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 650 Medicine1 161...

📈 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.

📊 Audience metrics and dynamics

Since its creation on невідомо, 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 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 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.

19 870

Subscribers

+124 hours

-337 days

-4530 days

4 912

Post views

~ 1 66224 hours

~ 1 90848 hours

24.72%

Engagement rate

No data

Posts per day

Ads index

beta

Posts Archive

19 865

Male in his 40s presented with chest pain. He has no medical illnesses, he was heavy smoker. What is your ECG interpretation ??? @AASmedicalbot #ECG

19 865

Left Bundle Branch Block LBBB in ECG أطلعوا عليها زين، عندي كيس LBBB بس شوية بيه فيكة 😑😑. #ECG @AASmedicalbot

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مثل ما تشوفون ان Measured PCO2 = 33 و المريض عندة metabolic acidosis. ف اني لازم احسب شگد يصير respiratory compensation. يعني هاي الـ acidosis، عند الشخص الطبيعي شگد لازم يقل الـ PCO2 و هذا يسمونه Expected pco2 شلون نحسبه؟؟؟ Expected PCO2 = 1.5 + Measured HCO3 + 8 +/- 2 و الحسابات اعلاه بالصورة و النتيحة كانت 14.5 - 18.5 بينما في الـ ABG كانت القرآة للـ PCO2 هي 33 يعني ما صاير Well compensation بمعنى اخرى This patient has relative retention of PCO2 يعني المفروض من هذا البيشنت يطلع الـ PCO2 اقل من ١٨ و اكثر مو ١٤ بينما هو باقي ٣٣ صح الـ ٣٣ هي اقل من الطبيعي الي هو 35-45، لكن هذا الطبيعي في حالات الـ Normal ph اما في حالك ال metabolic acidosis فلازم الـ measured pco2 يطلع ضمن الرينج مال الـ expected حتى اكول عندة normal respiratory compensation. Si this patient has poor compensation 👉👉 this pt has respiratory acidosis من تقراه بالبداية تمول عليه هو respiratory alkalosis بس بالحقيقه هو لا. وااااضحة؟؟؟؟ Arterial blood gas ABG interpretation #emergency

19 865

بعد هذا الفويس منزل فويس ثاني مباشرة على الـ Winter's formula و كل ظني حسبالي واصل، بس الظاهر ما واصل. جدا جدا اسف

19 865

بالحالات الطارئة مثل Hyperkalaemia, cardiac arrest, and severe metabolic acidosis تگدر تنطي الـ Na bicarbonate دايركت خلال 5 دقائق. الـ Na bicarbonate أحد أكثر العلاجات الي ما جاي ينصرفن بصورة صحيحة. باجر ننزل منشور عنها

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Acute RBBB more serious than acute LBBB in context of anterior MI. الفكرة وين؟؟؟ RBB supplied by branch from proximal LAD 👉👉 So new RBBB + anterior MI 👉👉 Proximal LAD occlusion 👉👉 more infarct size.. While LBB supplied by more distal branch 👉👉 smaller infarct size #ECG

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اعتقد السستولك و الدايستولك حاليا قل استعمالهن حتى بالطوارئ. المهم هو Mean arterial pressure MAP = 2/3 DBP + 1/3 SBP مشكلة الدايستولك و السستولك هو أنه يقيسن الضغط في specific cardiac cycle، و الي ممكن يختلف من سايكل لأخرى. فهسه المهم هو الـ MAP الي يمثل BP as whole، بمعنى اخر الـ MAP يعكس الـ Reperfusion pressure و الي هو بصورة اساسية معتمد على الـ DBP (مثل ما موضح ب المعادلة اعلاة). That is why elevated DBP predict hypertensive complications more than elevated SBP. 2 patients, one with BP 200/90 and the 2nd one has BP 180/140 👉👉 The 2nd one is more reliable to get hypertensive emergency like ACS or stroke than the 1st one, because he has higher MAP. و لذلك عند الحوامل حتى نراقب الـ pre-eclampsia نكون معتمدين أكثر على DBP. هذا فد ملخص بسيط، و الا هو الموضوع مطول جدا.

19 865

Goiter-induced recurrent laryngeal nerve paresis خوش كيس ❤️❤️♥️♥️ #emergency

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Metoclopromide

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طبعا عاشت ايد د احمد هذا ملخص الفويس حسب normal range نبدا نقارن ونحسب كالاتي : - pH < 7.35 👉 Acidosis - pCO2 < 35 , pCO2 and pH change in the same direction 👉 metabolic disorder - ↓ pH and ↓ pCO2 👉 metabolic acidosis - HCO3 < 22 👉 metabolic acidosis primary metabolic acidosis with secondary respiratory alkalosis why?? 🔖 Compensation 👉↓ Arterial pH (↓ HCO3) 👉 ↑ stimulation of medullary chemoreceptors 👉 ↑ respiratory rate (hyperventilation) 👉 ↓ PCO2 بما ان هو metabolic acidosis نبدا نفكر ب anion gap حتى نحدد السبب وحسب المعادلة : anion gap = (Na+K)–(CL+HCO3) 👉 (123.6+7.26)-(90+7) = 36.5 👉 high anion gap metabolic acidosis(HAGMA) بعدها نحسب دلتا حتى نشوف هو pure or mixed حسب المعادله delta ratio = (anion gap - 12) / (24 - HCO3) 👉 (36.5-12) / (24-7) = 1.4 اذن يعتبر Only pure HAGMA is present or uncomplicated HAGMA. Elevated anion gap causes: - lactic acidosis (MC) - ketoacidosis - chronic kidney disease - certain toxic ingestions Treatment: - ABC - O2 - 2 amps bicarbonate - 10 units IV Insulin - 1 Calcium gluconate - IV Insulin drip - volume resuscitation, 0.9% NS (200-250 ml/hr) - Monitoring (electrolytes, cbc, AbG) #emergency

19 865

Arterial blood gas ABG interpretation إذا صار عليكم دوخة، كلولي حته اكتبها الكم كتابه. و انا اسف شرحتها ع استعجال، و إلا هو الموضوع أكبر من هالشي بهواي. #respiratory #emergency

19 865

Carvedilol has 1. Beta 1 blocker 2. Beta 2 blocker 3. Alpha 1 blocker 4. Calcium channel blocker Beta 2 blocker + alpha 1 blocker + CCBs 👉👉 that is why carvedilol has vaso-dilator effect 👉👉 so the side effects like impotence, peripheral coldness, and easy fatiguiability are markedly low in this drug 5. Anti-oxidant effect 6. And it is the only beta blocker that increases heart rate as the dose increased. #pharma

19 865

Tips about beta blockers: 1. 1st generation (non selective) like propranolol and Nadolol 2nd generation (selective): atenolol, bisoprlol, metoprolol, and nebivolol 👉👉 the highest B1 selective is nebivolol, the 2nd one is Bisoprolol. 3rd gen (alpha and beta blockers) like carvedilol and Labetalol. 2. Bisoprolol (concor): has the lowest drug drug interaction profile, the most potent BB with renin inhibitory action (by up to 65%). 3. Nebivolol: Has vasodilating effect via nitric oxide release 👉👉 so it is associated with less side effect of BBs like impotence, cold extremities, and fatigue. Decrease the onset of DM, but not treat it. 4. Carvedilol: Has alpha blockers activity 👉👉 peripheral vasodilitation 👉👉 reflex sympathetic hyper-Discharge 👉👉 so has less bronchospasm, less impotence, but paradoxical increase of the HR as the dose increases (the only BB that has this feature). Maybe the only BB that decreases serum triglyceride level and increase the insulin sensitivity index (so it is the favoruble BB in DM). Carvedilol and Nebivolol are the only BBs that have anti-oxidant effects, perhaps decreasing hyperglycaemia-induced tissues damage !!!!! 5. Labetalol: Has B1, B2, and alpha 1 blocking activity + partial B2 agonist 👉👉 so it has - ve inotropes + vasodilator properities. That is why, it is one of the most preferred medications in HT emergency. #pharma

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Pt with DM type2 comes with this ABG... Interpretation of ABG? What kind of treatment would you give this pt? @AASmedicalbot

19 865

Posterior MI in context of RBBB لازم أبطل سالفة "تمام" 😒😒 #ECG

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Tips about ARBs 1. Telmisartan and Olmesartan are the only ARBs that proved to have Insulin sensitizer action via PPAP gamma receptors. 2. Losartan is the only ARBs that used for stroke prophylaxis. 3. Valsartan and Candesartan are the best ARBs for heart failure. 4. Irbesartan and Losartan are the best ARBs for diabetic nephropathy. 5. Olmesartan is the only ARBs that has anti-Inflammatory action 6. The most effective ARBs for BP reduction is Olmesartan > Telmisartan > Irbesartan > Losartan > Valsartan. 7. The only ARBs that decreases serum uric acid is Losartan 8. The best time to take ARBs is bedtime, not just to reduce morning BP surge, but this time proved to reduce the chance of type 2 DM up to half (as some spanish researchers proved that). !!!!!! 9. Simply: if you want to choose ARBs for a patient: A. Just HT 👉👉 u r free to choose anyone but the best is Telmisartan B. HT with hx of TIA 👉👉 Losartan C. HT + DM without nephropathy 👉👉 Telmisartan D. HT + DM + nephropathy 👉👉 Losartan or Irbesartan E. HT + heart failure 👉👉 Valsartan or Candesartan هذا كلام الـ FDA، كل كلمة موجودة هي مأخوذة من الـ FDA. بس من تشوف الـ ESC، راح تلاحظ اختلاف بينهم...... للمعلومة فقط. #ECG

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وعد وعد وعد الي يجاوب هذا التخطيط جواب ١٠٠٪ إلة مني كتاب مال ICU، كتاب أكثر من رائع. This ecg for elderly F presented with fatigue and SOB. She has HT, DM, hypothyroidisn, CKD, osteoporosis, lens transplant, and recurrent venous thromboembolism VTE. O/E Morbidly obese female, Puffy face, oriented, adentous, flapping tremor, terry nails, pitting edema of lower limb, normal JVP with preserved hepato-jugular reflex. This ECG of the culprit patient. Dx #ECG @AASmedicalbot

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Signs of successful reperfusion Post-alteplase. #ECG