Ayman Fathy, MD👨‍⚕️🩺

وَمَنْ أَحْيَاهَا فَكَأَنَّمَا أَحْيَا النَّاسَ جَمِيعًا❤️
Medicine is my love and my life💫
📘Join us on Telegram👇for med-Students

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

برنامج The good doctor
في البداية هعرض ليكم Case Scenario
ومن خلال شكوى المريض
هنعرف ايه اسباب الشكوى دي
Most common causes of these complaint
وبعديها هنقول ايه اللى يرجح تشخيص معين عن التاني
يعني approach للحالة دي بابسط طريقة ممكنة والتركيز على الcommon وملاحظات وhints بسيطة

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Medical Tweets 𓅨 (Dr. Ayman Fathy)

رجعت تاني ابقى active على الواتس القناة عليها النوتس قصيرة ومفيدة 🩺❤️

وياريت لو حد قابله اى معلومة على القناة وعنده فيها استفسار يبقى يبعت هنا او مباشرة على الواتس

لينك القناة👇

https://t.co/fc8ayaZrA5
#دمتم_بسلام ❤️
#د_أيمن_فتحي 👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Motivation / passion is NOT real 🚫
Discipline is✋💪

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

FDA has approved colchicine 0.5 mg for reducing cardiovascular events among adults who have established ASCVD or are at risk of developing it

#medtwitter
#meded

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Wilson disease "WD"
🔴Low protein that bind Copper
(ceruloplasmin)
So no binding to Cu>>High free Cu which deposits in organs specially Liver and Brain

💫But Normal Ceruloplasmin level does NOT rule WD out
✨10% of WD has normal Ceruloplasmin✅
#Ayman_Clinical_Notes (113)
#Meded

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

You may have high clinical sense and Suspect leukemia Clinically but that beyond what is normal

Normally Suspecion of leukemia depends on CBC and may be smear

But even with your high clinical sense⚠️

💫Diagnosis of leukemia depends ONLY only on labs
#Ayman_Clinical_Notes (112)

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Some say myelodysplasia looks like a dysplasia in cervix that turns into cancer one day
No
It kills
It doesn't turn into cancer in most patients
It kills them with infection and bleeding before cancer occur
💫Pancytopenia&pelger Huet cells in smear
#Ayman_Clinical_Notes (111)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Not all leukemia have bad prognosis

APL(M3) ,a type of AML is curable with 1st line combination therapy (ATRA+ATO)💪
Bad vitamin A genes>needed for myeloblast maturation>replaced with ATRA(VitA)

✨death only occur in bleeding from DIC(M3>>DIC)⚠️

#Ayman_Clinical_Notes (110)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

@OsamaKhattab98 طول عمرك شاطر يا صديقي...بالتوفيق دائما يارب

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Alcoholic hepatitis by itself does not lead to cirrhosis, but cirrhosis is more common in patients with long term alcohol consumption
In another word...
Alcoholic hepatitis is not a pre-requisite to alcoholic cirrhosis.✅
#Ayman_Clinical_Notes(109)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

NSAIDs side effects are mainly renal
vs Paracetamol mainly Hepatic
But Unlike what you may think👇🏽⚠️
Acetaminophen in modest doses (<2 g/day) is much SAFER than NSAIDs for patients with cirrhosis.😮

#Ayman_Clinical_Notes(108)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Autoimmune hepatitis is associated with a high rate of anti-HCV false-positives
SO
the diagnosis MUST be confirmed by checking a PCR assay for HCV viremia.
#Ayman_Clinical_Notes(107)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

HCC can occur before cirrhosis from HBV, but this is rare in HCV.

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Hepatitis B does not need to progress to cirrhosis before HCC can arise So patients with HBV infection need Abdominal CT or U/S every 6 months.
AFP by itself it is insufficient as a screening test for HCC.
#Ayman_Clinical_Notes(105)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

Needlestick transmission rates follow the rule of 3’s:
HBV 30%
HCV 3%
HIV 0.3%.
#Ayman_Clinical_Notes(106)👨‍⚕️🩺

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

I always say we all know that God is the one who cure and the most healer
But you should know also that Doctors are the hands of God to do so
So Be proud of yourself💪
..... The one who die studying medicine📚 is the one who live saving lives👨‍⚕️❤️

#Medtwitter
#Meded

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

رجاء الدعاء من القلب لوالدي بالشفاء والعافية وأن يمد في عمره سنوات عديدة يارب
فوالدي في كرب حقيقي ربنا يفرج عنه وعننا جميعا يارب يارب يارب يارب
اللهم اشفه شفاء لا يغادر سقما يارب
وأبعد عنه أى أذى
ربنا يطول في عمره ويحسن عمله
ربنا يزيح عنه المرض والتعب يارب يارب

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

The simple things are also the most extraordinary things, and only the wise can see them.
Paulo Coelho

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

وَلَمَّا رَأَى الْمُؤْمِنُونَ الْأَحْزَابَ قَالُوا هَٰذَا مَا وَعَدَنَا اللَّهُ وَرَسُولُهُ وَصَدَقَ اللَّهُ وَرَسُولُهُ ۚ وَمَا زَادَهُمْ إِلَّا إِيمَانًا وَتَسْلِيمًا (22)

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

وَإِذْ زَاغَتِ الْأَبْصَارُ وَبَلَغَتِ الْقُلُوبُ الْحَنَاجِرَ وَتَظُنُّونَ بِاللَّهِ الظُّنُونَا
هُنَالِكَ ابْتُلِيَ الْمُؤْمِنُونَ وَزُلْزِلُوا زِلْزَالًا شَدِيدا
وَإِذْ يَقُولُ الْمُنَافِقُونَ وَالَّذِينَ فِي قُلُوبِهِم مَّرَضٌ مَّا وَعَدَنَا اللَّهُ وَرَسُولُهُ إِلَّا غُرُورا

[Ayman Fathy, MD👨‍⚕️🩺 @draymanfat7y]

إِذْ يَقُولُ الْمُنَافِقُونَ وَالَّذِينَ فِي قُلُوبِهِم مَّرَضٌ غَرَّ هَٰؤُلَاءِ دِينُهُمْ ۗ
وَمَن يَتَوَكَّلْ عَلَى اللَّهِ فَإِنَّ اللَّهَ عَزِيزٌ حَكِيمٌ (49)