆู„ูŠู† ุงู„ู…ุฒุนุฌุฉ
Inhaled insulin ูุฏ ุดูŠ ุนุธูŠู… โค๏ธโค๏ธโค๏ธ ุงู† ุดุงุก ุงู„ู„ู‡ ุชุชุฎู„ุต ุงู„ุงุทูุงู„ ู…ู† ุญู‚ู† ุงู„ุงู†ุณูˆู„ูŠู† ุงู„ู…ุฒุนุฌุฉ