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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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AAS Medical Notes (@amedicalnotes) kanali faol ishtirokchi. Hozirda hamjamiyat 19 870 obunachidan iborat bo'lib, Tibbiyot toifasida 1 163-o'rinni va Saudiya Arabistoni mintaqasida 3 652-o'rinni egallagan.

๐Ÿ“Š Auditoriya koโ€˜rsatkichlari va dinamika

ะฝะตะฒั–ะดะพะผะพ sanasidan buyon loyiha tez oโ€˜sib, 19 870 obunachiga ega boโ€˜ldi.

02 Iyul, 2026 dagi oxirgi maโ€™lumotlarga koโ€˜ra kanal barqaror faollikka ega. Oxirgi 30 kunda obunachilar soni -42 ga, soโ€˜nggi 24 soatda esa -7 ga oโ€˜zgardi va umumiy qamrov yuqori darajada qolmoqda.

  • Tasdiqlash holati: Tasdiqlanmagan
  • Jalb etish (ER): Auditoriya oโ€˜rtacha 24.97% darajada jalb etiladi. Nashrdan keyingi dastlabki 24 soatda kontent odatda umumiy obunachilar sonining 8.36% ini tashkil etuvchi reaksiyalarni toโ€˜playdi.
  • Post qamrovi: Har bir post oโ€˜rtacha 4 961 marta koโ€˜riladi; birinchi sutkada odatda 1 662 ta koโ€˜rish yigโ€˜iladi.
  • Reaksiyalar va oโ€˜zaro taโ€™sir: Auditoriya faol: har bir postga oโ€˜rtacha 95 ta reaksiya keladi.
  • Tematik yoโ€˜nalishlar: Kontent ู…ูŽุฑููŠุถ, ูƒูŽูŠุณ, ูƒูุชูŽุงุจ, ุทูŽุจููŠุจ, ุฌูุฏู‘ kabi asosiy mavzularga jamlangan.

๐Ÿ“ Tavsif va kontent siyosati

Muallif resursni shaxsiy fikrni ifoda etish maydoni sifatida taโ€™riflaydi:
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€

Yuqori yangilanish chastotasi (oxirgi maโ€™lumot 03 Iyul, 2026 da olingan) sababli kanal doimo dolzarb va katta qamrovli boโ€˜lib qoladi. Analitika auditoriya kontent bilan faol hamkorlik qilishini, uni Tibbiyot toifasidagi muhim taโ€™sir nuqtasiga aylantirishini koโ€˜rsatadi.

19 870
Obunachilar
-724 soatlar
-437 kunlar
-4230 kunlar
Postlar arxiv
ู…ุฑูŠุถ chronic AF ูˆ ู…ุงุดูŠ ุนู„ู‰ Xarleto (Rivaroxaban) 20 mg once daily ูˆ ุตุงุฑ ุนู†ุฏู‡ Acute coronary syndrome (in form of occlusive MI) ุดู†ูˆ ูˆุถุนู‡ุŸุŸ ู†ู†ุทูŠู‡ anti Platelet ู„ูˆ ู„ุงุŸุŸ ู…ูˆุถูˆุน ู…ู‡ู… ูˆ ูƒู…ู† ูˆ ู‡ู… ุจูŠู‡ ุงุจุฏูŠุช ุญู„ูˆ. @AASmedicalbot

ู‡ุงูŠ ุชู„ุฎูŠุต ุงู„ู€ New guideline in AF ุทุจุนุง ู‡ุฐุง ุงู„ุฌุฏูˆู„ ุณูˆูŠู†ุงู‡ ุงู†ุง ูˆ ุฏูƒุชูˆุฑ ู…ุญู…ุฏ ุณุนุฏูˆู† (ุงู„ุฃุฏู…ู† ูˆูŠุงู‡). ู‡ูˆ ุฎู„ุงุตุฉ ูƒู„ ุงู„ู€ guideline ุงู„ุฌุฏ
ู‡ุงูŠ ุชู„ุฎูŠุต ุงู„ู€ New guideline in AF ุทุจุนุง ู‡ุฐุง ุงู„ุฌุฏูˆู„ ุณูˆูŠู†ุงู‡ ุงู†ุง ูˆ ุฏูƒุชูˆุฑ ู…ุญู…ุฏ ุณุนุฏูˆู† (ุงู„ุฃุฏู…ู† ูˆูŠุงู‡). ู‡ูˆ ุฎู„ุงุตุฉ ูƒู„ ุงู„ู€ guideline ุงู„ุฌุฏูŠุฏุฉ ุงู„ูŠ ู†ุงุฒู„ู‡ ุจู€ 128 ุตูุญุฉ ๐Ÿ˜Ž๐Ÿ˜Ž #cardio @AASmedicalbot

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ู‡ุฐุง ุงูŠุถุงู‹ ู…ู†ุดูˆุฑ ู‚ุฏูŠู… ุนู† ุงู„ู€ WCT ุชู‚ุฑูŠุจุงู‹ ู…ุง ุงูƒูˆ ุงุฎุชู„ุงู. ุงู†ู…ุง ุจุงู„ู…ู†ุดูˆุฑ ุงุนู„ุงู‡ุŒ ุงูƒูˆ ุงุถุงูุงุช ุฌุฏูŠุฏุฉ. #cardio

ูˆุญุฏู‡ ู…ู† ุฃู‡ู… ุงู„ู…ุดุงูƒู„ ุงู„ูƒู…ู† ุงู„ูŠ ู†ุดูˆูู‡ุง ุจุงู„ุทูˆุงุฑุฆ ู‡ูŠ Uncertain regular wide complex tachycardia WCT ูŠุนู†ูŠ WCT ูˆ ู…ุง ุชุนุฑูู‡ ู‡ู„ ู‡ูˆ VT SVT with aberrancy (bundle branch block) Antidromic AVRT ุฑูƒุฒุช ุจุงู„ุชุฎุทูŠุท ูˆ ู…ุง ุนุฑูุชู‡ ุดู†ูˆ ู†ูˆุนู‡ุŒ ุดู„ูˆู† ุฑุงุญ ู†ุนุงู„ุฌ. According to the 2020 update ESC guideline: ุงูˆู„ ู…ุง ู†ุดูˆู ุงู„ุจูŠุดู†ุช ู‡ู„ ู‡ูˆ stable ุงูˆ unstable Unstable= any patient with signs and symptoms of hypoperfusion 1. Unstable ๐Ÿ‘‰๐Ÿ‘‰ check the pulse: A. Pulseless ๐Ÿ‘‰๐Ÿ‘‰ start with CPR (ACLS algorthim) B. Pulsatile ๐Ÿ‘‰๐Ÿ‘‰ check the R and T waves: .. If you can't differentiate bewteen the waves ๐Ÿ‘‰๐Ÿ‘‰ give asynchronized DC 120-200 J .. If you can differentiate bewteen them ๐Ÿ‘‰๐Ÿ‘‰ give synchronized DC (120-200 j) 2. Stable uncertain WCT ๐Ÿ‘‰๐Ÿ‘‰ check the morphology of QRS: A. Monomorphic ๐Ÿ‘‰๐Ÿ‘‰ start with vagal manruvers, if no response give adenosine 6 mg then 12 mg, and check the response: -- good response: SVT and Rx accordingly. -- no response ๐Ÿ‘‰๐Ÿ‘‰ VT B. Polymorphic ๐Ÿ‘‰๐Ÿ‘‰ think about SVT with accessory pathway and electrolyte disturbances Remember: irregular WCT ๐Ÿ‘‰๐Ÿ‘‰ always think about AF with aberrancy or with WPW ุดู„ูˆู† ู†ูุฑู‚ุŸุŸ ุดูˆู ุงู„ู€ QRS morphology A. Monomorphic ๐Ÿ‘‰๐Ÿ‘‰ AF with aberrancy, Rx with rate control drugs B. Polymorphic ๐Ÿ‘‰๐Ÿ‘‰ AF with WPW, give DC even if the pt was stable. C. U cannoy assess the morphology due to very fast rate (> 200 bpm) ๐Ÿ‘‰๐Ÿ‘‰ AF with WPW ูŠู…ูƒู† ู‡ุฐุง ุฃุณู‡ู„ diagram ู„ู„ู€ WCT. ุงุฐุง ุงุญุฏ ูƒุฏุฑ ูŠุฑุชุจู‡ ุงู„ู†ู‡ ูƒู€ Scheme ุงูˆ ู…ุฎุทุท ุจุนุฏ ุฃูุตู„. ู‡ุฐุง ุงุฎุฑ update ู†ุงุฒู„ ุนู† ุงู„ู€ Uncertain WCT #cardio

A nice case to be seen: ููŠู…ูŠู„ hypertensive ูˆ ุฌุงูŠ ุชุงุฎุฐ lisinopril ุตุงุฑ ุนุฏู‡ุง New onset blisters in inter-mammary area and the or
A nice case to be seen: ููŠู…ูŠู„ hypertensive ูˆ ุฌุงูŠ ุชุงุฎุฐ lisinopril ุตุงุฑ ุนุฏู‡ุง New onset blisters in inter-mammary area and the oral cavity. Dx of ACEIs-induced pemphigus vulgaris was put in the list. Confirm dx by histological study + anti desmoglein (1 and 3) antibodies. Rx: 1. Stop ACEis 2. Give predinsolone 1 mg/kg/day 3. We may add azathioprine 2 mg/kg/day OR mycophenolate 1 g twice daily. #dermatology

Guideline in mx of Acute exacerbation of asthma #respiratory
Guideline in mx of Acute exacerbation of asthma #respiratory

Mastocytosis is characterized by an excessive accumulation of mast cells within the skin (cutaneous mastocytosis) or multiple tissues (systemic mastocytosis). The release of mast cell mediators, triggered by stimuli such as cold and exercise, associated with: - peptic ulcer - gastric hyperacidity - abdominal pain - diarrhea - flushing - pruritus Two typical skin findings are common in both the cutaneous and systemic form: - Darierโ€™s sign (localized urticaria and erythema that develop within minutes of scratching or stroking the skin) - Urticaria pigmentosa

ุงู„ู€ guideline ูƒู„ุด ุตุฑูŠุญุฉ ุจูŠุดู†ุช ุนู†ุฏู‡ AVNRT ูˆ ูƒุงู† ุณุชูŠุจู„ ู†ุจุฏูŠ ูˆูŠุงู‡ vagal maneuvers ุงุฐุง ู…ุง ุงุณุชุฌุงุจุŒ ู†ุฑุฌุน ู†ู†ุทูŠ ุงุฏูŠู†ูˆุณูŠู† 6 mg then 12
ุงู„ู€ guideline ูƒู„ุด ุตุฑูŠุญุฉ ุจูŠุดู†ุช ุนู†ุฏู‡ AVNRT ูˆ ูƒุงู† ุณุชูŠุจู„ ู†ุจุฏูŠ ูˆูŠุงู‡ vagal maneuvers ุงุฐุง ู…ุง ุงุณุชุฌุงุจุŒ ู†ุฑุฌุน ู†ู†ุทูŠ ุงุฏูŠู†ูˆุณูŠู† 6 mg then 12 mg then 12 mg (or 18 mg), between each other dose is 30 seconds to 1 min ูˆ ุงู„ุงุฏูŠู†ูˆุณูŠู† ู†ู†ุทูŠู‡ via proximal IV setุŒ ูˆ ุงู„ุงูุถู„ ู‡ูˆ left cubital line ูˆ ู…ู† ู†ู†ุทูŠู‡ ู†ุฏูุน ูˆุฑุงู‡ 20cc flush NS ูˆ ู†ุฑูุน ุงูŠุฏ ุงู„ุจูŠุดู†ุช ู…ุง ุชุญุณู† ุน ุงู„ุงุฏูŠู†ูˆุณูŠู†ุŒ ู†ู†ุทูŠ verapamil ุจุฌุฑุนุฉ 0.15mg/kg ุงูˆ 5-10 ู…ุบู…ุŒ ูˆุฑูŠุฏูŠ ุฎู„ุงู„ ุฏู‚ูŠู‚ุชูŠู†. ุงุฐุง ู…ุง ุชุญุณู† ู†ุนูŠุฏ ุงู„ุฌุฑุนู‡ ุจุนุฏ 15 ุฏู‚ูŠู‚ุฉุŒ ูˆ ุงู„ max dose ู‡ูŠ 20mg. ุงุฐุง ู…ุงูƒูˆ ุฑูŠุณุจูˆู†ุณุŒ ู†ู†ุทูŠ betaloc (metoprolol) ุจุฏูˆุฒ 5mgุŒ ูˆ ู†ูƒุฏุฑ ู†ุนูŠุฏู‡ุง ูƒู„ 5 ุฏู‚ุงุฆู‚ ูˆ ุงู„ู…ูƒุฒู…ู… ู‡ูˆ 15mg. ุงุฐุง ู…ุงูƒูˆ ุฑูŠุณุจูˆู†ุณุŒ ุงู„ู€ ESC guideline ุชูƒู„ูƒ ุงู†ุทูŠ DC shock. ุงู„ู€ AHA ุชูƒู„ูƒ ุงู†ุทูŠ IV amiodarone (ูˆ ู‡ุฐุง ูŠุนุชุจุฑ weak recommendation). ุงู„ู‡ุฏู ู…ู† ู‡ุฐุง ุงู„ุจูˆุณุช ู‡ูˆ ุญุชู‰ ุงูˆุถุญู„ูƒ ุงู† ุงู„ูƒูˆุฑุฏุงุฑูˆู† ู…ูˆ good choice ู„ู„ู€ AVNRT. #cardio @AASmedicalbot

Which of the following is most commonly associated with this patientโ€™s likely diagnosis?
Anonymous voting

50 yo M presents with a rash, that skin eruption becomes erythematous and pruritic after exercising, and when he scratches it
50 yo M presents with a rash, that skin eruption becomes erythematous and pruritic after exercising, and when he scratches it.

Bradycardia emergency evaluation #cardio
Bradycardia emergency evaluation #cardio

๐Ÿ“ Quick Note: If 2:1 AV block occurs in association with inferior MI ๐Ÿ‘‰ Mobitz I is far more likely. If 2:1 AV block occurs in association with anterior MI ๐Ÿ‘‰ Mobitz II is much likely.

Headache + Eye right pain + Vomiting + Red right eye with lacrimation + Decreased visual acuity ๐Ÿ‘‰ Acute angle closure glaucoma is characterized by narrowing of anterior chamber angle leading to decreased aqueous outflow and elevated intra-ocular pressure.. ูŠูƒูˆู† ู†ุณุจุชู‡ ุงูƒุจุฑ ุจุงู„ููŠู…ูŠู„ ุฎุตูˆุตุง ุงู„ู„ูŠ ุงูƒุจุฑ ู…ู† 40 ุณู†ุฉ ุงุถุงูุฉ ู†ู†ุชุจู‡ู‡ ู„ู„ุฏุฑูƒุงุช ุงู„ู„ูŠ ุชุนุชุจุฑ predispose or trigger Anticholinergic + sympathomimetic ๐Ÿ‘‰ pupillary dilation Sulfonamides ๐Ÿ‘‰ swelling of structures (lens, retina, choroid) ุจุนุฏ ู…ุช ุฑูƒุฒู†ุง ุน ุงู„ู…ุถุงุฏ ุชุจูŠู† ู‡ูˆ trimethoprim ุงู…ุง Ddx ๐Ÿ‘‰ Cluster headache ูŠูƒูˆู† recurrent attacks ุฎู„ุงู„ ุฏู‚ุงุฆู‚ ูˆูƒู…ูˆู† ุจุงู„ู…ูŠู„ ูˆุฎุงุตุฉ young male ุงุถุงูุฉ ๐Ÿ‘‰ Migraine it usually presents in adolescence or early adulthood and this patient red eye unlikely to be migraine ๐Ÿ‘‰ Subarachnoid hemorrhage not commonly cause v red eye ๐Ÿ‘‰ Giant cell arteritis vomiting is not typical of GA ๐Ÿ‘‰ Optic neuriis seen as a manifestation of multiple sclerosis๐Ÿ˜ ุงู…ุง ุงู„ุชุฑูŠุชู…ู†ุช topical drops ๐Ÿ‘‰ pilocarpine one every 5 min for 15 min, then 30min or 0.5% timolol one Acetazolamide ๐Ÿ‘‰ 500 mg slowly IV then 250 mg IV analgesia ๐Ÿ‘‰ morphine up to 2.5 mg IV antiemetic ๐Ÿ‘‰ metoclopramide 10 mg IV

Some criteria to diagnose LVH #ECG
Some criteria to diagnose LVH #ECG

ู…ุฑุงุฉ ุจุนู…ุฑ 63 ุณู†ุฉ ุฏุฎู„ุช ู„ู„ุทูˆุงุฑู‰ุก ุนู†ุฏู‡ุง ุงู„ู… ูุถูŠุน ุจุฌู‡ุฉ ุงู„ูŠู…ู†ู‰ ู…ู† ุฑุงุณู‡ุง ุชู‚ุฑูŠูŠุง ุตุงุฑู„ู‡ ุณุงุนุชูŠู† ูˆู†ุต ู…ุณุชู…ุฑ never had headache like this before ุจุนุฏู‡ุง ุจู„ุดุช ุนูŠู†ู‡ุง ุงู„ูŠู…ู†ู‰ ุชุบูˆุด ูˆุงู„ู… ูŠุตูŠุฑ ุจูŠู‡ุง ุจุญูŠุซ ุชูƒูˆู„ ุงุญุณ ุงู„ุงู„ู… ูŠูุชุฑ ุน ูŠุนู†ูŠ ุงู„ูŠู…ู†ู‰ ูˆุนู†ุฏู‡ุง ุชู‚ูŠุค PMHx: HTN & urinary tract infection Drug Hx: Anti-HTN & Antibiotic for UTI O/E - vital signs within normal limits - red right eye with lacrimation Ddx ? Management? ๐Ÿ‘‡ @AASmedicalbot #emergency

ู‡ู„ู‰ ุฐูƒุฑู‰ ุงู„ู€ phenytoin ูƒุฐุง ู…ุฑุฉ ุงุดูˆูู‡ู… ูŠุฎูููˆู†ู‡ ุจู€ Glucose water 5%ุŒ ู„ูƒู† ู‡ุฐุง ุงู„ุดูŠุก ู…ูˆ ุตุญูŠุญ. Phenytoin is compatible ONLY with 0.9% NS. Any other fluid isnโ€™t compatible with phenytoin #pharma

ู…ุฌุฑุจูŠู† ู…ู†ุทูŠู† ุงู„ู€ phenytoin ู„ุญุงู„ุงุช VT ุŸุŸ ูˆ ุดู„ูˆู† ูƒุงู†ุช ุงู„ู†ุชูŠุฌุฉ. ู„ูˆ ูู‚ุท ู…ูƒุชููŠู† ุจุงู„ุฃู…ูŠูˆุฏุงุฑูˆู† ูˆ ุงู„ู„ูŠุฏูˆูƒุงูŠูŠู† ุŸุŸ ู„ู„ุนู„ู…ุŒ ุงู„ุฌุฑุนู‡ ู…ุงู„ุชู‡ ู‡ูŠ ู†ูุณู‡ุง ุฌุฑุนุชู‡ ุจู€ status epilipticus ูˆ ุงู„ูŠ ู‡ูŠ 15-20 mg/kg ๐Ÿ‘‰๐Ÿฝ๐Ÿ‘‰๐Ÿฝ A. each 50 mg given within 1 min. B. Boluses of 100 mg till the maximum dose @AASmedicalbot