Channel
@MedicalnotesAandM
On this record: Growth · Engagement · Reactions · Posts · Citations · Cite this entry
8,828subscribers
+26 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001753514847 |
|---|---|
| Type | Channel |
| Username | @MedicalnotesAandM |
| Created | Between 1 December 2021 and 31 March 2023— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 13 August 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 13 August 2026 |
| On Telegram | t.me/MedicalnotesAandM |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 13 Aug 2026, 00:48 | 8,828 | +14 |
| 9 Aug 2026, 23:32 | 8,814 | +11 |
| 7 Aug 2026, 07:14 | 8,803 | +1 |
| 7 Aug 2026, 05:15 | 8,802 | no change |
| 7 Aug 2026, 05:03 | 8,802 | first reading |
18 posts held, back to 6 June 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 14 pagesof 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 18 posts for this entry, the most recent from 9 July 2026. An engagement rate over an empty window would be a number about nothing.
826 reactions across 18 posts, in 12 distinct kinds. The most used accounts for 65.3% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 539 | 65.3% | |
| 🔥 | 119 | 14.4% | |
| ❤🔥 | 62 | 7.51% | |
| 😢 | 31 | 3.75% | |
| 💯 | 28 | 3.39% | |
| 👍 | 19 | 2.30% | |
| 🤯 | 14 | 1.69% | |
| 🌚 | 4 | 0.484% | |
| 😱 | 4 | 0.484% | |
| 👌 | 3 | 0.363% | |
| 🤩 | 2 | 0.242% | |
| 👀 | 1 | 0.121% |
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 18 of the 18 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 826reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 18 most recent posts we hold, published 6 June 2026 to 9 July 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
'Sex category (Sc) , female' is now removed from the score in this edition. Modern cardiology guidelines suggest that female sex is primarily a risk modifier rather than an independent risk factor for stroke. Initial decisions on oral anticoagulant treatment could be guided by a CHA2DS2-VA score (ie, excluding the sex category criterion), but the Sc risk component modifies and accentuates stroke risk in women who w…
❤9💯8
أحدث نسخة من مصدر ديفيدسون، المصدر المعتمد في الباطنية في كليات الطب.
❤🔥7❤2
📍Davidson's Principles and Practice of Medicine 25th Edition 2027
❤🔥7❤3
📍 ACE inhibitors/ARBs & Spironolactone → Falsely low aldosterone-to-renin ratio (ARR). ➤ Stop for 4 weeks before testing. 📍 Diuretics → Falsely low urine osmolality in SIADH evaluation. ➤ Stop for 2 days before testing. 📍 PPIs → False-negative H. pylori urea breath test & stool antigen. ➤ Stop for 2 weeks before testing.
❤7
📌Important adverse effects of SGLT2 Inhibitors: • Genital mycotic infections • Volume depletion / hypotension • Euglycemic diabetic ketoacidosis • Increased urinary tract infections (less consistent evidence) • Rare risk of necrotizing fasciitis of the perineum
❤15
شفنا الكادر الطبي انطة اللاعب هذا البخاخ فشنو هو ؟ الـ Penthrox (والذي يُعرف شعبياً في الملاعب بـ "الصفارة الخضراء" أو The Green Inhaler) هو عبارة عن جهاز استنشاق يدوي صغير يحتوي على مادة طبية سائلة تُدعى (Methoxyflurane). وهي عبارة عن مخدر استنشاقي بجرعات منخفضة جداً (Low-dose inhalational analgesic). تعمل على الجهاز العصبي المركزي لرفع عتبة الألم وتغيير إدراك الدماغ للإشارات العصبية المؤلمة القادمة من الساق ال…
❤66🤯5
شهدت مباراة كندا وقطر في دور المجموعات لبطولة كأس العالم 2026 لقطة قاسية حبست أنفاس الجماهير، بعد تعرض نجم وسط منتخب كندا إسماعيل كونيه إصابة بليغة أحدثت تعاطفاً واسعاً في الأوساط الرياضية. في الدقيقة 54 من عمر اللقاء، تعرض كونيه لتدخل عنيف ومتهور من الخلف من اللاعب القطري عاصم ماديبو. قوة الالتحام كانت شديدة لدرجة أن مدرب كندا "جيسي مارش" صرّح بعد المباراة قائلاً: "كنا على دكة البدلاء ونستطيع سماع صوت انكسار العظام…
❤20🔥4😢1
Primary headache like tension and migraine headache account for the vast majority >90% that are seen in primary care or outpatient setting. 📌 But always exclude secondary causes.
❤🔥8❤7
• C. difficile in a pt with no antibiotic exposure in the last 3 months: think community-acquired from proton pump inhibitors. • PPIs increase gastric pH, allowing C. diff spores to survive the stomach. The relative risk of CDI with PPI use is similar to low-risk antibiotics like cephalosporins.
❤11
منقول ..
❤49🔥7💯4👌2
أهمية الدقائق الأولى من وصول الحالات الطارئة الى المستشفى ،،،،أهمية المقيم الدوري في المستشفى .... تولي جميع الانظمة الصحية في العالم أهمية قصوى للدقائق الأولى من وصول الحالات الطارئة الى المستشفى فهي تحدد مستقبل المريض بثلاث اتجاهات. شفاء او عوق او وفاة ... لذلك وضعت الانظمة الصحية في العالم خطط علمية لتحديد مسار العمل في هذه الدقائق الأولى....ويعتبر المقيم الدوري هو المسؤول الأول عن هذه الدقائق لذلك فأن تدريب المق…
❤53👍3👌1
Signed Abdulrahman Waleed
بيان اطباء دفعة ٢٠٢٤
❤43👍13🔥10💯3🤯1
Showing the 12 most recent of 18 posts we hold for @MedicalnotesAandM. 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.
Citation-graph rank — 846,262 of 1,151,006entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
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.
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 13 August 2026 — this entry's latest reading, not the date you are reading this.
“Medical Notes "A&M"” (@MedicalnotesAandM), 8,828 subscribers as measured 13 August 2026. Telegram Register, tgregister.com/channel/MedicalnotesAandM.
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.