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==
Show more📈 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
Posts Archive
19 833
Note :
Bilateral tender gynecomastia 👉🏽👉🏽 think about spironolactone side effect .
Other cause of bilateral gynecomastia are unlikely to be tender .
19 833
Which of the following comorbid conditions is more commonly associated with a higher incidence of gout?
A Cushing syndrome
B Hypertriglyceridemia
C Pseudohypoglycemia
D Osteoporosis
19 833
It is a case of staphylococcal scalded skin syndrome SSSS .
Staphylococcal scalded skin syndrome (SSSS) is a serious skin infection caused by the bacterium Staphylococcus aureus. This bacterium produces an exfoliative toxin that causes the outer layers of skin to blister and peel, as if they’ve been doused with a hot liquid. SSSS — also called Ritter’s disease.
19 833
Nice case to see . This patient received voltaren IM, he developed this lesion after a series of changeable lesions . It is very painful .
Nicola syndrome : drug allergic reaction .
Patients with NS experience extremely severe pain around the injection site of the drug immediately after injection, followed by rapid development of erythema, a livedoid reticular patch or a hemorrhagic patch.This skin reaction is pathognomonic. The reaction may result in necrosis and ulceration of the skin, subcutaneous fat, and muscle tissue
19 833
This is an interesting case
This is an intermittent preexcitation
Looks to extrasystole preceded by p wave with short PR interval and delts wave (W pattern) with widening ORS complex,
Then followed by normal sinus beat ......
This patient need ....
Exclusion of acute ischemia at top of work up
Then send for holter study and electroohysiological study .
19 833
seronegative spondyloarthropathies
مجموعة أمراض تشترك بالأعراض المرضية مع ال RA لكن تختلف عنها ببعض الشغلات المميزة اللي منها انو serology يطلع negative لل rheumatoid factor ومنها اجت التسمية
بصورة عامة التشخيص صعب بس اكو common features ممكن نعتمد عليها ولا ننسى انو اكثر من مرض ضمن هاي المجموعة ومثل ماكو اشياء تشركهم سوة اكو اشياء اخرى تميزهم عن بعض
-الاشياء اللي يشتركون بيها :
negative for rheumatoid factor ,
genetic association with HLA-B27,
generally more commonly affect men(عكس ال RA اكثر ب female),
age onset between 20-40 yrs (بRA usually more than 40 yrs),
عادةً يجون ب loser back pain و pain ب sacroiliac joint (especially at right,spared in RA),
asymmetrical oligoarthritis (RA symmetrical)
hallmark lesion هو enthesitis(site of ligament or tendon insertion into bone)e.g.achilodynia,
usually respond to NSAIDS
اما الصفات اللي تختلف بيها
extra-articular manifestation vary according to type
مثلاً ب reactive arthritis الeyes وال urethra involved الى جانب الarthritis لكي ماننساها نجمعها بعبارة
can’t pee🚽,can’t see👁,can’t climb a tree🌲
the skin involved ب psoriatic arthritis
بالإضافة الى bowel involvement
spondyloarthropathies associated with crohn’s & UC
19 833
Hypohidrotic ectodermal dysplasia (HED) is a genetic skin disease. Common symptoms include sparse scalp and body hair, reduced ability to sweat, and missing teeth. HED is caused by mutations in the Eda, EDAR, or EDARADD genes. It may be inherited in an X-linked recessive, autosomal recessive, or autosomal dominant manner depending on the genetic cause of the condition. The X-linked form is the most common form. The forms have similar signs and symptoms, however the the autosomal dominant form tends to be the mildest. Treatment of hypohidrotic ectodermal dysplasia may include special hair care formulas or wigs, measures to prevent overheating, removal of ear and nose concretions, and dental evaluations and treatment (e.g., restorations, dental implants, or dentures).
19 833
5 years +anaemic + thin hair + dry skin + this characteristic shape of teeth . Dx @AhmedAbdSambot
19 833
Remember these notes about Wolff Parkinoson White syndrome WPWS :
1- there is accessory pathway, which is called bundle of Kent, that conduct the impulses from atria to ventricles away from AV node. This pathway is faster than AV node, so the PR interval will be short
2- Those patients are inherently labile for AF, which will be dangerous, since the impulses will conducted rapidly into ventricles causing VT .
3- if you block AV node by drugs (like digoxin, verapamil, bisoprolol), the pathway will shifted from SV node to bundle of kent, that is mean you push the patient into severe form of arrhythmia.
4- amiodarone is Bundle of Kent inhibitor, so it is considered the safe anti arrhythmic in WPWS .
19 833
Ddx of elevated JVP + shock
1- Cardiogenic shock
2- Cardiac tampnade
3- Pulmonary embolism
4- Tension pneumothorax
5- Right ventricular infarction
19 833
Acral fibrokeratoma (AF) is a solitary, benign, round, firm lesion of the soft tissue. The body of the lesion usually appears as a hyperkeratotic, skin-colored projection with two main morphologic forms:
1) sessile, dome-shaped or
2) pedunculated.
Acral fibrokeratomas continue to grow and usually do not regress spontaneously.
Rx : surgical excision .
Recurrence is rare after removal .
