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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 19 869 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 19 869 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.

19 869
Subscribers
+124 hours
-307 days
-4030 days
Posts Archive
Effect of pregnancy on RA, MS & SLE: ๐Ÿ“‘ RA ๐Ÿ‘‰ 50% of pregnant women with rheumatoid arthritis have low disease activity, & 20
Effect of pregnancy on RA, MS & SLE: ๐Ÿ“‘ RA ๐Ÿ‘‰ 50% of pregnant women with rheumatoid arthritis have low disease activity, & 20% - 40% achieve remission by the third trimester. ๐Ÿ“‘ MS ๐Ÿ‘‰ Decreased relapse rate of MS during pregnancy or does not appear to speed up the course or worsen the effects of MS ๐Ÿ“‘ SLE ๐Ÿ‘‰ It make SLE worse and increase the risk of miscarriage and other complications โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€” #SpongeBob #Uptodate

Definition of MIs according to ECG : 1. STEMI : includes -- ST- segment elevation -- new-onset LBBB, look to sgarbossa criteria -- posterior MI : ST depression in V1-V3 with tall R wave and upright T wave. Confirmed by posterior ECG 2. NSTEMI : -- No ST-segment elevation, or just Transient elevation. -- ST depression -- T wave inversion -- non-specific changes -- or even normal. #ECG

High troponin : 1. consistently elevated troponin >>> renal failure. 2. Acute elevation of troponin : A. Cardiac cause : MI, myocarditis, pericarditis. B. Extr cardiac : Burn, sepsis, stroke, and pulmonary embolism #emergency #cardio

Alteplase regimen in ST elevation MI #emergency #cardio
Alteplase regimen in ST elevation MI #emergency #cardio

45 yo M with fatigue , tachycardia , general weakness & his eyes are yellowish PMHx: No DM & No HTN investigation: ECG is nor
45 yo M with fatigue , tachycardia , general weakness & his eyes are yellowish PMHx: No DM & No HTN investigation: ECG is normal except sinus tachycardia Routine CBC What is the next step in the investigation ? ๐Ÿ‘‡ @AASmedicalbot #hematology #oncology

ุทูู„ ุนู…ุฑู‡ 5 ุณู†ูˆุงุช ุฌุงูŠ ูŠุฑุงุฌุน ุน ุงู„ู„ู‚ุงุญ ูˆู„ุงุญุธู†ุง ุนู†ุฏู‡ numerous brown macules on his face, arms & freckling is seen under his arms.
ุทูู„ ุนู…ุฑู‡ 5 ุณู†ูˆุงุช ุฌุงูŠ ูŠุฑุงุฌุน ุน ุงู„ู„ู‚ุงุญ ูˆู„ุงุญุธู†ุง ุนู†ุฏู‡ numerous brown macules on his face, arms & freckling is seen under his arms.. ูˆ ุงู…ู‡ ุนู†ุฏู‡ุง ู†ูุณ ุงู„ุญุงู„ุฉ ุจุงุฏูŠู‡ุง ู…ู† ูŠูƒุจุฑ ู…ุณุชู‚ุจู„ุง ุดุชุชูˆู‚ุน ูŠุตูŠุฑ ุจุนูŠูˆู†ู‡ ุŸ โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€”โ€” axillary freckling + multiple cafรฉ au lait + family hx โฉ indicative of neurofibromatosis 1 Most Likely To Develop๐Ÿ‘‡๐Ÿ‘‡ ๐Ÿ‘‰๐Ÿ‘‰ Lisch nodules are raised, tan-colored hamartomas of the iris and represent a specific finding for NF1 & not affect vision. Typically found in adults. Less Likely To Develop๐Ÿ‘‡๐Ÿ‘‡ ๐Ÿ‘‰๐Ÿ‘‰ 15% of children with this disorder develop optic pathway gliomas. If eye examination is abnormal ๐Ÿ‘‰ MRI #neurology

Cigarettes and coffee with a rough stupid person with a butterfly on his nose while he is dancing when hit by stone ๐Ÿ”ฝ - Ciga
Cigarettes and coffee with a rough stupid person with a butterfly on his nose while he is dancing when hit by stone ๐Ÿ”ฝ - Cigarettes: ๐Ÿ‘‰ (ash leaf) - Coffee: ๐Ÿ‘‰ (cafรฉ-au-lait) - Stupid: ๐Ÿ‘‰ (intellectual and developmental) ๐Ÿ‘‰ (Shagreen patches & Subungual fibromata) - Butterfly: ๐Ÿ‘‰ (Adenoma sebaceum) - Dancing: ๐Ÿ‘‰ (epilepsy) - Stone: ๐Ÿ‘‰ (renal: angiomyolipoma) ๐Ÿ‘‰ (brain: subependymal calcified lesions) โ€”โ€”โ€”โ€”โ€”โ€”โ€”- That's Tuberous sclerosis #neurology

NOTE: ๐Ÿ‘‰ Iron and folate malabsorption are common in untreated celiac disease as the proximal small intestine is predominantly affected. ๐Ÿ‘‰ Vitamin B12 deficiency is thought to be uncommon, as the terminal ileum is relatively spared in celiac disease celiac disease #GIT

๐Ÿ“Œ Malabsorption: ๐Ÿ“‘ Malabsorption symptoms + macrocytosis or IDA in young pt ๐Ÿ‘‰ celiac disease ๐Ÿ“‘ Malabsorption symptoms + improve with control of diary intake + negative endomyseal Abs ๐Ÿ‘‰ Lactose intolerance ๐Ÿ“‘ Malabsorption + joint pain + Bradycardia in middle age ๐Ÿ‘‰ Whipple's disease ( positive PAS biopsy) ๐Ÿ“‘ Malabsorption + macrocytosis + negative endomyseal Abs and normal IgA ๐Ÿ‘‰ think in tropical sprue ๐Ÿ“‘ Malabsorption + recurrent epigastric pain to back + positive fecal elastase ๐Ÿ‘‰ chronic pancreatitis ๐Ÿ“‘ Malabsorption + symptoms of bronchiectasis ๐Ÿ‘‰ cystic fibrosis #GIT

#neurology
#neurology

Bilateral ptosis keeps a narrow differential. 1-Myasthenia gravis: ู…ู…ูƒู† ุชุฌูŠ ptosis = bilateral or unilateral ูˆุชุนุชุจุฑ most common initial symptom ูˆู†ู†ุชุจู‡ ุน muscle fatigability hx ูˆุชุฌูŠ ูˆูŠู‡ dysphagia = worse with liquid than solid ูˆุงู„ู„ูŠ ุชูƒูˆู† ู…ุนุงูƒุณ ู„ู„ achalasia 2- Chronic progressive external ophthalmoplegia: bilateral ptosis + fatigue + mitochondrial disease 3- Miller Fisher syndrome: ataxia + ophthalmoplegia+ areflexia ูˆูŠูƒูˆู† descending paralysis ุนูƒุณ ู„ู„ GBS 4- Bickerstaff brainstem encephalitis 5- Lambert eaton syndrome ู‡ู†ุง ptosis ุชูƒูˆู† ุงู‚ู„ ู…ู† MG 6- Neurosyphilis 7- Brainstem CVA #neurology

๐Ÿ“Œ Thrombocytopenia in pregnancy: ๐Ÿ“‘ Gestational- 3rd trimester + mild + no Rx ๐Ÿ“‘ ITP- 1st tri + mild-no Rx ; if severe/IVIg or steroid ๐Ÿ“‘ Pre-eclampsia- 3rd tri + HTN ๐Ÿ“‘ HELLP- 3rd tri + transaminitis ๐Ÿ“‘ TTP/HUS- 3rd tri + Hemolytic ๐Ÿ“‘ AFLP- 3rd tri + Upper abdominal pain + Coagulopathy

35 yo F with dysphagia for liquid more than solid & inability to open her eyes since 3 days.. O/E: conscious, alert but not responding , Vital signs are normal Neurological exams shows: nasal speech with bilateral ptosis & total ophthalmoplegia impaired gag reflexe with bulbar palsy global hyporeflexia planter reflexes are down going with intact sensation What is Ddx? ๐Ÿ‘‡ @AASmedicalbot #neurology

ูˆุญุณุจ tintinalli "Steroids are often used to decrease mucosal edema of the epiglottis" (dexamethasone = 0.15โ€“0.6 mg/kg) - IV access, hydration as indicated ูˆู†ุจู„ุบ ุงุจูˆ ENT ุงุฐุง ู…ุง ุงุณุชุฌุงุจ intubation or tracheotomy ูˆุงุฐุง ู‚ูู„ ูƒู„ุด ุจุนุฏ ูŠุชุญูˆู„ ุน ุฌุฑุงุญู‡ emergent surgical airway

ู‡ู„ูˆ Dx: Epiglottitis ุทุจุนุง ุงู„ูƒูŠุณ ู…ู† ุจุฑุฒู†ุชูŠุดู† ูˆุงุถุญ ู„ู‡ุฐุง ุณูˆูŠู†ู‡ lateral neck x-ray fever+SOB+dysphagia & drooling + radiology fin
ู‡ู„ูˆ Dx: Epiglottitis ุทุจุนุง ุงู„ูƒูŠุณ ู…ู† ุจุฑุฒู†ุชูŠุดู† ูˆุงุถุญ ู„ู‡ุฐุง ุณูˆูŠู†ู‡ lateral neck x-ray fever+SOB+dysphagia & drooling + radiology finding ูˆุงุถุงูุฉ ู„ุงุนุฑุงุถ ุงุฎุฑู‰ ู…ู…ูƒู† ุชุฌูŠ muffled voice, voice change(hot potato voice) ูˆุงู„ุงุณุจุงุจ ู…ุนุฑูˆูู‡ ู‚ุฏ ุชูƒูˆู† - Infectious (hemophilus influenzae B..etc..) is common - Chemical and thermal burns or truma ุจุณ ุจู‡ู„ ุงู„ุนู…ุฑ ู…ูˆ ูƒู…ูˆูˆู† ุชุฌูŠ ูˆุงุญุชู…ุงู„: immuncompromise or unimmunized pt ู†ุฌูŠ ู„ู„ x-ray - swollen epiglottis ๐Ÿ‘‰ Thumbprint sign (ู„ูˆู† ุงู„ุงุฒุฑู‚) ุงู…ุง ุจุงู„ู„ูˆู† ุงู„ุงุญู…ุฑ normal air space b/w tongue base and epiglottis ุชู‚ุฑูŠุจุง ุชุดุจู‡ ุญุฑู V ูˆู†ูˆุจุงุช ูŠุตูŠุฑ ุจูŠู‡ุง obliterated ู†ุชูŠุฌุฉ swollen epiglottis - loss of vallecular air space ๐Ÿ‘‰ Vallecula sign ุงู…ุง Mx: - ABC - upright in a position (prefer) - humidified O2 - empiric IV antibiotics Cefotaxime: 2 g IV ูƒู„ 8 ุณุงุนุงุช or Ceftriaxone: 2 g IV ูƒู„ 24 ุณุงุนู‡ - nebulized l-epinephrine to decrease airway edema(0.5 mL/kg nebulized) - corticosteroids are controversial ุงูƒูˆ ู…ุตุงุฏุฑ ุชูƒูˆู„ ู†ุทูŠู‡ ูˆุงูƒูˆ ู„ุง

Delay relaxation of ankle jerk in hypothyroid pt

ุดุงุจ ุจุนู…ุฑ 35 ุณู†ู‡ ุงุฌู‡ ู„ู„ุทูˆุงุฑุฆ ุนู†ุฏู‡ ุฎู†ูƒู‡ ูˆุตุฎูˆู†ู‡ ูˆ 2 day of dysphagia & drooling O/E : conscious, oriented & anxious Spo2 98, BP
ุดุงุจ ุจุนู…ุฑ 35 ุณู†ู‡ ุงุฌู‡ ู„ู„ุทูˆุงุฑุฆ ุนู†ุฏู‡ ุฎู†ูƒู‡ ูˆุตุฎูˆู†ู‡ ูˆ 2 day of dysphagia & drooling O/E : conscious, oriented & anxious Spo2 98, BP 110/60, PR 110 ุณูˆูŠู†ู‡ ุงุดุนู‡ ูˆุทู„ุนุช ู‡ูŠุฌ Whatโ€™s Dx? Mx ? ๐Ÿ‘‡ @AASmedicalbot

ST elevation in V1 vs ST elevation in aVR ุฑุฌุงุกุงู‹ ุฑุฌุงุกุงู‹ ุฅุฐุง ู‡ุณู‡ ุชุนุจุงู† ูˆ ู…ุง ุชูƒุฏุฑ ุชุณู…ุน ุงู„ููˆูŠุณุŒ ุงุญูุธู‡ ุนู†ุฏูƒ ูˆ ุงุณู…ุนู‡ ุจุบูŠุฑ ูˆู‚ุช. ูˆุฏุงุนุชูƒ ูŠุฌูŠูƒ ู‡ุฌูŠ ูƒูŠุณ ูˆ ุชุชุฐูƒุฑู†ูŠ ูˆ ุชุชุฑุญู…ู„ูŠ ู…ู† ุชุนุฑูู‡. #ECG

LAD anatomy. Importance of ST segment amplitude. Tombstone sign in ECG. Acute LBBB = acute STEMI #ECG

ุฏุงู… ู…ุง ุนู†ุฏูŠ ุดูŠ ุฎู„ ุงุดุฑุญ ู‡ุฐุง ุงู„ ecg ๐Ÿ˜‘๐Ÿ˜‘ #ECG
ุฏุงู… ู…ุง ุนู†ุฏูŠ ุดูŠ ุฎู„ ุงุดุฑุญ ู‡ุฐุง ุงู„ ecg ๐Ÿ˜‘๐Ÿ˜‘ #ECG