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AAS Medical Notes (@amedicalnotes) kanali faol ishtirokchi. Hozirda hamjamiyat 19 871 obunachidan iborat bo'lib, Tibbiyot toifasida 1 158-o'rinni va Saudiya Arabistoni mintaqasida 3 637-o'rinni egallagan.
📊 Auditoriya ko‘rsatkichlari va dinamika
невідомо sanasidan buyon loyiha tez o‘sib, 19 871 obunachiga ega bo‘ldi.
04 Iyul, 2026 dagi oxirgi ma’lumotlarga ko‘ra kanal barqaror faollikka ega. Oxirgi 30 kunda obunachilar soni -40 ga, so‘nggi 24 soatda esa 1 ga o‘zgardi va umumiy qamrov yuqori darajada qolmoqda.
- Tasdiqlash holati: Tasdiqlanmagan
- Jalb etish (ER): Auditoriya o‘rtacha 25.16% darajada jalb etiladi. Nashrdan keyingi dastlabki 24 soatda kontent odatda umumiy obunachilar sonining 7.73% ini tashkil etuvchi reaksiyalarni to‘playdi.
- Post qamrovi: Har bir post o‘rtacha 4 999 marta ko‘riladi; birinchi sutkada odatda 1 536 ta ko‘rish yig‘iladi.
- Reaksiyalar va o‘zaro ta’sir: Auditoriya faol: har bir postga o‘rtacha 102 ta reaksiya keladi.
- Tematik yo‘nalishlar: Kontent مَرِيض, كَيس, كِتَاب, طَبِيب, جِدّ kabi asosiy mavzularga jamlangan.
📝 Tavsif va kontent siyosati
Muallif resursni shaxsiy fikrni ifoda etish maydoni sifatida ta’riflaydi:
“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==”
Yuqori yangilanish chastotasi (oxirgi ma’lumot 05 Iyul, 2026 da olingan) sababli kanal doimo dolzarb va katta qamrovli bo‘lib qoladi. Analitika auditoriya kontent bilan faol hamkorlik qilishini, uni Tibbiyot toifasidagi muhim ta’sir nuqtasiga aylantirishini ko‘rsatadi.
19 871
Obunachilar
+124 soatlar
-307 kunlar
-4030 kunlar
Postlar arxiv
19 871
📑 Hyper-segmented neutrophil
It is defined as the presence of neutrophils with 6 or more lobes or the presence of more than 3% of neutrophils with at least 5 lobes.
🎗 It is seen in
👉 Megaloblastic anemia (deficiency of folate or vit.B12)
🎗 It is Not seen
👉 Macrocytic non megaloblastic anemia (alcohol, liver disease, phenytoin therapy, hypothyroidism)
🔖 So Clinicians may send requests to search a hyper-segmented neutrophils to differentiate between megaloblastic vs non megaloblastic macrocytic anemia.
🔖 But hyper-segmented neutrophils are not pathognomic of megaloblastic anemia as they are also seen in:
👉Uremia
👉Patients on methotrexate or other chemotherapeutic agents
👉Severe Iron deficiency anemia
👉Myelodyplastic syndrome
#hematology
19 871
تفريغ ال hypocalcaemia
الي سجلت الفويس الدكتورة مريم
عاشت ايدها و شكراً جزيلاً الها
19 871
Very Nice case to see
This 39 yo medically free female presented with central chest pain which was sudden in onset.
المفروض هجي كيس نبدي ب ECG
المهم، الي كان موجود دزاها Chest X ray، و الي من الوهلة الأولى تبدي نورمل
In this CXR : there are 2 important and highly specific signs : Fleischner sign on the right and Westermark's sign on the left.
تگدر تبدي بال anti coagulants و تعامل هذا الكيس ع انه pulmonary embolism فقط بناءاً ع هاي ال chest X ray.
Later on : CTPA was done which confirm bilateral PE.
#emergency
#respiratory
#radiology
19 871
📑 Iron deficiency anemia (IDA)
📝 IDA + dysphagia + esophageal webs
👉 Plummer Vinson
📝 IDA + angiodysplasia + aortic stenosis
👉 Heyde syndrome
📝 IDA + nocturnal leg discomfort
👉 Restless leg syndrome
📝 IDA + Gluten intolerance
👉 Celiac
📝 IDA + urine loss of iron + intravascular hemolysis
👉 Paroxysmal nocturnal hemoglobinuria
📝 IDA + Haemolytic Anaemia + Eosinophilia
👉 Infection cause (Ankylostoma)
📝 IDA + Middle age or post menopausal + Hx of melena or rectal blood loss
👉 Colon cancer
#hematology
19 871
اي تطبيق زين يدمج صور بحيث يحافظ ع الحجم للصوره وما ياثر بدقتها خل يرسله لل د احمد 😂
@AASmedicalbot
19 871
Acute Coronary Syndrome ACS Vs pulmonary embolism PE in ECG
أثنينهم يصير عدهم
Chest pain, positive troponin, ST-T changes, and high D-dimer
ف اشلون أگدر افرقهم عن بعض ب استخدام ال ECG 🙄🙄
Look to the T wave in V1-V4 and inferior leads :
١. إذا لكيت Inverted T in V1 and in Lead III، فهذا تعامله معاملة ال PE
٢. إذا لگيت discordant T waves، يعني وحدة عكس الثانيه in V1 and lead III، ف تعامله معاملة ال ACS.
٣. إذا لگيت Inverted T in V3-V4 أكثر من V1-V2، ف تعاملها معاملة ال ACS.
أهم نقطة و الي لازم الكل يعرفها هي النقطة الأولى.
الباقي زيادة خير
This pt presented with chest pain and positive troponin
طبعا اكو هواي signs بهذا ال ecg
بس حبيت اشرح هاي الساين لأن هي ال most specific و الي دائما تُنسى.
S1Q3T3 pattern neither sensitive nor specific 😒😒
By #Ahmed_Abdsam
#ECG
19 871
📔 PPI
📄 Best time to take PPI
👉 30 min before breakfast.Why?
👉To ensure maximum plasma concentration of PPI in plasma before activation of proton pump.
📄 Omeprazole & esomeprazole
is described as inhibiting CYP2C19
👉 decreasing clearance of diazepam, phenytoin & warfarin.
📄 Lansoprazole
👉 increases metabolism of theophylline by inducing CYP1A.
📄 Long-term PPI in older pt on high dosages
👉 increased risk of hip fractures by inhibition of calcium absorption by PPI-induced hypochlorhydia.
📄 PPIs
👉 increased risk of infections (e.g,pneumonias, enteric infections) 👉 less acidic environment
#pharma
19 871
هلووو
ردت اشوفكم هاي ال sign اسمها
Strawberry tongue
لسان الفراوله 😭😭😭
Causes :
Kawasaki disease
Scarlet fever
Allergy
B12 deficiency
#pediatric
19 871
📑 Sharp stabbing chest pain
✓ Sharp stabbing chest pain, fever and cough
👉 suggests pneumonia
✓ Sudden sharp stabbing chest pain, dyspnea without fever
👉 suggests pulmonary embolism
✓ Sharp stabbing chest pain improves on leaning forward
👉suggests pericarditis
19 871
Cullen's sign and Grey Turner's sign in necro-haemorrhagic acute pancreatitis
By #Ahmed_AbdSam
19 871
اخوان هذا الفويس كلش مهم كلش
Hypocalcaemia
Pseudo hypo Calcaemia
Ionized vs total calcium
Etiologies of hypocalcaemia
Calcium gluconate
19 871
+123 yo M marfanoid-looking with Arachnodactyly (spider fingers) 👉 fingers are long, slender, and curved.
Note:
📑ALL pt with Marfan's syndrome should be on BB"Beta-blocker"
👉BB significantly reduce the risk of Aortic Dissection "the most serious complication of Marfan"
19 871
Brugada syndrome
_ بالتفصيل الممل😅_ تفهمها بالكامل 💪
From A to Z 👉 From Start to End
#ECG
19 871
صار لازم نشرح ال hypo Calcaemia و بالتفصيل الممل
يعني من تسمع الفويس الي راح ينزل، اخليك اول مرة تحس بنفسك تعرف الكالسيوم 😂😂😂
لا لا أتشاقه
Remember : The devil in the details 😎😎😎😎
19 871
24 yo M has facial muscle wasting and weakness, wasting of scapular muscles with winging of scapula, He also have deltiod muscle atrophy with whistling difficulty.
👇
Diagnosed as case of Facio-scapulo-humeral muscular dystrophy clinically.
19 871
📑 Edema:
✒️ Initially leg edema then facial edema & ascites
👉 suggests cardiac cause (congestive heart failure)
----------
✒️ Initially facial edema followed by leg edema
👉 suggests renal cause of edema (CKD, GN/Nephrotic syndrome)
----------
✒️ Initially ascites followed by leg or facial swelling
👉 suggests liver cause (decompensated liver cirrhosis )
----------
✒️ Sudden onset perioral or periorbital swelling associated with shortness of breath or abdominal pain
👉 suggests angioedema
19 871
Dental cleaning
👇
Fevers
👇
Pulsatile mass
👇
Ulnar artery mycotic aneurysm
👉 Infective Endocarditis
#nejm
