MD1TALK SMLE IM
Открыть в Telegram
📈 Аналитический обзор Telegram-канала MD1TALK SMLE IM
Канал MD1TALK SMLE IM (@md1talksmle) является активным участником. Сейчас сообщество объединяет 10 903 подписчиков, занимая 2 586 место в категории Медицина.
📊 Показатели аудитории и динамика
С момента создания невідомо проект демонстрирует стремительный рост, собрав аудиторию из 10 903 подписчиков.
Согласно последним данным от 05 февраля, 2026, канал показывает стабильную активность. За последние 30 дней изменение числа участников составило 66, а за последние 24 часа — 0, при этом общий охват остаётся высоким.
- Статус верификации: Не верифицирован
- Уровень вовлечённости (ER): Средний показатель вовлечённости аудитории составляет 0%. В первые 24 часа после публикации контент обычно набирает N/A% реакций от общего числа подписчиков.
- Охват публикаций: В среднем каждый пост получает 0 просмотров. В течение первых суток публикация набирает 0 просмотров.
- Реакции и взаимодействия: Аудитория активно поддерживает контент: среднее количество реакций на один пост — 0.
📝 Описание и контентная политика
Автор описывает ресурс как площадку для выражения субъективного мнения:
“IM questions and other important stuff 🌟”
Благодаря высокой частоте обновлений (последние данные получены 06 февраля, 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.
10 903
Подписчики
Нет данных24 часа
+167 дней
+6630 дней
Архив постов
10 903
جاكم الفرج يا حقين SMLE 🤩
امبوس دخلت وبقوة في اختبار الهيئة ب ١٥٠٠ سؤال قابلة للتحديث
راح ينزل رسمي وكامل في هذا الشهر
10 903
https://t.me/publicationhub9
بما ان الفترة ذي حرجه للجميع وما بقى شيء للتقديمات
حبيت اذكركم بمنصة publication hub
وجميع الخدمات البحثية اللي تقدمها من (تحليل احصائي، الى فورماتنق ومطابقة شروط المجلات واكثر !)
فوق تلقون قناة التيلقرام للي حاب يتابع الاخبار والخصومات اللي راح تنزل بشكل مستمر 🫡
10 903
https://x.com/publicationhub9/status/1837956140937724093?s=46&t=YVx2A9KqBbwX3Hrk4_rlCw
كود: KSA94
خصم ١٥ بالمية على كل الخدمات ولمدة خمسة ايام 🫡🤩
10 903
35-year-old woman with heartburn and regurgitation for 6 months is referred for evaluation of chronic GERD symptoms. The patient states that she notes burning in her chest primarily after meals and occasionally experiences episodes of chest pain. She denies change in weight or lifestyle. She often consumes dinner 2 hours before going to bed. Her heartbum occurs mainly during the night. Physical examination is normal except for a body mass index (BMI) of 28 kg/m2. A complete blood count and metabolic panel are normal. The patient has been taking omeprazole 20 mg daily. An upper endoscopic examination is performed, and the appearance of distal esophagitis. Which of the following is the best next step?
A. Add antacid twice/day
B. Ranitidine at bed time
C. Advise her to lose weight
D. Refer her for Nilsson Fundoplication
B ١٠٠٪
10 903
فيه مشاكل بسيطة جدا ممكن تخلي ابحاثكم توقف، الموقع هذا راح يريح دماغكم ويساعدكم كثير:
- تحليل البيانات
-اكتشاف كتابة الذكاء الاصطناعي
- الفورماتنق للبحث وال referecing حسب شروط المجلة
- البوستر البحثي وتصميمه
- المساعدة في البحث
اختيار المجلة
واشيااااء كثيرة
شيكوا عليهم :
حسابهم بتويتر:
https://x.com/publicationhub9?s=21&t=YVx2A9KqBbwX3Hrk4_rlCw
الموقع:
https://publication-hub.com
ضمانة شخصية مني لشغلهم ❤️⭐️🙏🏻
10 903
A 22-year-old man presents with altered sensorium for the last 2 days and headaches for 5 days, with a history of fever for the preceding month. On examina7on, there is nuchal rigidity (see lab results).
Test Result Normal Values
Hb 100 130-170 g/L
WBC 11 4.5-10.5 x 109/L
Glucose, fas7ng 7.22 3.5-6.5 mmol/L Cerebrospinal Fluid:
Test Result Normal Values
Appearance turbid clear
Cells 240 0-3 /uL
Total protein 3.6 0.22-0.33 g/L
Glucose 2.7 2.50-3.89 mmol/L
Neutrophils 23 0-1%
Lympocytes 73 0-1%
Which of the following is the most likely diagnosis?
A. Sep7caemia
B. Tubercular meningitis
C. Phylogene7c meningitis
D. Viral meningoencephalis
In medicine there is 2 common causes of subacute meningitis (tuberculosis or cryptococal)
CSF analysis clearly points toward tuberculose 👍
Low glucose and lymphocyte predominance
السكر هنا نازل لانه معطيك الfasting وقت سحب LP، اذا الفرق بينهم فوق ٦٦ بالمية او ثلثين، نعتبره نازل بغض النظر عن range
10 903
21 yrs old girl with SOB and excercise intolerance and gallop rythm on auscultation
pulse 120
RR 25
Bp 140/90
inv normal heart function and structure (exactly like this)
best next inv?
a)Thyroid function tests
b)CBC
c)other 2 options can’t remeber but no ecg or echo
A✅
High output heart failure, thyrotoxicosis is an important cause in middle age female with tachycrdia, HTN
10 903
A 68-year-old woman underwent a total abdominal hysterectomy and bilateral salpingo-oophorectomy. 3 days following the surgery, urinary catheter was removed and she was able to independently void 1 hour with an output of 35 ml/hr. She has been receiving fluids by continuous intravenous drip. She described the incisional pain as uncomfortable and rates it at a level 5 on the pain assessment scale. For pain relief, she was taking Ibuprofen 800 milligrams every 6 hours. The doctor considered her ready for discharge (see lab results).
Blood pressure 118/68 mmHg, Heart rate 70/min, Respiratory rate 20/min, Temperature 37.4° C oral
Test Result Normal Values
НСТ 0.37 0.37-0.48
Hb 122 120-160 g/L
Which of the following would be a reason for this patient to remain in hospital?
A. Decreased hemoglobin and hematocrit.
B. Absence of oral fluid intake
C Inadequate urinary output
Increased body temperature
B ✅
Until the patient can have a good oral intake, discharge will not be wise
10 903
A 55-year old man with stable COPD, presents with sudden onset left-sided pleuritic chest pain and exertional dyspnea. On examination, he is not in distress. the trachea is central and breath sounds are equal in both sides with occasional mild expiratory wheezes (see report).
Blood pressure 130/70 mmHg
Heart rate 80 /min
Respiratory rate 22 /min
Temperature 36.6 °C
Oxygen saturation 93 %
Chest X-ray: Shows a left sided pneumothorax measuring 2 cm between the lung and chest wall. Which of the following is the most appropriate next step in management?
A. Needle aspiration
B. Chest tube insertion
C. Perform pleurodesis
D. Oxygenation and observation
Answer is D
Small pneumothorax and stable condition (He is not in distress)
Oxygenation and observation is high yield answer and almost always correct
10 903
A 65-year-old patient presents with 2 hours of chest pain that feels like indigestion. In the past medical history, hypertension has been diagnosed, but no evidence of myocardial infarction or angina. This Emergency Department does not have facilities for a percutaneous transluminal angioplasty.
Blood pressure 170/94 mmHg Heart rate 104/min Respiratory rate 18/min
Temperature 36.6° C
Oxygen saturation 95% on room air
ECG:ST segment elevation in the anterolateral leads.
Which of the following is the most appropriate initial intervention?
A. ASA, streptokinase, nitroglycerine, beta-blockers
B. ASA, streptokinase, heparin, beta-blockers
C. Nitroglycerin, ASA, heparin, beta-blockers
D. ASA, nitroglycerine, beta-blockers
A ✅
Then shift to nearest PCI capable facility
10 903
Elderly cirrhosis due to hep c, on spiro 50mg and furosemide 40mg daily, patient presented enlarging worsening ascitis. Afebrile, no other comlaint. Labs: Hyponatremia only. Normal creatinine and urea. Next step? A) IV diuretics
B) Increase furosemide dose
C) Therapeutic paracentesis
D) TIPS procedure
IV diuretics is used HF not cirrhosis (gut is congested which limits absorption)
C)is done massive tense ascites
B is the correct and he is still on the lower doses of diuretics
Frusemide can reach to 160
Spironolactone can reach to 400
This called the rule of 4 (we can titrate each 4 times, in 5:2 ratio)
10 903
A 38 years-old female presents to the clinic after finding of hilar lymphadenopathy on CXR. She has on and off cough but denies any fever, headache, N/V, weight loss all negative. All investigations were insignificant except for CXR showing bilateral hilar lymphadenopathy. CT-guided biopsy shows non caseating granuloma. What is rhe best next step in management?
A. Observe
B. Start prednisolone
C. Start azithromycin
D. Start anti-TB medication
A✅
Sarcoid, observation in non quality of life disturbing cough
10 903
25 year pt with bloody diarrhea, + ve family history his mother and brother same condition
+ ve guaiace test
Diagnosis
1 ulcerative colitis
2 diverticulosis
3 familial polyposis ✅
FAP (autosomal dominant)
The majority of patients are asymptomatic until they present with symptoms of colorectal cancer. In such cases, patients with FAP may present with gastrointestinal bleeding, abdominal pain, and diarrhea. Most patients are diagnosed between 20 to 40 years of age, and 75 percent of them are symptomatic.
10 903
A 66-year-old man comes for follow-up. He has shortness of breath on exercise, which have increased over the past few months. He became unable to walk more than 200-300 meters on the corridor and cannot climb the stairs easily. He has history of hypertension and currently on amlodipine 5 mg OD and indapamide 2.5 mg OD. On examination, he has bilateral basal crackles and mild pitting ankle edema (see lab results).
Blood pressure 188/96 mmH
Heart rate 79 /min
Test Result Normal Values
Hb 133 130-170 g/L (Male)
120-160 g/L (Female)
Sodium 138 134-146 mmol/L
Potassium 4.2 3.5-5.1 mol/L
Creatinine 133 44-115 mol/L
Which of the following is the most appropriate next therapy?
Spironolactone
Furosemide
Bisoprolol
Lisinopril
Lasix → D/c indapamide → still high bp → nitroglycrine → stablized → add lisonprile → at discharge add or resume BB
10 903
An 82-year-old woman admi ed to the hospital for meningi s. Her CSF was obtained and Gram stain showed Gram nega ve cocco-bacilli. Which chemo-prophylaxis should be offered to her contacts?
A. Rifampicin
B. Ce riaxone
C. Ciprofioxacin
D. Azithromycin
A
طبعا هو ما حدد مين ال contacts وممكن يكونون ال contacts فيهم اطفال او حتى neonates
ف A مناسب لكل للحالات
C → resistance high + not your choice in children
B → preferred agent in pregnancy, injectable
