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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==
Mostrar más📈 Análisis del canal de Telegram AAS Medical Notes
El canal AAS Medical Notes (@amedicalnotes) es un actor destacado. Actualmente la comunidad reúne a 19 910 suscriptores, ocupando la posición 1 159 en la categoría Medicina y el puesto 3 656 en la región Arabia Saudí.
📊 Métricas de audiencia y dinámica
Desde su creación el невідомо, el proyecto ha mostrado un crecimiento acelerado, reuniendo a 19 910 suscriptores.
Según los últimos datos del 25 junio, 2026, el canal mantiene una actividad estable. En los últimos 30 días la variación de miembros fue de 4, y en las últimas 24 horas de -8, conservando un alto alcance.
- Estado de verificación: No verificado
- Tasa de interacción (ER): El promedio de interacción de la audiencia es 26.82%. Durante las primeras 24 horas tras publicar, el contenido suele obtener 11.44% de reacciones respecto al total de suscriptores.
- Alcance de las publicaciones: Cada publicación recibe en promedio 5 340 visualizaciones. En el primer día suele acumular 2 278 visualizaciones.
- Reacciones e interacción: La audiencia responde de forma activa: el promedio de reacciones por publicación es 63.
- Intereses temáticos: El contenido se centra en temas clave como مَرِيض, كَيس, كِتَاب, طَبِيب, جِدّ.
📝 Descripción y política de contenido
El autor describe el recurso como un espacio para expresar opiniones subjetivas:
“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==”
Gracias a la alta frecuencia de actualizaciones (últimos datos recibidos el 26 junio, 2026), el canal mantiene la vigencia y un amplio alcance. La analítica demuestra que la audiencia interactúa activamente con el contenido, lo que lo convierte en un punto de referencia dentro de la categoría Medicina.
19 910
Suscriptores
-824 horas
-87 días
+430 días
Archivo de publicaciones
19 904
هذا الكلام حقيقة، اكثر مما هو ترويج .
من تسألني تگلي اريد كتاب #لازم ادرس عليه قبل الروتيشن، اگلك هذا الكتاب لازم تتطلع عليه و تحفظ جميع البروتوكولات الي بيه.
انا اشوف صعب على طبيب حديث التعيين يمشي الطوارىء أو ال CCU بدون هذا الكتاب.
صح هو اسمه كارديو، بس راح تشوف نفسك ملم بأغلب الادوية الي متوفرة بالطوارىء، تشوف نفسك ضليع جدا بال ecg و تعرف تقرء التخطيط حتى لو ما شايف مثله قبل، لأن ببساطة هو يفهمك بالتخطيط مو يحفظك.
و تگدر تسأل اي شخص مقتني الكتاب.
متوفرة الطبعة الثالثة (آخر طبعة) عند مكتبة مشروع مثفف، تكدر تراسلهم و تطلب نسخة.
هذا رابط المكتبة ع الأنستا
https://www.instagram.com/educated_project/profilecard/?igsh=MTM3OHl0dzV6YXJz
19 904
بروتوكول الأتروبين في حالات
organophosphate OP poisoining
و أكيد هذا الشرح موجود بس بكتاب واحد، و ماكو داعي أذكر أسمه 😌😌😌
19 904
According to UpToDate, the target of albumin therapy is not primarily to normalize serum albumin levels. Instead, the goals depend on the clinical context:
A. Restoring intravascular volume: In cases like shock or hypovolemia, the focus is on improving hemodynamic stability and maintaining adequate perfusion, rather than achieving a specific serum albumin level.
B. Managing hypoalbuminemia in specific conditions: In conditions such as nephrotic syndrome or liver disease, albumin therapy is used to help maintain oncotic pressure, reduce edema, and improve fluid balance, not necessarily to normalize serum albumin.
C. Post-paracentesis in cirrhosis: Albumin is given to prevent circulatory dysfunction and renal impairment after large-volume paracentesis rather than targeting albumin levels.
In summary, the therapeutic aim is usually symptom control (e.g., stabilizing circulation, reducing edema) and preventing complications rather than strictly normalizing serum albumin levels. Monitoring clinical response (e.g., blood pressure, urine output) is often more critical than achieving a target albumin concentration.
19 904
Croup
Part of my lecture in paediatric emergency course.
For more details, contact me on @AhmedAbdSam
19 904
+1
An interesting case:
young age male presented with fever + cola-like urine + hypertension.
Renal indices were elevated
GUE: proteinuria + RBC casts
Dx: glomerulonephritis, but what is the cause??
next: send for complement level, which show severe hypocomplementenemia.
Hypocomplementemia is more frequently present in all types of MPGN than in other glomerular disorders and provides supportive evidence of the diagnosis.
In immunoglobulin/immune complex–mediated MPGN, the classic complement pathway is activated; C3 is normal or mildly decreased, and C4 is typically decreased.
In complement-mediated MPGN, the alternate complement pathway is activated; C3 is decreased, but C4 is normal.
In MPGN without immunoglobulin complement deposition, C3 and C4 are normal.
The workup is pending .......
19 904
و اني جاي اراجع بكتاب ال Ahmed for ICU
انتبهت على عدد الصفحات عابر ال 1250 صفحة
فعليهِ راح ابدي اقلل بالمواضيع و اقلل بالشرح، حتى يكون الكتاب محمول.
بس صدكوني-مو مدحاً-ما راح تحتاج تراجع او تقرأ اي كتاب يخص الطوارىء او ال ICU بعد هذا الكتاب.
و انا مسؤول عن كلامي ان شاء الله.
19 904
Previously:
acute AF: when the duration of AF <48 hr, in such states we can cardiovert the pt.
new guideline (uploaded 3 days ago): acute AF where the duration <24 hrs.
AF with >24 hrs, do not attempt to cardiovert the pt.
ESC guideline 2024
19 904
الحمد لله أولاً و آخراً
internal medicine emergency course
pediatric emergency course
for more, contact me
@AhmedAbdSam
19 904
Neuro sign:
Pronator Drift is the single best test for detecting SUBTLE upper motor neuron lesion (stroke), which may remain unrecognised by routine motor examination.
Interpretation:
drift with eye open >> motor deficit
drift with eye closed >> sensory deficit
up ward drift >> cerebellar deficit
19 904
فد معلومة بسيطة و ع السريع
In allergy, shall I choose Difen or Allermine
اثنينهم متوفرات و نفس الامبولة؟؟
better to choose difen...
what is the dose??
25-50 mg IV direct over 5 min, can be repeated
يعني الجرعة مو امبولة عند الحاجة !!!!!!
جاي تتخيل الفرق بين العلم و الواقع العملي !!!
فدائما اي معلومة تسمعها، ارجع ابحث عنها، اتحقق من صحتها، يلا تطبقها.
19 904
Summary:
62 yr old M, hx of urine incontinence 9 months ago labelled as neurogenic bladder. 1 mn later, he developed backache + progressive lower limb weakness and paresthesia, labelled as disc prolapse and operation done with no improvement.
1 mn post op, the weakness involved the upper limbs equally and the patient developed hypotonic speech & nasal regurgitation with frequent chocking during eating or drinking.
Area of hyposthesia from T4-T11.
your ddx and management??
19 904
An interesting ECG:
1. STE in inferior leads, lead III >II
2. reciprocal STD in avL>lead I
3. upsloping STD in anterior leads with tall R wave.
4. first degree AVB.
just remeber:
in such cases:
A. do not give angiseed (there is possibility of RVMI which is masked by post MI).
B. beta blockers should be used with cautions.
كيس من الحبيب د.حسن خشان
19 904
Nice case:
difficile–Induced Diarrhea:
Oral vancomycin or oral fidaxomicin is recommended by the American College of Gastroenterology for the treatment of a primary episode of nonsevere C. difficile–induced diarrhea.
Fidaxomicin 200 mg orally every 12 hours for 10 days is recommended by the IDSA and SHEA as first-line therapy for C. difficile infection.
Fidaxomicin decreases the risk of recurrence more than vancomycin.
Vancomycin 125 mg orally 4 times a day for 10 days is an alternative.
Metronidazole is no longer recommended as first-line therapy for C. difficile–induced diarrhea. However, oral metronidazole can be used if vancomycin or fidaxomicin is not available.
Vancomycin 500 mg orally or by nasogastric tube 4 times a day and metronidazole 500 mg IV every 8 hours are recommended by the ISDA/SHEA for fulminant disease without ileus.
If ileus is present, a retention enema can be given as a dosage of vancomycin 500 mg in 10 mL saline per rectum 4 times a day.
19 904
Asthma flare up:
typically, in asthma exacerbation there will be over wash up of CO2, resulting in low CO2 level (resp alkalosis with metabolic acidosis).
Therefore, normal PaCO2 (relative CO2 retention) is very ominous in asthma exacerbation, and always is an indication for RCU admission.
high PaCO2 is a sign of life-threatening asthma, and transient intubation is commonly needed.
19 904
بين فترة و فترة تجيني هيج رسائل محفزة، ف انشرها هنا حتى ابقى اتذكرها.
الحمد لله
19 904
Hypertrophic cardiomyopathy HCM
The ECG usually shows voltage criteria for LV hypertrophy (eg, S wave in lead V1 plus R wave in lead V5 or V6 > 35 mm).
Very deep septal Q waves in leads I, aVL, V5, and V6 are often present with asymmetric septal hypertrophy; hypertrophic cardiomyopathy sometimes produces a QRS complex in V1 and V2, simulating previous septal infarction.
T waves are usually abnormal; the most common finding is deep symmetric T-wave inversion in leads I, aVL, V5, and V6.
ST-segment depression in the same leads is common (particularly in the apical obliterative form).
The P wave is often broad and notched in leads II, III, and aVF, with a biphasic P wave in leads V1 and V2, indicating left atrial hypertrophy.
Incidence of preexcitation phenomenon of the WPW type, which may cause palpitations, is increased.
BBB is common.
