Yassir A. Abd Al-Star medical learning channel
Kanalga Telegram’da o‘tish
قناة تعليمية تخص الاسئلة والملاحظات المهمة التي تشملها الامتحانات اي سؤال ببالكم هذا معرفي @ysrabdalstar حساب الانستكرام https://instagram.com/yassirabdalstar?igshid=ZGUzMzM3NWJiOQ==
Ko'proq ko'rsatish📈 Telegram kanali Yassir A. Abd Al-Star medical learning channel analitikasi
Yassir A. Abd Al-Star medical learning channel (@yassirabdalstar) Arab til segmentidagi kanali faol ishtirokchi. Hozirda hamjamiyat 15 274 obunachidan iborat bo'lib, Tibbiyot toifasida 1 600-o'rinni va Saudiya Arabistoni mintaqasida 4 804-o'rinni egallagan.
📊 Auditoriya ko‘rsatkichlari va dinamika
невідомо sanasidan buyon loyiha tez o‘sib, 15 274 obunachiga ega bo‘ldi.
27 Sentabr, 2026 dagi oxirgi ma’lumotlarga ko‘ra kanal barqaror faollikka ega. Oxirgi 30 kunda obunachilar soni -7 ga, so‘nggi 24 soatda esa 2 ga o‘zgardi va umumiy qamrov yuqori darajada qolmoqda.
- Tasdiqlash holati: Tasdiqlanmagan
- Jalb etish (ER): Auditoriya o‘rtacha 21.02% darajada jalb etiladi. Nashrdan keyingi dastlabki 24 soatda kontent odatda umumiy obunachilar sonining N/A% ini tashkil etuvchi reaksiyalarni to‘playdi.
- Post qamrovi: Har bir post o‘rtacha 0 marta ko‘riladi; birinchi sutkada odatda 0 ta ko‘rish yig‘iladi.
- Reaksiyalar va o‘zaro ta’sir: Auditoriya faol: har bir postga o‘rtacha 0 ta reaksiya keladi.
- Tematik yo‘nalishlar: Kontent patient, دكتور, زين, disease, ممكن kabi asosiy mavzularga jamlangan.
📝 Tavsif va kontent siyosati
Muallif resursni shaxsiy fikrni ifoda etish maydoni sifatida ta’riflaydi:
“قناة تعليمية تخص الاسئلة والملاحظات المهمة التي تشملها الامتحانات
اي سؤال ببالكم هذا معرفي @ysrabdalstar
حساب الانستكرام
https://instagram.com/yassirabdalstar?igshid=ZGUzMzM3NWJiOQ==”
Yuqori yangilanish chastotasi (oxirgi ma’lumot 28 Sentabr, 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.
15 274
Obunachilar
+224 soatlar
+37 kun
-730 kun
Postlar arxiv
+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🦸🏻: 🤩🤩🤩
Nice case 💥💥
45yrs old female with Hx of peri orbital swelling for 9 months
24hr urinary protein : neg
RFT : normal
Hx of allergical rhinitis
🏮🏮Its Denni-morgan fold of atopy ..
المشايفة قبل خلي يشوفها بالنت صور اكثر .. علمود لا تنسوها
+1
33 yrs old male patient with Hx of itching for 2wks
ماخذ ادوية مضادات الهستامين وماكو فايدة
وحدة من اسباب ال pruritis هو liver disease .. فدزينا LFT
AST 450 , ALT 520 , ALP 950 , GGT 1200
cholestatic picture
شوفو ال abdominal MRI
nice picture of water lily signs of hydatid cyst with intrahepatic biliary partial obstruction .
📌 don't miss liver disease as cause of itching .
شوفو الصورة بالتعليق
+1
78 yrs old male patient complained of black discoloration of cannula sites , after admission for GIT bleeding.
When we see blackish superficial necrotic tissue .. send for renal function test.
RFT .. S.creatinin 2.9mg/dl .. urea 280mg/dl .
It's case of calciphylaxis 💯
Calciphylaxis, also known as calcific uremic arteriolopathy or “Grey Scale”, is a rare syndrome characterized by painful skin lesions.
It involves a buildup of calcium in small blood vessels of fat tissues and skin.
من الشغلات الشائعة عدنه للاسف : عدم قياس الضغط بالطريقة الصحيحة .. مما يؤدي الى overdiagnosis or under diagnosis of HTN
فمن الشغلات التي يجب مراعاتها :-
🔴 patient not smoke or take meal or caffein drinks for at least 30 min .
فلا تستعجل بالقياس بعد سؤال المريض .
🔴 Ask pt to empty bladder if has full bladder .
🔴 patient should be comfortable in sitting position .
بحيث يكون متجي ظهره .. ورجله على الارض اثنينهن .. مو كاعد رجل على رجل .
🔴 arm of patient should be at level of heart .
يعني يفضل يكعد على مقعد بي اسناد للايد .. مو يرفع ايده للاعلى دون ان يسندها على مسند .. لان رفعه للايد لمدة طويلة راح يزيد المجهود وبالتالي يرفع الضغط .. وهاي مفقوده للاسف بواقعنه .
🔴 blood pressure monitor must be validated .
للاسف هواي من الاطباء يستخدمون اجهزة غير معتمدة عالمية .. وهاي راح تطي قياس خاطئ .
🔴 cuff must be at least 2cm from cubital fossa
مثل مواضح بالصورة بالاعلى 👆
🔴 stethoscope on brachial artery
بربكم مو تخلوها جوه ال cuff والله ميصير .. راح يطي قراءة خطا .
rare nice case ( Acrodermatitis Enteropathica)
6 yrs old thin child presented to us with chronic peri oral scaly lesion .. on further questionning there is also genital scaly lesion .
positive FHX of similar condition .
this is typical case of inherited Zinc deficiency, called acrodermatitis Enteropathica, when absorption of Zinc is impaired.
ميزته انو scaling spare upper lips margins ..
📌presentation is usually at the time of weaning in infants who are breastfed and earlier when they are formula-fed.
📌treatment is lifelong Zinc replacement.
