Channel
@alaacases
On this record: Growth · Engagement · Posts · Polls · Citations · Cite this entry
341subscribers
+35 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
| Telegram ID | -1004491427797 |
|---|---|
| Type | Channel |
| Username | @alaacases |
| Created | Between 1 June 2026 and 3 August 2026— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 8 August 2026 |
| Last confirmed live | 16 August 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 1 time, most recently 16 August 2026 |
| On Telegram | t.me/alaacases |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 16 Aug 2026, 06:28 | 341 | +16 |
| 8 Aug 2026, 14:27 | 325 | +19 |
| 8 Aug 2026, 07:49 | 306 | no change |
| 7 Aug 2026, 17:48 | 306 | first reading |
20 posts held, back to 3 August 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 1 pageof Telegram’s post history, 20 posts per page.
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
| Window | Rolling 30 days · latest post in window 8 August 2026 |
|---|---|
| Posts held | 20 (3 August 2026 – 8 August 2026) |
| Views total | 2,824 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 8 Aug 2026, 07:49 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed د.آلاء الشّدادي ♡
☀️ Morning Case #011 🩺 Clinical Scenario A 24-year-old contact lens wearer presents with severe pain, photophobia, and blurred vision in his right eye for 1 day. He reports sleeping while wearing his contact lenses the night before. On examination, the eye is markedly red, with blepharospasm and a small white corneal opacity. 🧠 Think Like a Doctor Before naming the diagnosis... What is the most important red fla…
Signed د.آلاء الشّدادي ♡
Which clinical clue most strongly supports herpes zoster?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed د.آلاء الشّدادي ♡
🧭 Next Best Step What is the best initial management? ✅ Start oral antiviral therapy (e.g., acyclovir) as early as possible, ideally within 72 hours of rash onset. Why? Early antiviral treatment shortens disease duration and reduces the risk of complications, especially postherpetic neuralgia. 💎 Clinical Pearl Pain before a unilateral vesicular rash that respects the midline = Think Herpes Zoster.
Signed د.آلاء الشّدادي ♡
🌙 Evening Discussion 🔍 Clinical Reasoning The most likely diagnosis is Herpes Zoster (Shingles). The combination of pain preceding the rash, grouped vesicles, and a unilateral dermatomal distribution that does not cross the midline is classic for herpes zoster. Herpes simplex usually affects the orolabial or genital regions and is not typically dermatomal. Impetigo presents with honey-colored crusts rather than …
Signed د.آلاء الشّدادي ♡
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed د.آلاء الشّدادي ♡
☀️ Morning Case #010 🩺 Clinical Scenario A 65-year-old man presents with a painful skin rash on the left side of his chest for the past 3 days. The pain started 2 days before the rash appeared. On examination, there are grouped vesicles on an erythematous base, distributed unilaterally and not crossing the midline. 🧠 Think Like a Doctor Before naming the diagnosis... What is the most important clinical clue? Doe…
Signed د.آلاء الشّدادي ♡
Which clinical clue most strongly pointed to cholesteatoma?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed د.آلاء الشّدادي ♡
🧭 Next Best Step Which investigation should be performed next? ✅ High-resolution CT (HRCT) of the temporal bone Why? HRCT assesses the extent of disease, detects bony erosion, and helps plan surgery. 💎 Clinical Pearl Foul-smelling chronic ear discharge + attic perforation = Think Cholesteatoma until proven otherwise.
Signed د.آلاء الشّدادي ♡
🌙 Evening Discussion 🔍 Clinical Reasoning The most likely diagnosis is Cholesteatoma. The presence of persistent foul-smelling otorrhea, progressive hearing loss, attic perforation, and keratin debris strongly suggests cholesteatoma. Tubotympanic CSOM usually presents with a central perforation and is considered the "safe" type. Acute otitis media has an acute onset with fever and severe otalgia. Otitis externa …
Signed د.آلاء الشّدادي ♡
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed د.آلاء الشّدادي ♡
☀️ Morning Case #009 🩺 Clinical Scenario A 16-year-old boy presents with persistent foul-smelling discharge from his right ear for the past 8 months. He also reports progressive hearing loss, but no significant ear pain. Otoscopic examination reveals an attic perforation with whitish keratin debris. 🧠 Think Like a Doctor Before naming the diagnosis... Which clinical clue is the most alarming? Is this a safe or u…
Signed د.آلاء الشّدادي ♡
Showing the 12 most recent of 20 posts we hold for @alaacases. 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 6 most recent of 8 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.
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which clinical clue most strongly supports herpes zoster?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which clinical clue most strongly pointed to cholesteatoma?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the most likely diagnosis?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which clinical finding most strongly supports anterior uveitis over acute angle-closure glaucoma?
Shares as published, totalling 101%. 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 20 most recent posts we hold, published 3 August 2026 to 8 August 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.
Citation-graph rank — 1,453,971 of 1,549,376entries 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.
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
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 16 August 2026 — this entry's latest reading, not the date you are reading this.
“📌Daily cases 📋.” (@alaacases), 341 subscribers as measured 16 August 2026. Telegram Register, tgregister.com/channel/alaacases.
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.