شرایطی که باعث افزایش کالپروتکتین میشود.
👏3🔥2

Channel
@bums_case_report
On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Cite this entry
1,067subscribers
-1 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
| Telegram ID | -1001154549657 |
|---|---|
| Type | Channel |
| Username | @bums_case_report |
| Created | Between 1 March 2018 and 30 June 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 8 August 2026 |
| Last confirmed live | 14 August 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 14 August 2026 |
| On Telegram | t.me/bums_case_report |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 14 Aug 2026, 14:06 | 1,067 | -1 |
| 11 Aug 2026, 08:47 | 1,068 | +1 |
| 8 Aug 2026, 08:48 | 1,067 | -1 |
| 8 Aug 2026, 00:17 | 1,068 | no change |
| 7 Aug 2026, 20:30 | 1,068 | first reading |
17 posts held, back to 9 January 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 pageof 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 17 posts for this entry, the most recent from 26 January 2025. An engagement rate over an empty window would be a number about nothing.
62 reactions across 13 posts, in 5 distinct kinds. The most used accounts for 48.4% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 30 | 48.4% | |
| 👏 | 13 | 21.0% | |
| 🔥 | 11 | 17.7% | |
| 👍 | 5 | 8.06% | |
| 🤩 | 3 | 4.84% |
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 13 of the 17 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 62reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 17 most recent posts we hold, published 9 January 2025 to 26 January 2025, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
شرایطی که باعث افزایش کالپروتکتین میشود.
👏3🔥2
⭕نکات اتند محترم: ۱- آیا داروهایی که بیمار مصرف میکند می تواند سبب اسهال شود ؟ ترمی داریم به نام Microscopic colitis که علت اصلی آن دارو ها می باشند. معمولا خانم های میانسالی هستند که بر اثر مصرف بعضی از داروها ماننداستاتین -NSAID PPI طولانی مدت دچار اسهال طولانی مدت می شوند که با هیچ درمانی خوب نمیشوند که چنین اتفاقی میتواند باعث مشکل پری آنال شود و خونریزی شود. ۲-کولیک عفونی میتواند مطرح باشدچون اسهال های حاد ۹۰٪…
❤7
🔴ID خانم ۵۵ساله -اهل و ساکن بابل-متاهل-خانه دار 🔴CC دفع خون تیره در مدفوع 🔴PI بیمار خانم ۵۵ ساله باشکایت دفع خون تیره در مدفوع به همراه درد گهگاهی شکم جهت انجام کولونوسکوپی به این مرکز مراجعه کرده است . دردشکم و دفع خون از ۳ ماه قبل شروع شده و به صورت دفع خون تیره همراه با مدفوع شل و دفع موکوس بوده است.دردشکم درناحیه ی هیپوگاستر و اپی گاستر میباشد.هم چنین از ۱۰ روز قبل اسهال را نیز ذکر میکند. علائم همره:اسهال-تنسم…
❤3
Acute Liver Failure In Adults Management And Prognosis Up to date @bums_case_report
🔥3
🔴گزارشی از یک کیس جالب 🚩در نشریه معتبر پزشکی BMJ در بخش بیماریهای دستگاه گوارش، یک گزارش مورد یا کیس ریپورت جالب و عجیب منتشر شده است. 🚩داستان از آنجا شروع میشود که یک مرد ۴۶ ساله، بعد از آسیب انگشت شست دست خود، مجبور شد که مدت ۳ هفته تمام سفالکسین بخورد.اما یک هفته بعد از پایان دوره درمان دارویی، اطرافیان او متوجه تغییرات شخصیتی عجیب در او که پیش از آن سابقه نداشت شدند. او دچار دورههای سرخوشی و افسردگی و رفتار…
❤8🔥2
💯Cases in .... Surgery Gynecology Clinical Medicine @Nasaamed
❤2
ایا در این بیمار ویتامین K به بیمار میدادید؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
نظر شما راجع به دادن لاکتولوز چیه؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
بنظر شما در این بیمار باید FFP تزریق کرد؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
⁉️چه آزمایشهای خونی را درخواست میکنید؟ باید یک «غربالگری کبد» انجام شود تا علل نارسایی حاد کبدی (ALF) مشخص شود که شامل موارد زیر است: - غلظت پاراستامول (اگرچه N-استیل سیستئین باید قبل از مشخص شدن نتیجه ازمایش شروع شود تا اگرکه توکسیسته ای بوده باشد درمان شود). توجه داشته باشید که اگر اوردوز بیش از ۷۲ ساعت قبل از آزمایش خون باشد،ممکن است پاراستامول قابل شناسایی نباشد. - AntiHAV IgM, HbsAg, Anti HBc IgM, - آنتی ژن …
👏3
💠⁉️این مورد، چه سندرم بالینی را نشان میدهد؟ این مورد، نارسایی حاد کبدی (ALF) است که با سه معیار تعریف میشود: ● پیشرفت سریع اختلال عملکرد هپاتوسلولار (مانند زردی، اختلال انعقادی) ● انسفالوپاتی ● عدم وجود تاریخچه قبلی بیماری کبدی. 🔰طبق هاریسون به ایجاد انسفالوپاتی کبدی طی ۶ ماه بعد از اغاز زردی در بیمار مبتلا به اسیب کبدی اما بدون سابقه بیماری کبدی اطلاق میشود. اسیب کبدی هم شامل (INR بیش از ۱.۵ برابر، افزایش آمینو ت…
🔥2❤1
💠Clinical Case 🔰بیمار آقای ۲۲ ساله با شکایت کانفیوژن به بیمارستان اورده شده است. در بدو ورود اسکور گلاسکو بیمار (GCS) ۱۳ بود. بیمار تب نداشته است. از بیمار BS چک شد که مقدار آن 97 mg/dl بود. V/S: PR:60 regular BP: 114/58 mmHg صداهای قلب طبیعی بودند و قفسه سینه clear بود. بیمار زرد بود. آستریکی داشت اما focal neurological deficit نداشت. همچنین بیمار فاقد spider naevi، تحلیل عضلانی،و ژنیکوماستی بود. در تاریخچ…
👍3❤2🔥1
Showing the 12 most recent of 17 posts we hold for @bums_case_report. 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.
ایا در این بیمار ویتامین K به بیمار میدادید؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
نظر شما راجع به دادن لاکتولوز چیه؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
بنظر شما در این بیمار باید FFP تزریق کرد؟
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 17 most recent posts we hold, published 9 January 2025 to 26 January 2025. 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.
Names
Channels on the register whose handles appear in this channel's posts.
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 14 August 2026 — this entry's latest reading, not the date you are reading this.
“Morning report (NASAA MED)” (@bums_case_report), 1,067 subscribers as measured 14 August 2026. Telegram Register, tgregister.com/channel/bums_case_report.
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.