حـاتـم

Medical Student

[حـاتـم @Nour_7atem]

مع احترامى لكل الماسكات وال skin care بس الإنسان عامةً بيحلوّ وهو مبسوط..

[حـاتـم @Nour_7atem]

@MoarSahitoPTI Absence generalized epilepsy?

[BBC News (World) @BBCWorld]

Egypt's Grand Museum opens, displaying Tutankhamun tomb in full for first time https://t.co/eRrp3McGNO

[Ahmed Mohsen @drahmedmohsen85]

ازاي تذاكر الـ Guidelines؟ 🤔📚

كتير من شباب الأطباء بيلاقوا صعوبة في قراءة وفهم الـ guidelines،

السبب إن ليها طريقة خاصة في الكتابة
أنا بسميها: لغة الـ Guidelines ✍️

علشان كده لخصتلك أهم المعلومات اللي تساعدك تذاكر وتفهم الـ guidelines في كتاب
Tips and Tricks in Cardiology

[Abdulhamid @abdulhamid_199]

مقارنة بين Warfarin و Heparin

ماتتخيلون قد ايش مهم

[Dr. AK 🇮🇳 @docakx]

2025 AHA HYPERTENSION GUIDELINES - Pharmacotherapy

[Piyush @drpiyushENT]

Here’s the ultra-concise cheat-sheet on today’s AHA/ACC High Blood Pressure Guideline (2025)—what actually changed vs 2017, and how to act on it in clinic.

Scope & status

Replaces 2017 ACC/AHA; definitions unchanged (Normal <120/80; Elevated 120–129/<80; Stage 1 130–139 or 80–89; Stage 2 ≥140 or ≥90).

Universal treatment goal

Target <130/80 mm Hg for all adults, with individualization for institutionalized, limited life expectancy, or pregnancy.

Risk tool switch

Move from Pooled Cohort Equations to PREVENT™ risk calculator to guide decisions (10- and 30-year CVD risk; integrates cardio-renal-metabolic health and social drivers). Use PREVENT to personalize when to add meds at 130/80.

When to start drug therapy

Start meds for everyone at ≥140/90.

At 130/80 to 139/89:

Start now if CVD, prior stroke, diabetes, CKD, or PREVENT ≥7.5%.

If PREVENT <7.5%: try 3–6 mo lifestyle, then start if still ≥130/80.

Combination therapy emphasis

For Stage 2 (≥140/90): initiate 2 first-line agents (ACEi/ARB, long-acting DHP-CCB, thiazide-type diuretic) preferably as a single-pill combo to improve adherence.

CKD & target organ protection

Urine albumin-to-creatinine ratio (UACR) now recommended for all at baseline (was optional). Albuminuria detection informs BP intensity and reno-protective choices.

Secondary hypertension—broader screening

Primary aldosteronism: screen more liberally (e.g., OSA, Stage 2 HTN, resistant HTN). Continue most antihypertensives (except MRA) during initial ARR screening to avoid delays.

Pregnancy & postpartum

For chronic hypertension in pregnancy, treat at ≥140/90; consider low-dose aspirin (81 mg/day) for preeclampsia risk. Ensure postpartum BP surveillance; annual BP if prior hypertensive pregnancy disorder.

Brain health

New emphasis on early treatment to reduce risk of cognitive decline/dementia; SBP goal <130 supported to protect brain health.

Resistant HTN & devices

Updated sections on resistant hypertension and renal denervation (selection, work-up, positioning in care pathway).

Out-of-office measurement

Home BP monitoring integrated into care pathways; avoid cuffless wearables for decision-making until accuracy improves.

Lifestyle remains first-line

Reinforced specifics: Na⁺ <2,300 mg/day (toward 1,500), weight loss ≥5% if overweight/obese, alcohol minimal/none, structured aerobic±resistance activity, stress-reduction.

Severe hypertension (no acute TOD)

>180/120 mm Hg without acute target-organ damage → expedited outpatient titration/initiation (not automatic admission).

Therapeutic add-ons

GLP-1 receptor agonists may be considered in overweight/obese patients to aid BP control and weight reduction—adjunct to standard classes.

Team-based care & equity

Strong push for multidisciplinary teams, single-pill combos, home BP protocols, and addressing social drivers to close control gaps.

Primary sources (today, Aug 14–15, 2025 IST): ACC press release & summary; AHA “Top Things to Know” & guideline hub (with links to Circulation/Hypertension/JACC manuscripts).

[Adam @AdameMedia]

Recent photos out of Gaza.

Israel is the side that staves chiIdren to death.

If you support Israel you support this.

[Furkan Gözükara @FurkanGozukara]

Starvation in Gaza is at horrible level, look at this mother and her skeleton kid

[sarah @sahouraxo]

Hello world!

Israel is deliberately starving 2 million civilians.

Half of them children.

Trapped. No food. No escape.

Gaza has now reached Stage 5 malnutrition: the final, irreversible stage.

This isn’t war.

It’s calculated extermination.

It’s a Holocaust.

[Suppressed News. @SuppressedNws]

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

Israel is starving Gaza.

[Motasem A Dalloul @AbujomaaGaza]

I have run out of words

[بِـرواز. @_frame1]

من أسوأ أنواع الإبتلاء :
"أن تُبتلى بغليظ الفهم، محدود الإدراك
يرى نفسه أفهم خلق الله، وهو أجهلهم."

[Oren Gottfried, MD @OGdukeneurosurg]

Skin lesions via smart doctor

[MEDICINE MADNESS @Doctors_GUILD]

Types of Fever

Save it for quick revision

[MEDICINE MADNESS @Doctors_GUILD]

ANTI- HYPERTENSIVE DRUGS SUMMARY

[Abdulhamid @abdulhamid_199]

ورقة تلخص لك
( الادوية اللي توقفها قبل العملية الجراحية )

جدا مفيدة

[MEDICINE MADNESS @Doctors_GUILD]

Quick revision of Thyroid function test

#NEETPG2025

[د. عبدالرحيم الشهري @TheNeurologist]

اختر ما شئت:
إمّا أن ترهق جسمك اليوم وتحافظ عليه بالحركة والرياضة أو أن يرهقك بزيارات الأطباء والمستشفيات في العِقد الأخير من العمر.
هذه مهمتك وحدك، ولا يسعك توكيل أحد للقيام بها بدلك، ولو ملكت مال قارون.
#عبدوليات

[MEDICINE MADNESS @Doctors_GUILD]

IMPORTANT CHEST PATHOLOGY IN ONE SHOT

#neetpg2025

[Oren Gottfried, MD @OGdukeneurosurg]

Most common skin lesions