🏨Differential diagnosis of disease, symptoms and signs
🏥 تشخیص های افتراقی بیماری ها ،علائم و نشانه ها
تبادل، تبلیغ و ارتباط با ادمین 👇👇
@DrAdminDr
اینستاگرام👇👇
Instagram.com/differential_diagnosis1
ربات تلگرام 👇👇
@Medical_Searchbot
Created
15 January 2019 — measured — cross-checked against a third-party dataset (TGDataset)
12 measurements spanning 11 days, net -19. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 32,656–32,681 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
17 Aug 2026, 10:58
32,659
-2
15 Aug 2026, 19:44
32,661
-3
14 Aug 2026, 10:24
32,664
-4
13 Aug 2026, 03:44
32,668
-8
12 Aug 2026, 03:52
32,676
+4
11 Aug 2026, 03:06
32,672
-5
10 Aug 2026, 00:29
32,677
+2
9 Aug 2026, 02:01
32,675
-3
8 Aug 2026, 02:57
32,678
+1
7 Aug 2026, 04:37
32,677
-1
6 Aug 2026, 17:30
32,678
no change
6 Aug 2026, 17:22
32,678
first reading
Engagement
23 posts held, back to 9 July 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 27 pagesof Telegram’s post history, 20 posts per page.
ERR · 30 days
14.4%
avg views ÷ 32,659 subscribers
Avg views / post
4,700
14 posts measured
Reaction rate
0.238%
reactions ÷ views · ER floor
Posts in window
14
of 23 held
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. It is computed over the 12 of 14 measured posts that carry a reaction reading, and over those same posts' views.
What these figures were computed from
Window
Rolling 30 days · latest post in window 16 August 2026
Posts held
23 (9 July 2026 – 16 August 2026)
Views total
65,734
Reactions total
137
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
17 Aug 2026, 14:08 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 this channel posts
Photos
528
Videos
56
Links
971
Lifetime counters from Telegram’s own channel header, read 17 August 2026 — not the date at the top of this page, which is when the subscriber count was last read. Below Telegram’s rounding threshold, so these counts are exact.
Reaction mix
199 reactions across 20 posts, in 7 distinct kinds. The most used accounts for 72.4% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
144
72.4%
👍
31
15.6%
🗿
16
8.04%
🔥
3
1.51%
👏
2
1.01%
😁
2
1.01%
🙏
1
0.503%
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 20 of the 23 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 199reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 23 most recent posts we hold, published 9 July 2026 to 16 August 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.
🎓هر روز یادگیری صفر تا صد یک مبحث حیاتی
برای آمادگی آزمونهای رزیدنتی و پرهانترنی در کانال مدوفست در قالب:
📍مایندمپهای خلاصه و کوییزهای آموزشی
📍سوالات منتخب آزمونهای کشوری همراه با پاسخنامه تشریحی
📍آزمونهای رایگان شبیهساز جامع برای تمام دروس
📍آزمونکها و تستهای تألیفی اختصاصی مدوفست
➕لینک کانال بالینی مدوفست:
http://t.me/medofast_balini
بیمار زنی ۵۵ ساله با شکایت از تهوع و استفراغی که از ۸ ماه پیش آغاز شده مراجعه میکند.
بیمار اظهار میکند که حدود ۱۵ کیلو وزن کم کرده و پس از هر وعده غذایی دچار استفراغ میشود.
در معاینه فیزیکی مورد خاصی مشاهده نمیشود، اما در آزمایشهای آزمایشگاهی بیمار، نتایج با کمخونی فقر آهن سازگار است.
✅ درمان کونژنکتیویت آلرژیک ( Allergic conjunctivitis)
💊 🔤🔤
1.Opht Drop Anapirivin #1
هر ۶ ساعت یک قطره
آناپیریوین حاوی نفازولین + آنتازولین هست و نباید بیشتر از ۲ هفته استفاده شود
2. Opht Drop Olopatadin 0.1 #1
هر ۱۲ ساعت یک قطره
✅ در کونژنکتویت آلرژیک فصلی باید به بیمار توصیه کرد که قطره آنتی هیستامین و تثبیت کننده ماستسل (مثل اولوپاتادین) را ۲ تا ۴ هفته قبل از شروع علائم با توجه به سابقهی قبلی استفاده کند
…
👨⚕️ مردی ۴۸ ساله به دلیل افزایش فشار خون مراجعه کرده است. در اندازهگیری فشار خون به روش آمبولاتوری مشخص میشود که فشار خون او در محیط بیمارستان طبیعی است، اما در خارج از بیمارستان بالا میباشد.
از نظر فشار خون، محتملترین تشخیص کدام است؟
A) White coat hypertension15%
B) Masked hypertension69%
C) Dipper hypertension3%
D) Nondipper hypertension3%
E) Pseudohypertension10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
بیماری با تابلوی آسیب حاد کلیوی تحت پیگیری است و در آزمایش رسوب ادرار ، سیلندرهای گلبول قرمز مشاهده شدهاند.
❓ در این بیمار، کدامیک از علل زیر کمترین احتمال را دارد که باعث آسیب حاد کلیوی شده باشد؟
الف) نکروز توبولی حاد34%
ب) گلومرولونفریت حاد17%
ج) واسکولیت مرتبط با ANCA13%
د) فشار خون بدخیم25%
ه) میکروآنژیوپاتی ترومبوتیک11%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
آقای ۵۰ ساله دیابتی با پوسته ریزی و ترشح بین انگشت مراجعه کرده است
محتمل ترین تشخیص؟؟
✅ جواب: اریتراسما (Erythrasma)
عفونت سطحی پوست با Corynebacterium minutissimum است
🔴 ریسک فاکتور : دیابت، سن بالا، ضعف ایمنی ولی در افراد سالم هم ممکنه ایجاد بشه
➖➖➖➖➖➖➖➖➖
📋 درمان اریتراسما
⚠️ تو اریتراسما بین انگشتان حتما باید درماتوفیت با اسمیر KOH رد شود
👨💻 کد ثبت نسخه الکترونیکی اسمیر: 000667600
💊 Rx
🟢 اریتراسما محدود
1.…
🫁 امروزه «برونشکتازی» یکی از دلایل شایع سرفهی مزمن و خلط مقاوم در بیماران جوان است.
🔹 تعریف
برونشکتازی یعنی اتساع دائمی و غیرقابلبرگشت مجاری هوایی (Bronchi) که معمولاً در اثر عفونت یا التهاب مزمن ایجاد میشود.
🔹 اپیدمیولوژی
در کشورهایی که عفونتهای ریوی در کودکی شایعترند (مانند ذاتالریه یا سیاهسرفه)، بروز برونشکتازی بالاتر است.
🔹 علل شایع
- عفونتهای شدید ریوی در کودکی
- سیستیک فیبروز (Cystic Fibrosis)
- انسد…
📌 سبورئیک درماتیت (Cradle cap)
یکی از تظاهرات بالینی سبورئیک درماتیت در نوزادن cradle cap میباشد و سبورئیک درماتیت در اطفال خود محدود شونده هست و درمانش کانزرواتیو بوده و معمولا درمان مدیکال لازم نیست.
💊 درمان دارویی Cradle cap
1️⃣. Cream Cradle cap hydroderm #1
هر شب بر سر مالیده شود و صبح روز بعد با شامپو شسته شود
2️⃣. Shampoo baby care #1
یک بار در روز
در موارد شدید :
3️⃣. ....
ادامه نسخه و نسخه های بیشتر👇…
📝 درمان اوتیت اکسترنال (External otitis)
⚠️اندیکاسیون های ارجاع:
۱. موارد severe (مشاهده instant view)
۲. عدم پاسخ به درمان
۳. در مواردی که با معاینه نمیتونین ببینین که پرده تیمپان سالم هست یا نه ارجاع بدین
💊 🔤🔤
⚠️ قدم اول خط درمان تمیز کردن گوش خارجی است (از سرومن و التهابات)
✔️ خفیف
1. Otic drop Oticept #1
روزی ۴ باز ۴ قطره به مدت ۷ روز
Oticept = hydrocortisone + acetic acid
👨💻 کد ثبت نسخه الکترونیکی 👩💻: 112…
❤10
Showing the 12 most recent of 23 posts we hold for @differential_diagnosis1. 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.
Polls
The 6 most recent of 7 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.
👨⚕️ مردی ۴۸ ساله به دلیل افزایش فشار خون مراجعه کرده است. در اندازهگیری فشار خون به روش آمبولاتوری مشخص میشود که فشار خون او در محیط بیمارستان طبیعی است، اما در خارج از بیمارستان بالا میباشد.
از نظر فشار خون، محتملترین تشخیص کدام است؟
A) White coat hypertension15%
B) Masked hypertension69%
C) Dipper hypertension3%
D) Nondipper hypertension3%
E) Pseudohypertension10%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
بیماری با تابلوی آسیب حاد کلیوی تحت پیگیری است و در آزمایش رسوب ادرار ، سیلندرهای گلبول قرمز مشاهده شدهاند.
❓ در این بیمار، کدامیک از علل زیر کمترین احتمال را دارد که باعث آسیب حاد کلیوی شده باشد؟
الف) نکروز توبولی حاد34%
ب) گلومرولونفریت حاد17%
ج) واسکولیت مرتبط با ANCA13%
د) فشار خون بدخیم25%
ه) میکروآنژیوپاتی ترومبوتیک11%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
💬 بیمار پسر ۵ساله با تشخیص گاستروانتریت با علائم استفراغ و اسهال مراجعه کرده است
کدام ضد تهوع باری بیمار مناسب هست ❓
1️⃣. اندانسترون76%
2️⃣. متوکلوپرامید24%
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 23 most recent posts we hold, published 9 July 2026 to 16 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.
Mentions
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.
Cite this entry
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 17 August 2026 — this
entry's latest reading, not the date you are reading this.
“تشخیص های افتراقی” (@differential_diagnosis1), 32,659 subscribers as measured 17 August 2026. Telegram Register, tgregister.com/channel/differential_diagnosis1.
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.