Yassir A. Abd Al-Star medical learning channel
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قناة تعليمية تخص الاسئلة والملاحظات المهمة التي تشملها الامتحانات اي سؤال ببالكم هذا معرفي @ysrabdalstar حساب الانستكرام https://instagram.com/yassirabdalstar?igshid=ZGUzMzM3NWJiOQ==
Больше📈 Аналитический обзор Telegram-канала Yassir A. Abd Al-Star medical learning channel
Канал Yassir A. Abd Al-Star medical learning channel (@yassirabdalstar) языкового сегмента Арабский является активным участником. Сейчас сообщество объединяет 15 256 подписчиков, занимая 1 666 место в категории Медицина и 4 893 место в регионе Саудовская Аравия.
📊 Показатели аудитории и динамика
С момента создания невідомо проект демонстрирует стремительный рост, собрав аудиторию из 15 256 подписчиков.
Согласно последним данным от 24 октября, 2026, канал показывает стабильную активность. За последние 30 дней изменение числа участников составило -11, а за последние 24 часа — 0, при этом общий охват остаётся высоким.
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- Реакции и взаимодействия: Аудитория активно поддерживает контент: среднее количество реакций на один пост — 31.
- Тематические интересы: Контент сосредоточен на ключевых темах, таких как patient, دكتور, زين, disease, ممكن.
📝 Описание и контентная политика
Автор описывает ресурс как площадку для выражения субъективного мнения:
“قناة تعليمية تخص الاسئلة والملاحظات المهمة التي تشملها الامتحانات
اي سؤال ببالكم هذا معرفي @ysrabdalstar
حساب الانستكرام
https://instagram.com/yassirabdalstar?igshid=ZGUzMzM3NWJiOQ==”
Благодаря высокой частоте обновлений (последние данные получены 25 октября, 2026) канал поддерживает актуальность и высокий уровень охвата публикаций. Аналитика показывает, что аудитория активно взаимодействует с контентом, что делает его важной точкой влияния в категории Медицина.
15 256
Подписчики
Нет данных24 часа
+47 дней
-1130 дней
Архив постов
A 57 y.o. female with -ve past medical hx presented with abdominal distension, on examination, it was dull to percussion, with shifting dullness. US confirmed that she has ascites.
Pan-CT (abdomen and chest) was done and revealed Rt upper lobe mass with partial atelectasis of the same lobe. Bronchoscopy was done and revealed lung CA.
Keep in mind that constipation can be a late sign in small bowel obstruction, since the colon might still has stool in it, distal to the site of obstruction.
What's the difference between incarcerated, obstructed, and strangulated hernia?
Incarcerated: irreducible, without obstruction of the bowel lumen or reduction in blood supply.
Obstructed: irreducible, and the bowel lumen within the inguinal hernia is obstructed (no food or gas can pass), but blood supply is still sufficient.
Strangulated: blood supply is reduced leading to ischemia and eventually infarction.
An old age female patient, with a known history of asthma, HF, and multiple CVAs. Following her last CVA she became paraplegic, with difficulty swallowing.
Now she presented with a few days hx of unilateral leg swelling.
On examination: Normal BP, pulse rate, and chest auscultation. Pitting unilateral leg swelling, dilated superficial veins are seen, and the leg feels hot to touching.
• What do you think the most likely dx is?
Deep Vein Thrombosis (DVT)
• What test can you use to confirm the dx by examination?
Hoffman test, but it can be dangerous as it can dislodge the thrombus and cause pulmonary embolism
• The gold standard test to confirm the dx
Doppler US of the leg
• How to treat it?
DVT is generally treated with NOACs like Apixaban. Initial dose is 10mg twice daily for 7 days, then 5mg twice daily for 3 months (in cases of provoked DVT)
+1
من كيسات الطوارى
💥Hx of productive cough , with large amount of hemoptysis.. high grade fever with chills .
💥 examination 👉 decrease air entery at right midzone with coarse crept .
دزيناه investigation 🔎
📌 CBC .. WBC 18,ooo , neutrophilia
📌CRP 220
📌 urea 53
📌CXR 👉 RT mid zone opacity
📌 CURB-65 score 👉 2
We addmitted patient for medical ward .
📌 CT chest 👉 obviously consolidation with air bronchogram
Could be pneumonia, if failed to respond, we should think about tuberculous pneumonia.
Giant 4 cm Gallbladder stone manifested ultrasonically as mobile echogenic focus , with posterior acuastic shadow 👆👆
+3
📌 85yo woman, previously healthy, heavy smoker (120 pack-years). with progressive right upper limb swelling and shoulder pain .
🔻 10kg weight loss ( last 3mo).
📌 examin ... right arm pitting edema.
🎈 Right breast enlargement/congestion.
🌬️ Trachea deviated left.
📌 diffuse rhonchi over chest .
✅Chest X-ray revealed a Golden S sign, suggestive of a central right upper lobe mass causing right upper lobe collapse.
📌 Contrast-enhanced CT of the chest confirmed a spiculated right upper lobe mass with associated lobar collapse.
📌The tumor was associated with internal jugular vein thrombosis and compression of the subclavian vein, resulting in right upper limb venous congestion and edema, consistent with superior venous outflow obstruction
+1
Nice case
هاي الحجية جتي قبل فتره جايبه تحاليلها وخايفه منهن
60 yrs old female pt with neg PMHX .... presented with just fatigue , no weight change , good appetite
LFT : high ALP
بالفحص لكيت
Non tender nodular swelling of right parotid gland with multiple LAP , of firm consistency
طبعا بهيجي Age وبهيجي فحص الموضوع يتحمل Chronic مو Acute condition
بالتالي دزينه Abdominal and chest CT with neck US
🔺Results .... diffuse elargment of cervical , mediatinal , paraaortic LAP
Yessss ... its lymphoma , that confirmed with hematological assessment .
Why high ALP❓❓ its infilterating the liver 😳
سؤال اليوم ....
what are classical presentation of lymphoma , that was missed in this case ??
من كيسات 💥💥💥
Old age patient with fatigue and productive cough......
Examination 👉 RT upper lobe dullness with fine crept .
CXR 👉RT upper lobe consolidation 2nd to bronchggenic CA , hyperinflation chest , ribbon shaped heart , flattering of hemidiaphragms , widened intercostal spaces ... (pneumonia secondary to CA with COPD ) ..
من الكيسات التعليمية الجميلة الشخصناها
👉 59 yrs old heavy smoker female, complaining of generalized bone pain .. no systemic features , no B symptoms.
O/E 👉 Bilateral distal forarm tenderness , bilateral distal tibial tenderness, poor air entery with diffuse rhonchi
دزيناها Xray
👉 distal radius and ulnar periostitis .
شتخلللون ببالكم تشخيص ❓❓
+4
📌 42 yrs old male patient recently dx as wilson disease with moderate fibrosis , and started penicillamine ..
after 2months , bilateral symmetrical non prupritic skin rash developed in lower and upper limbs , not responded to anti histamine .
🖍no other drug history nor FHX of dermatological disease .
too many DDX are possible ...
لكن الاهم لازم مننسه انو البنسلامين ممكن يسوي Drug induced lupus
فدزيته المريض
ANA +
Anti dsDNA +
24 hr urinary protein : high (nephritic range).
🛎 so its most likely Penicillamine induced lupus
🔥 Note : any patient with wilson disease presented with palpable rash + proteinurea = rule out penicillamine induced lupus ., stopping pencillamine and subsitiute wit other item is key Mangement .
Repost from N/a
+4
📌 42 yrs old male patient recently dx as wilson disease with moderate fibrosis , and started penicillamine ..
after 2months , bilateral symmetrical non prupritic skin rash developed in lower and upper limbs , not responded to anti histamine .
🖍no other drug history nor FHX of dermatological disease .
too many DDX are possible ...
لكن الاهم لازم مننسه انو البنسلامين ممكن يسوي Drug induced lupus
فدزيته المريض
ANA +
Anti dsDNA +
24 hr urinary protein : high (nephritic range).
🛎 so its most likely Penicillamine induced lupus
🔥 Note : any patient with wilson disease presented with palpable rash + proteinurea = rule out penicillamine induced lupus ., stopping pencillamine and subsitiute wit other item is key Mangement .
👆👆👆من كيسات الطوارى الفجر
Acute Raynaud phenomenon
الى كل طبيب شاطر
📌any patient with Hx of DM , and poorly controlled with Oral hypoglycemia drugs , and start weight loss .... even age> 40yrs ... exclude insulin dependent type of DM ( DM1, LADA) .
📌save patient life and sent for auto antibodies ( anti GAD65 ab , Anti IA 2 Ab , Anti ICA ab )
+1
📌 52 years old female patient with diabetes mellitus on oral treatment, presented with bilateral foot and peri orbital edema .
📌 no Hx of CVD , nor Hx peripheral arterial disease.
📌 DM is poorly controlled, and no dietary restriction
✅ Examination : bilateral piiting leg edema grade III , vitally stable , mild peri ocular edema . soft abdomen.
✅ Investigation.. unremarkable RFT , LFT ,TFT ,CBC ,CRP ,ESR , abdominal Us .
but when we sent urinary albumin creatinin ratio interestingly, results as shown above .
🖍diabetic nephropathy is one of commonest nephropathy, when albuminuria is Hallmark of early damage.
🖍if expect that , do urinary albumin creatinin ratio test , that detect early renal insult.
+1
كيس مهم جدااااا
A 57-year-old female patient with no significant past medical or surgical history presented with intermittent, diffuse, colicky abdominal pain persisting for several weeks, which did not resolve with antispasmodic medication.
🏥 There was no associated weight loss or anorexia.
On physical examination, the abdomen was tympanic and distended, with a painful, non-reducible swelling noted in the right inguinal region.
✅An erect abdominal X-ray revealed diffuse gaseous distension but no definitive signs of frank intestinal obstruction.
In summary, an inguinal hernia with a possible partial intestinal obstruction must be considered.
النقطة المهمة
🧐 The key clinical takeaway is that in cases of colicky abdominal pain, clinicians should not overlook the examination of the inguinal orifice. 🩺
لا تنسى تفحص ال inguinal orifice باي مريض عنده الم بالبطن .
🏮52 yrs old female with Hx of epigastric pain , nausea , vomiting for 2 days .
attacks of chills and fever with holocranial headache .
negative PMHx , apart of osteoarthritis for which took Arcoxia before 1 day .
negative FHx of similar condition
📌خلال الفحص السريري
conscious oriented .
jaundice
mild epigastric tenderness
CBC .. as above
ANA negative
LDH 900
retic count 7.3%
normal liver enzymes
TSB 5g/dl .
heptoglobin too low
✅giving her acute attacks after drug initiation , neg FHx of G6PD or hereditary hemolytic anemia, so its a case of drug induced hemolytic anemia.
✅NSAID one of common drug causing drug induced Hemolytic anemia ( keep in mind)
+1
60 yrs old male patient with Hx of diffuse colicky abdominal pain for 2months , dyspepsia, nausea, WT loss 7kg . normal bowel motion
neg FHX of autoimmune disease or malignancy .
PMHx .. poorly controlled DM
✅ on examination.. significant right lower abdomen tenderness .
✅ on colonoscopy.. significant ileal thickening with ulceration and stenosis , patulous ileocecal valve .
هنا نخلي الاحتمالات الاتية
1. Crohn's ileitis ( but age in too old for diseae onset) .
2. chronic infectious ileitis ( TB ileitis, fungal ileitis).
3. drug induced ( NSAID induced ileitis )
هنا دزينا على
interferon gamma release assay ( IGRA) ... and was positive.
🖍 its case of TB ileitis. ( giving Hx of poor immunity ( poorly controlled DM , old age)) .
✅ Ileum is most common site for TB within GIT tract .
✅ clinical manifestations are variable, ranging from mild abdominal pain , to partial intestinal obstruction.
🖍 don't miss TB ileitis in any patient with ileitis and risk factor for 2nd TB reactivation.
🔴 في يوم من الايام في استشارية الجراحة
الدكتور 👨⚕️: ولدي شوفو هذا المريض قبل جان عنده trauma بهذا المكان ؟؟؟؟ 😎😎
الطلاب🦸🏻: دكتور هاي large scar لكن عابره حدود الجرح القديم على الاماكن المجاورة السليمة .... يعني هذا keloid scar .
الدكتور 👨⚕️: ممتاز ... ليش مسميتوها hypertrophic scar ؟؟؟؟ 😎😎
الطلاب🦸🏻: دكتور ال hypertrophic scar صحيح هيه large scar ... لكن تبقى على حدود الجراح متنتشر على المناطق المجاورة .
الدكتور 👨⚕️: وروود .... منو الناس الاكثر عرضة لل keloid ؟؟؟؟ 😎😎
الطلاب🦸🏻: دكتور عادة dark skin يعني السٌمر ... اذا جانت اكو trauma بال neck ,ear ... واذا احد بالعائلة عنده ايضا keloid يعني family history .
الدكتور 👨⚕️: شطار ... شنو ننطي علاج لهذا المريض طالما بعده ببداية المرض ؟؟؟؟ 😎😎
الطلاب🦸🏻: دكتور ننطي steriod نحقنه مكان ال scar .... علمود نوكف شغل fibroblast وتقل عملية التليف fibrosis .
الدكتور 👨⚕️: خوش طلاب والله ... شدو حيلكم للامتحانات حتى تفولون
الطلاب🦸🏻: 🤩🤩🤩
