علشان ما تتوهش لما تعمل ال TSH و تلاقيه منخفض دا زيادة في هرمون الغدة الدرقية بنؤكده بباقي تحاليل الغدة الدرقية ft3 ft4. تم تأكيده... الخطوة الأولي تليفزيونية علي الرقبة لإستثناء toxic nodule and multi nodular goiter العقد السامة بالغدة ( ما تتوهش لقيت عقيدة لحد عنده زيادة في هرمون الغدة الدرقية دا غالباً عقيدة سامة هي اللي بتفرز و الحل جراحة استئصال). التليفزيونية علي الرقبة سليمة الخطوة التالية الأجسام المضادة للغد…

Channel
أطباء الامتياز👨⚕👩🏼⚕
@gpmedicine
On this record: Growth · Engagement · Reactions · Posts · Citations · Telegram's recommendations · Cite this entry
3,936subscribers
-5 since we began measuring on 10 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
Register entry
| Telegram ID | -1001283535942 |
|---|---|
| Type | Channel |
| Username | @gpmedicine |
| Created | Between 1 April 2018 and 31 July 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 10 August 2026 |
| Last confirmed live | 13 August 2026 |
| Measurements held | 3 |
| Confirmed unchanged | 1 time, most recently 13 August 2026 |
| On Telegram | t.me/gpmedicine |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 13 Aug 2026, 18:08 | 3,936 | -4 |
| 10 Aug 2026, 17:02 | 3,940 | -1 |
| 10 Aug 2026, 12:30 | 3,941 | first reading |
Engagement
20 posts held, back to 15 November 2024 — 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 20 posts for this entry, the most recent from 20 June 2026. An engagement rate over an empty window would be a number about nothing.
Reaction mix
161 reactions across 19 posts, in 2 distinct kinds. The most used accounts for 63.4% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| 👍 | 102 | 63.4% | |
| ❤ | 59 | 36.6% |
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 20 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 161reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 20 most recent posts we hold, published 15 November 2024 to 20 June 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.
Recent posts
عند وضع المريض علي magnesium infusion كما في حالات ال pre-eclampsia فيجب متابعة حدوث المضاعفات التي قد تنتج من ال hypermagnesemia و منها loss of deep tendon reflex و ايضا يجب متابعة ال respiratory rate < 12. و في حالة حدوث المضاعفات فيجب وقف ال magnesium و اعطاء calcium chloride و محاولة التخلص من ال magnesium الزائد عن طريق ال diuretics او ال dialysis إذا لزم الامر .
👍1
قبل ما تترجم ورقه الabg لازم تتاكد ان الabg معمول صح والمعمل مش غلطان أصلا Ph valdity = 80 - (24*co2/hco3) لو حسبتها وطلع رقم قريب من قيمه الph اللي فورقه الabg زايد او ناقص شويا يبقا كدا صح وابدأ ترجمه بقا
❤3👍1
خلي بالك Hypokalemia is one of the important causes of diuretic resistence لأنها بتزيد من reabsorption of Na and water retension وكمان بتزود من إفراز الrenin اللي بدورة هيعمل Activations of RAS ويعمل Na and water reabsorption وكمان بيتعمل alkalosis ودي بتقلل من Eficacy of diuretics فالloop of henle
👍1
اي عيان AF وفجاة جاله Acute Abdominal pain لازم تستبعد الاول ال Mesentric vascular occlusion اللي بيكون سببها الأساسي thromboembolic اكتر من كونها Atherosclerotic وفي الحاله دي هتلاقي ddimer positive و هتحتاج الي CTA on abdomen to confirm diagnosis مع استبعاد وجود الأسباب الاخري للAcute Abdomen فنفس الوقت بالسونار
👍2
ايه ال Red flag signs اللي تخلينا نقلق من perforation of appendix؟ 💡Sudden relief of pain لما بيحصل perforation ال pain بيختفي شوية، بعدها بيرجع تاني بس بدال مهو localized بيبقي severe and diffuse نتيجة ال peritonitis اللي حصلت. 💡High fever درجة الحرارة بتعلي فوق ال 38.5. 💡Tachycardia مش بتبقي متناسبة حتي مع حجم ال fever اللي عنده. 💡Rigid abdomen نتيجية ال peritonitis. 💡Paralytic ileus صوت الأمعاء بيختفي، وبيبدأ…
❤11👍4
📌 🦠 Indications for Tetanus Vaccination After a Human Bite 🤕 1️⃣ هل عضات الإنسان تستوجب تطعيم التيتانوس؟ ✅ Yes! 🧬 Human bites are classified as high-risk wounds due to polymicrobial contamination, increasing the risk of Clostridium tetani infection ⚠️. ✅ Tetanus prophylaxis 💉 is required if the bite penetrates the skin and causes an open wound 🩸. 2️⃣ 🩺 متى يُعطى لقاح التيتانوس بعد عضة الإنسان؟ 💉 If the bite causes a…
❤3
In autoimmune hepatitis (AIH), there is a characteristic raised serum immunoglobulin G (IgG) level, which is a key diagnostic and monitoring marker. This contrasts with other liver diseases where different immunoglobulin subtypes predominate: * Alcoholic liver disease: Typically shows an increase in IgA. This is thought to be due to mucosal immune activation related to alcohol-induced gut permeability and bacterial t…
👍5❤1
Epistaxis نزيف الأنف لما المريض يجي الإستقبال لازم نسأله كذا حاجة (مهم جدا): من ناحية واحدة؟ شك ف Local disease من ناحيتين؟ شك ف systematic disease اول مرة ولا نزفت قبل كدة؟ اتخبطت؟ عندك ضغط؟ عندك مشكلة في الكبد؟ عندم مرض في الدم؟ نزيف من مكان تاني؟ بتاخد أدوية للسيولة زي الاسبرين أو كليكسان؟ كمية الدم؟ Investigation: CBC Coagulation profile Liver Function test CT nose and sinuses 💥نتصرف ازاي؟ -العيان يميل راسه…
❤16👍11
🚨Drugs with a higher rate of causing liver toxicity: - Acetaminophen (overdose) - Hepatic necrosis - Methotrexate (used in autoimmune diseases) - Liver fibrosis, cirrhosis - Amiodarone (used in cardiac arrhythmias) - Chronic liver disease - Statins (cholesterol-lowering drugs) - Elevated liver enzymes - Tetracycline (antibiotics, high doses) - Hepatotoxicity - Isoniazid (used in tuberculosis) - Hepatitis Th…
👍8❤3
A subdural haemorrhage (SDH) is the accumulation of blood between the dura mater and the arachnoid membrane, often resulting from tearing of bridging veins due to trauma. It can be classified as acute, subacute, or chronic based on the time elapsed since the injury. * Acute SDH: Occurs within 72 hours of injury; presents with rapid deterioration in consciousness. Commonly associated with significant head trauma.…
👍5❤1
Causes of raised prolactin - the p's * pregnancy * prolactinoma * physiological * polycystic ovarian syndrome * primary hypothyroidism * phenothiazines, metoclopramide, domperidone
👍6
Showing the 12 most recent of 20 posts we hold for @gpmedicine. 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.
Forward network
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.
Appears in Telegram’s recommendations for other channels
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.
@no1_oone · 313,664
Telegram ranks this channel #56 of 92 here — alongside 91 others — read 10 August 2026
This channel appears in 1 seed channel's Telegram-generated recommendation list in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.
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 13 August 2026 — this entry's latest reading, not the date you are reading this.
“أطباء الامتياز👨⚕👩🏼⚕” (@gpmedicine), 3,936 subscribers as measured 13 August 2026. Telegram Register, tgregister.com/channel/gpmedicine.
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.