✅ پیام نهایی: با وجود پیشرفت سریع روش های پاراکلینیک هنوز شرح حال و معاینه شاه کلید حل معماهای تشخیصی است.
Signed Dr.Khajavirad

Channel
@Imam_Internalmedicine
On this record: Topic · Growth · Engagement · Posts · Polls · Citations · Telegram's recommendations · Cite this entry
2,809subscribers
+21 since we began measuring on 21 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
| Telegram ID | -1001080816702 |
|---|---|
| Type | Channel |
| Username | @Imam_Internalmedicine |
| Created | Between 1 September 2016 and 30 September 2017 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 21 August 2026 |
| Last confirmed live | 16 September 2026 |
| Measurements held | 8 |
| Confirmed unchanged | 2 times, most recently 16 September 2026 |
| On Telegram | t.me/Imam_Internalmedicine |
Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 15 September 2026 and assigned it the closest of 31 fixed categories, at 75% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 11 Sept 2026, 23:59 | 2,809 | +1 |
| 7 Sept 2026, 12:00 | 2,808 | +16 |
| 2 Sept 2026, 17:12 | 2,792 | +6 |
| 31 Aug 2026, 01:55 | 2,786 | -1 |
| 28 Aug 2026, 10:16 | 2,787 | +4 |
| 25 Aug 2026, 06:52 | 2,783 | -8 |
| 22 Aug 2026, 14:13 | 2,791 | +3 |
| 21 Aug 2026, 13:01 | 2,788 | first reading |
19 posts held, back to 20 March 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 1 page of Telegram’s post history, 20 posts per page.
Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 19 posts for this entry, the most recent from 26 February 2026. An engagement rate over an empty window would be a number about nothing.
✅ پیام نهایی: با وجود پیشرفت سریع روش های پاراکلینیک هنوز شرح حال و معاینه شاه کلید حل معماهای تشخیصی است.
Signed Dr.Khajavirad
با چندین نوبت اخذ شرح حال مجدد از بیمار و خانواده مشخص شد ایشان سال ها به جهت تمایل به افزایش وزن با مراجعه به عطاری پودر افلاطون مصرف می کرده است و به دنبال AVN و جراحی مصرف را ناگهانی قطع کرده است و بروز ضعف و کاهش وزن نیز از آنزمان آغاز شده. سطح کورتیزول و ACTH ساعت ۸ صبح برای بیمار چک شد که : Serum Cortisol: 1.2 ACTH: 45 گزارش شد. تشخیص: نارسایی آدرنال بدنبال قطع ناگهانی استرویید آیا علایم بیمار با تشخیص س…
Signed Dr.Khajavirad
تشخیص نهایی بیمار فردا خدمت دوستان به اشتراک گذاشته میشه.
Signed Dr.Khajavirad
با مجموع شواهد چه اقدامی مناسب است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed Dr.Khajavirad
نتایج بررسی های تکمیلی: ✔️اکو : نرمال ✔️TFT: نرمال ✔️سرولوژی بروسلا: منفی ✔️مارکرهای انتی فسفولیپید: منفی ✔️کلونوسکوپی: نرمال ✔️Hiv ab: منفی
Signed Dr.Khajavirad
چه اقداماتی را توصیه می کنید:
The shares total 232%, above 100: this poll accepts more than one answer per voter. No per-option vote count is published, so the number of voters who chose each option is not derivable and is not shown.
Signed Dr.Khajavirad
هر بیمار یک درس، شماره ۱ : آقای ۴۵ ساله با کاهش وزن ۲۵ کیلوگرمی، AVN دو طرفه سر فمور، بی اشتهایی و DVT بدنبال جراحی تعویض مفصل سر فمور مراجعه کرده است. از تعریق شاکی است اما تب ندارد. فشار خون ۱۰۰/۶۰ ، PR: 95 و سایر معاینات به جز کاشکسی نکته دیگری ندارد. در بررسی ها: ✔️CBC: WBC: 4500 with nl diff Hb: 9 MCV: ۸۱ PLT: 110000 ✔️ESR: 20 ✔️LDH: 345 ✔️Cr: 0.9, Na: 136, K: 3.1, Ca:8.5 ✔️AST: 35, ALT:40, ALP: 135 ✔️Alb: 2.5…
Signed Dr.Khajavirad
اقدام مناسب کدام است؟
Signed Dr.Khajavirad
اقام مناسب کدام است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed Dr.Khajavirad
Photo, posted without a caption
Signed Dr.Khajavirad
آقای جوان با احساس تنگی نفس به اورژانس مراجعه کرده است. سابقه بیماری مزمن ندارد. در حال حاضر دیسترس تنفسی ندارد. فشار خون ۱۱/۶ و HR=70 دارند و تبدار نیستند. سی تی اسکن ریه را ملاحظه میفرمایید👇
Signed Dr.Khajavirad
Radiology Case Collection | 130+ cases | Geeky Medics https://geekymedics.com/radiology-case-collection/
Signed Dr.Khajavirad
Showing the 12 most recent of 19 posts we hold for @Imam_Internalmedicine. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
The 3 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
با مجموع شواهد چه اقدامی مناسب است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
چه اقداماتی را توصیه می کنید:
The shares total 232%, above 100: this poll accepts more than one answer per voter. No per-option vote count is published, so the number of voters who chose each option is not derivable and is not shown.
اقام مناسب کدام است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 19 most recent posts we hold, published 20 March 2025 to 26 February 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Republishes
Channels on the register whose posts this channel has forwarded.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.
This channel appears in 9 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 11 September 2026 — this entry's latest reading, not the date you are reading this.
“داخلی جنرال، علوم پزشکی تهران- بیمارستان امام” (@Imam_Internalmedicine), 2,809 subscribers as measured 11 September 2026. Telegram Register, tgregister.com/channel/Imam_Internalmedicine.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.