Shock | Types And Mechanisms of Shock | Dr Najeeb🩺

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  • čas přidán 29. 06. 2024
  • #mechanisms #drnajeeblectures #typesofshock #shock #drnajeeb
    Shock | Types And Mechanisms of Shock | Dr Najeeb
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    ▬▬▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬
    0:00 Types, Mechanisms & Stages of Shock
    Definitions of different types of shocks;
    HYPOVOLEMIC SHOCK
    CARDIOGENIC SHOCK
    DISTRIBUTIVE SHOCK & its 3 types:
    1-Anaphylactic Shock
    2-Neurogenic Shock
    3-Septic Shock
    22:22 OBSTRUCTIVE SHOCK
    CAUSES of HYPOVOLEMIC SHOCK
    1-HEMORRHAGE:
    External Hemorrhage
    Internal Hemorrhage
    2-LOSS OF PLASMA:
    Exfoliative Dermatitis
    3-LOSS OF FLUIDS & ELECTROLYTES:
    Diarrhea & Vomiting
    Polyuria: e.g., Diabetic Ketoacidosis
    Excessive Sweating
    3rd Spacing; Ascites, Bowel Obstruction, Acute Pancreatitis,
    36:20 CARDIOGENIC SHOCK
    1-ARRHYTHMIAS:
    Tachyarrhythmia & Bradyarrhythmia
    2-TRUE PUMP FAILURE:
    Massive Myocardial Infarction
    Cardiomyopathies
    CARDIOMYOPATHIES
    3-SEVERE VALVULAR DYSFUNCTION:
    Valvular Regurgitation; like Mitral Valve Regurgitation, Aortic Valve Regurgitation.
    4-RUPTURE OF VENTRICULAR SEPTUM or FREE WALL
    53:09 DISTRIBUTIVE SHOCK:
    1-Neurogenic Shock:
    Vasomotor Center Failure/Depression
    2-Anaphylactic Shock
    3-Septic Shock
    1:02:35 Acute Adrenal Insufficiency
    1:21:21 OBSTRUCTIVE SHOCK:
    1-Cardiac Tamponade
    2-Tension Pneumothorax
    3-Massive Pulmonary Embolism
    4-Atrial Myxoma
    5-Left Atrial Mural Thrombus
    1:15:20 Syncope; Vasovagal shock.
    Outline of STAGES OF SHOCK:
    1-Non-Progressive Compensated Stage
    2-Progressive Stage of Shock
    3-Refractory Shock/Irreversible Shock
    4-NON-PROGRESSIVE COMPENSATED STAGE SHOCK; in detail:
    1-Sympathetic Autonomous Nervous System (SANS):
    Chemoreceptors, Baroreceptors, Vasomotor Center, Vasoconstriction & Arterioloconstriction
    Cardiac Output (CO) & Systolic Blood Pressure (SBP), Total Peripheral Resistance (TPR) & Diastolic Blood Pressure (DBP)
    Compensatory mechanisms try to stabilize the blood pressure.
    2-Renin-Angiotensin-Aldosterone Axis System (RAAA):
    Reduced renal perfusion, Renin release, Angiotensin-1, Angiotensinogen (ATG), Angiotensin-2 (AT-2)
    Why more Renin is released?
    Arterioloconstriction leads to increased TPR; DBP stabilized.
    AT-2 act on Adrenal Cortex; ZG will release Aldosterone; salt & water retained; increased blood volume;
    SBP stabilized.
    3-ADH(Vasopressin
    4-REVERSE STRESS-RELAXATION of Circulatory System
    5-FLUID SHIFT (Interstitial to Vascular)
    1:52:07 PROGRESSIVE STAGE OF SHOCK:
    Compensatory Mechanisms are exhausted and are failing; deterioration starts.
    Fight b/w Vasoconstrictor & Vasodilator mechanisms.
    "Peripheral tissues will become resistant to the compensatory vasoconstrictor mechanisms & start vasodilating".
    Endothelial Cells are injured; NO is released which acts as Vasodilator and cardio depressant.
    Lactic Acidosis
    Disseminated Intravascular Coagulation (DIC)
    2:06:45 REFRACTORY IRREVERSIBLE STAGE:
    "Cells & tissues start committing suicide".
    1-Na+K+ ATPases are not working
    2-Lysosomal Membrane breaks down
    3-ATP into Adenosine; raised uric acid in the blood.
    2:16:36 Post mortem findings in these patients.
    SEPTIC SHOCK & its types:
    1-Bacteremia
    2-Septicemia
    3-Endotoxemia
    Differences b/w in Gram +ve & Gram -ve bacteria.
    Differences b/w Endotoxins & Exotoxins.
    4-Pyemia
    5-Empyema
    6-Abscess
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  • @bipulray2294
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    The line 'they can save more life '❤

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    Atleast Now I can enjoy medicine and start loving it because of your lectures...!!!God bless you Sir

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    I don't know from where to start, but you are one of the bestest teacher I ever came across, I watched all your lectures related to immunology, and guess what I secured highest marks in class just because of your lectures. I can't thank you enough for teaching immunology with so much perfection. Forever greateful 🙏♥️♥️♥️♥️

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    Everytime I watch Dr Najeeb’s videos I learn something new.

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    It has been thirteen years since I've sat in a lecture class and I legit felt my heart skip a beat with the pressure to answer each time he asked a question.. Its surreal! Love the teaching style encouraging your students to think and figure out for themselves.This video format and everything just brings back memories of college lectures !Keep posting and keep teaching!

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    We are very lucky to watching the best teacher of medical science, god bless you ❤

  • @rizzuscomedian4122
    @rizzuscomedian4122 Před 2 lety +5

    Asalaam Alaikum Sir...
    I Am In First Year MBBS...
    Sir Your Lectures And The Diagrams Are Energetic...
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    Wow Wow Wow...
    Sir I Watched Your First Lecture Of Diencephalon...
    Where You Took Me Into The Third Ventricle
    And Now Me And My Friend Love Your Videos...
    Again Wow Wow Wow Sir...
    Masha Allah

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +6

      Blessed to have such great students. Students like you keep me going ❤️❤️❤️

  • @rizzuscomedian4122
    @rizzuscomedian4122 Před 2 lety +19

    If Someone Asks Me Who Teach You Neuroanatomy...
    I Can Say Proudly
    Dr Najeeb Sir ❤️

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +7

      Glad you like it. Keep supporting my hard work. ❤️❤️

  • @readerdose
    @readerdose Před 2 lety +11

    I am 12th student preparing for neet ...still I am to understand everything easily....such a grt teacher u are💗💗thank u sir

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem +2

      Thank you so much for the love and support. Stay blessed ❤️❤️

    • @readerdose
      @readerdose Před rokem +3

      @@DoctorNajeeb happy Guru Purnima sir🙏🏻❤️

  • @syamaratheesh6321
    @syamaratheesh6321 Před rokem +2

    Thanks a lot for your kindness to share this wonderful lecture which gave me a clear understanding of shock.

  • @jaweriajaweria7013
    @jaweriajaweria7013 Před 2 lety +5

    What a way to explain..o Wow..its just amazing...I wonder how an individual can have such precisness and transparency in the art of teaching and such marvellous depth of knowledge delivery!...u r simply out of this world sir...❤❤❤💓

    • @DoctorNajeeb
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      It's my pleasure to have such nice students. Keep supporting ❤️❤️

  • @mutayyabamajeed7374
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    I am so blessed sir
    Seriously I mean its unbelievable that whatever topic I am searching and preparing alhamdulillah mostly find on your channel notifications on the similar days

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      It's my pleasure to have such nice students. Keep supporting ❤️❤️

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    Words can not explain all I can say is thank you sir for the great work ❤️❤️❤️❤️

  • @SudhanshuKumar-ks9fw
    @SudhanshuKumar-ks9fw Před rokem +3

    Thanks .
    So many disease are clear in one chapter.

  • @bunty7208
    @bunty7208 Před rokem +1

    Love u sir, god bless u🙏, seen ur videos during my 2 yr mbbs , thanks for all d concepts I learned from your videos , sir,, u r d bestest in this whole world,,,,, 😊😊😊😊

  • @mohammadmustafasallat5070

    جزاكم الله خيرا 🌷

  • @abachaochola8073
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    My teacher i thought your not alive in some previous post that he have passed away i was sad probably happy to see you feeding up our brain

  • @sachinmalimali98
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    Thank you sir for such informative Lecture.....I am nurse by profession...

  • @maxmehar
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    No one can beat sir in teaching. 3:❤

  • @theenthusiant
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    We need newer lectures u are great sir.

  • @moulyarajkumar218
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    The most simplified explaination... So that everyone can understand very well 😊 . Thank you Sir .

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      You are most welcome ❤️

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      @@DoctorNajeeb students get more confident on the subject if they listen to your lectures sir

  • @medprimeforfree5272
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    I just speechless ! Mind-blowing sir, you have enlighted medical field.🥰🥰🥰 .Thank you sir. But requesting you to upload new and more videos.

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +4

      Sure, I'll be uploading more videos soon. Stay tuned ❤❤

  • @Mbbswithmedico9242
    @Mbbswithmedico9242 Před rokem +3

    Thanks a lot sir..
    your videos has helped me a lot in clearing concepts and understanding the topic very easily...

  • @divakarranjanarya1754
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    There r many videos in u tube on this topic but no one can generate curiosity in us like our Najeeb sir ... Great sir

  • @dksssiopsr3009
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    Sir your idol for me, knowledge you carry is remarkable thanks for guiding us...live life long healthy happy

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Thank you so much. Stay blessed ❤️❤️

  • @harshadjain4386
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    Sir m excited for newer brand new Lectures 😍😍

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    The best Teacher In the world... 🙏🙏 many many respect to you sir..

  • @malik7631
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    Assalam o alaikum Sir.. i m huge fan of you.. masha Allah. Ur teaching style is iconic.. urs lectures helped us alot in MBBS.. thank you so much ❣️❣️😍

    • @DoctorNajeeb
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      You are welcome dear❤️ Keep supporting ❤️

  • @madmedicos786
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    Thank you so so much 💝 for uploading complete lecture...it reflects ur generosity... otherwise there r many topic that v wanna learn from Dr najeeb lectures but we find that only treasure is available on CZcams...gets disappointed 😞...v all shall really b thankful to u from d core of our ❤️ if u keep ur generosity up and provide us complete videos for as many topics as possible...

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      It's my pleasure to have such great students 😊 Stay blessed ❤️

  • @10-anindyasundarghosal_7_h2

    Sir, you are not only Teacher you are god for all medical students

  • @exclusively_vet2000
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    Hello sir , I am veterinarian from india and ur lecture are extremely helpful for my academics, thank you so much sir 😇

  • @nourdin220
    @nourdin220 Před 2 lety +2

    You are the greatest teacher of all time
    God bless you
    Love from Mauritania

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      Love you more. Stay blessed and keep supporting ❤️

  • @neptune1593
    @neptune1593 Před 2 lety +3

    Thanks Doc. Iam having Seminar on shock for tommorow.

  • @mukantagengwamariepaul7224

    is really my first time i understand types of shock. thank you Dr Najeeb

  • @asadnoor2110
    @asadnoor2110 Před 2 lety +1

    Sir I'm lucky that I have gain your lecture and what now I'm in lumhs seriously sir thank you so much sir ..... this is only because of your efforts thank uu sir.....

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Glad you like my teaching methodology . Happy learning ❤️

  • @shalusharma3401
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    M a pg scholar ( general surgery ) my some concept was not clear by watching ur videos now concepts r clear
    Thanku so much sir for this type of simplcity of ur videos this help many students

  • @hamdasaed9600
    @hamdasaed9600 Před rokem +5

    May Allah protect you best teacher ever

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem +1

      Thank you for all the love and support dear❤ Stay blessed ❤

  • @smis715
    @smis715 Před 2 měsíci +1

    Actually thost doctors are lucky fellow who is hearing the honourable lecture. Many many❤ thanks, Sir.

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 měsíci

      It's my pleasure❤ Keep supporting ❤

  • @jananik2371
    @jananik2371 Před 2 lety +3

    Excellent Sir. Clear understand.thank you so much.keep up your good work sir👍🙏..

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      You are always welcome. Stay blessed ❤️❤️

  • @hanji120
    @hanji120 Před rokem +6

    Thank you for your passion and for your willingness to share that passion with us. You’re an amazing teacher and I'm so grateful that I found your channel here in youtube. I hope I can attend one of your lectures someday, Doc!

  • @nicholousysaimon1678
    @nicholousysaimon1678 Před rokem +1

    Thank a lot dr.najeeb.
    You’re exceptional teacher

  • @barad7907
    @barad7907 Před 2 lety +4

    Mind blowing teaching style sir 👌 🙌 😎 👏 🙏

  • @sademohamed5249
    @sademohamed5249 Před 2 lety +1

    for starting to night I will follow closely every topic u suggested

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      Glad to hear that ❤️❤️❤️❤️

  • @biute7632
    @biute7632 Před 2 lety +2

    You are amazing teacher and thankyou sir for your helpful lecture

  • @muqaddasmunir3242
    @muqaddasmunir3242 Před 2 lety +2

    Assalam u Alaikum Sir! You're an amazing teacher
    your lectures are very informative and help me a lot in my studies
    you're really doing a great work and you're a big inspiration for medical students

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +2

      Thank you so much for all the love and support. Stay blessed ❤❤

  • @asemshamlan5487
    @asemshamlan5487 Před 2 lety +3

    you're the greatest lecturer I've ever seen.....
    thank you for everything you have made ♥

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      It's my pleasure to have such nice students. Keep supporting ❤️❤️

  • @aimanmalik4411
    @aimanmalik4411 Před rokem +1

    Nicely explain 👍may god bless u to serve humanity ❣️

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem +1

      Thanks a lot❣️ Keep supporting ❣️

  • @OGSinisterPotato
    @OGSinisterPotato Před rokem +1

    Slick diagrams. Visuals helped a lot. Thanks

  • @abolfazlmahdavifar5996
    @abolfazlmahdavifar5996 Před rokem +2

    Great teaching. Thank you ❤️

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Glad it was helpful!❤️ Stay blessed ❤️

  • @muhammadsalman5832
    @muhammadsalman5832 Před 2 lety +2

    GOOD JOB SIR THE POOR PEOPLE WILL BE BENEFITED FROM THE LACTURES AND ALLAH WILL GIVE YOU THE PARADISE INSHALLAH ALLAH BLEES AND GIVE YOU A LONG HEALTHY LIFE.
    KEEP ME IN YOUR PRAYER ............................

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Thank you so much for appreciating my efforts ❤️❤️

  • @anamika2231
    @anamika2231 Před 2 lety +44

    When I was see first time your lecture sir I fall in love with your teaching style. Now whenever watching lecture I feel more and more love . I have no words for your praises but I want one day I becomes your best students . 🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏🙏

  • @altair_ezio01
    @altair_ezio01 Před 2 lety +1

    Doctor Najeeb you are spectacular ♥️

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      Thank you for your love and support dear❤️

  • @muqunentvchannel3192
    @muqunentvchannel3192 Před rokem +1

    I study in class 11th but I always learned basic concept with well method thanks sir g

  • @sameerkarna5236
    @sameerkarna5236 Před 2 lety +2

    I am too excited. Thank you so much for it doctor,

  • @deeyagaire3673
    @deeyagaire3673 Před rokem +2

    Best medical professor ever
    Huge respect from Nepal
    I am a medical student in Nepal
    But I see every lectures of yours
    It help me a lot
    Thank you so much sir
    Huge huge huge respect sir 🙏

  • @sademohamed5249
    @sademohamed5249 Před 2 lety +1

    thnks dr.najib really I appreciated your explaination

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Hope it was easy to understand ❤️❤️❤️❤️

  • @aakritattri8391
    @aakritattri8391 Před rokem

    Thank you so much sir for sharing your vast and valuable knowledge with us
    Really telling sir u are awsm you create a interest in study too by seeing your lecture one day I will become a successful doctor u made the concepts crystal clear thank you so much sir

  • @dr.munnahossain1706
    @dr.munnahossain1706 Před rokem

    Just an amazing lecture!!

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Glad to know that... keep supporting ❤️

  • @user-ub9ff5os6q
    @user-ub9ff5os6q Před rokem +2

    Biggest love and respect from bangladesh 🇧🇩🇧🇩🇧🇩🇧🇩🇧🇩🇧🇩

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Thank you for all the love and support❤️ Stay blessed ❤️

  • @adaorachioma6576
    @adaorachioma6576 Před 2 lety +4

    Thank you so much Sir
    You made my mbbs journey very very easy
    God bless you

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Glad to hear that❤️ Stay blessed❤️

  • @deepakrtr4840
    @deepakrtr4840 Před rokem +1

    Ur videos are always another level .. Love u sir❤👌

  • @medicalstudentNEW
    @medicalstudentNEW Před 2 lety +1

    Thank you from deep my heart..🌹

  • @Kabir_Khayer
    @Kabir_Khayer Před 2 lety +4

    My favorite Doctor.. Najeeb sir..
    Sir you are the miracle person...
    Love ❤you sir..

  • @bereketzerihun8000
    @bereketzerihun8000 Před rokem +1

    Dr thanks for your sharing amazing knowledge

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Thank you for all the love and support❤️ Stay blessed ❤️

  • @poojakushwaha8093
    @poojakushwaha8093 Před rokem +1

    Thank u soooo much sir 🥰 the way u teach is Awesome. Such a genius personality I have ever seen 🤗🤗 ☺ I Want to meet u at least Once in my lifetime🥰🥰 ....

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Thank you for all the love and support❤ Stay blessed ❤

  • @aliabdullah7866
    @aliabdullah7866 Před rokem +1

    Thank you Sir, i learnt this topics in final year.

  • @anju4259
    @anju4259 Před 2 lety +1

    Sir you are the best teacher 🌎🙏🙏

  • @doc.madizs1652
    @doc.madizs1652 Před rokem +1

    You are best Sir..Allah bless you🤲

  • @ahmadzebkhan3003
    @ahmadzebkhan3003 Před rokem +2

    No doubt ,he is legend.

  • @abdulmatinmuhammadi9587
    @abdulmatinmuhammadi9587 Před 2 lety +1

    Such a nice lecture OMG❤❤❤

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +2

      Glad you liked it❤️ Stay blessed ❤️

  • @StratosMelitis
    @StratosMelitis Před 2 lety +1

    exceptional teacher

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Thank you for all the love and support💖 Stay blessed 💖

  • @lemarjawid4879
    @lemarjawid4879 Před 2 lety +1

    Master of masters..love you sir

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      Love you more. Stay blessed ❤️❤️

  • @nklab-pg2gm
    @nklab-pg2gm Před 2 lety +1

    Thanks for uploading

  • @kidscartoonworld-rw3dh
    @kidscartoonworld-rw3dh Před 11 měsíci

    Sir, please share your journey once how you study beautifully no words for ur teaching ur God for us

  • @aklimitedvideos4017
    @aklimitedvideos4017 Před 8 měsíci

    Really I'm very happy to have you, Dear ❤Dr najeeb

    • @DoctorNajeeb
      @DoctorNajeeb  Před 8 měsíci

      It's my pleasure to have such great students 😊 Stay blessed ❤️

  • @altayearshumo7582
    @altayearshumo7582 Před rokem

    Thank you Dr !i pray God for you give long year

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Thank you for your kind words❤ Stay blessed ❤

  • @lukkaraghavendrarao
    @lukkaraghavendrarao Před rokem +1

    Sir you have told this in excellent way sir

  • @saratalha926
    @saratalha926 Před rokem +1

    Thank you Sir.

  • @basilahmad1297
    @basilahmad1297 Před 2 lety +1

    Amazing lecture sir. Keep it up Dr Najeeb and team. What an amazing team you have

  • @Zubai651
    @Zubai651 Před 2 lety +1

    one in a millions.love you sir from Russia 💜❤️

  • @rajpatel3872
    @rajpatel3872 Před 2 lety +2

    Amazing 🔥

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety +1

      Glad you like it!❤️ Stay blessed ❤️

  • @lukkaraghavendrarao
    @lukkaraghavendrarao Před rokem +2

    Super lecture sirrrr

  • @learnwithme5522
    @learnwithme5522 Před 2 lety +1

    Great to watch your videos sir... ❤️

    • @DoctorNajeeb
      @DoctorNajeeb  Před 2 lety

      Thank you❤️ Keep supporting ❤️

    • @learnwithme5522
      @learnwithme5522 Před 2 lety

      @@DoctorNajeeb always sir .. interest in medical field is due to you sir

  • @user-hy6vw1bw8d
    @user-hy6vw1bw8d Před rokem +1

    Thanks Dr important note and for for your clarfication

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      Glad you enjoyed it ☺️ Stay blessed ❤️

  • @11Petrichor
    @11Petrichor Před rokem +1

    This lecture was a very interesting ride! Thank you, Dr. Najeeb!
    And thank you to the person operating the camera!

  • @thenaturopath625
    @thenaturopath625 Před rokem +1

    Thanks for ur lecture,👍👍

  • @rajshreemohanty2267
    @rajshreemohanty2267 Před rokem +1

    I was completely hopeless in pathology... Then u came as miracle sir.... Thank you so much🙏🙏😊....
    Now all the topics r crystal clear to me✌

  • @natheerhusseinmk4822
    @natheerhusseinmk4822 Před 2 lety +1

    Thank youuuu my medical doctor God (Allah) bless you 🙏

  • @mogesbirhanie5287
    @mogesbirhanie5287 Před rokem +1

    You are mylife time hero doctor. I love you

  • @66monirulislam46
    @66monirulislam46 Před 2 lety +1

    Thanks for it sir

  • @Shime19
    @Shime19 Před rokem +1

    you are fantastic lecturer how do you have such smart teaching experience can you share the secret

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem

      All because of your love and support ❤️ Keep supporting ❤️

  • @Filmy-suffer
    @Filmy-suffer Před rokem +4

    Nice lecture and heard work sir🙏
    Love from india

    • @DoctorNajeeb
      @DoctorNajeeb  Před rokem +3

      Thank you for your love and support❤️ Keep supporting ❤️

  • @miralsangadiya8419
    @miralsangadiya8419 Před rokem +1

    You are legend sir 🙌🙌✨

  • @vareshanoor1293
    @vareshanoor1293 Před rokem +1

    So helpful 🥺❤️❤️

  • @wsyousafzai4981
    @wsyousafzai4981 Před 2 lety +1

    Thanks ❤

  • @Learniverse.38
    @Learniverse.38 Před 2 lety +1

    Thank you sir

  • @shamsullahshahi2791
    @shamsullahshahi2791 Před 3 měsíci

    hello sir iam from afghanistan, dentist. its very fantastic, thank you. ❤

  • @easystudy7376
    @easystudy7376 Před rokem +1

    Very good