Channel
@internalmedcases
On this record: Growth · Engagement · Reactions · Posts · Polls · Telegram's recommendations · Cite this entry
3,700subscribers
+0 since we began measuring on 25 August 2026
Risers and fallers across the register · movement among entries of 3,162–10,000.
| Telegram ID | -1001451679392 |
|---|---|
| Type | Channel |
| Username | @internalmedcases |
| Created | Between 1 April 2019 and 31 October 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 25 August 2026 |
| Last confirmed live | 28 August 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 1 time, most recently 28 August 2026 |
| On Telegram | t.me/internalmedcases |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 28 Aug 2026, 15:41 | 3,700 | +3 |
| 25 Aug 2026, 16:03 | 3,697 | -3 |
| 25 Aug 2026, 02:15 | 3,700 | no change |
| 25 Aug 2026, 02:00 | 3,700 | first reading |
20 posts held, back to 23 September 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 20 posts for this entry, the most recent from 28 July 2026. An engagement rate over an empty window would be a number about nothing.
46 reactions across 12 posts, in 2 distinct kinds. The most used accounts for 97.8% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 45 | 97.8% | |
| 👍 | 1 | 2.17% |
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 12 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 46reactions 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 23 September 2025 to 28 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.
Internal Medicine Cases pinned «Case number 31 A 44-year-old construction worker comes to the emergency department due to nausea and fatigue over the past 2 days. The patient strained his back at work 7 days ago. He was unable to move for several days and has been taking over-the-counter…»
Which of the following is the most likely cause of this patient's current condition?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed Alireza M.h
Case number 31 A 44-year-old construction worker comes to the emergency department due to nausea and fatigue over the past 2 days. The patient strained his back at work 7 days ago. He was unable to move for several days and has been taking over-the-counter pain medications and applying hot packs. The patient still has significant back pain and limited mobility. He smokes 1 pack of cigarettes a day. The patient d…
❤3
Signed Alireza M.h
I hope you find this case and podcast useful. If you are interested in this case presentation method, share the channel and podcast with your friends. Participate in answering questions and share your comments and feedback with us. Best for you, ARMH End of case 30
❤15
Signed Alireza M.h
Acute management of anaphylaxis (Up-to-date)
Signed Alireza M.h
File, posted without a caption
❤3
Signed Alireza M.h
After the third intramuscular epinephrine injection and glucagon use, the patient felt better. Vital signs improved immediately: BP 130/80 PR 95 RR 18 SPO2 94% room air Lung sounds seemed clear. No pruritis was present. What is your next step?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed Alireza M.h
10 minutes later the patient still has dyspnea. O2 saturation is 75% despite 10 liters/min O2 supplementation. BP is 70/P. Her sister arrives and claims she has been using propranolol since 5 years ago. Which option is not suitable at the moment?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
❤1
Signed Alireza M.h
5 minutes after epinephrine injection there was no change in the patient's situation and vital signs. What will you do next?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
❤2
Signed Alireza M.h
Which option is not suitable and urgent at this moment?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
❤3
Signed Alireza M.h
Internal Medicine Cases pinned «Case number 30 A 21 y/o female came to the emergency ward with dyspnea, pruritis, fecal incontinence and lips bulging. She mentioned penicillin intramuscular injection in a clinic 10 minutes before her attendance. On physical examination, she was alert and…»
Case number 30 A 21 y/o female came to the emergency ward with dyspnea, pruritis, fecal incontinence and lips bulging. She mentioned penicillin intramuscular injection in a clinic 10 minutes before her attendance. On physical examination, she was alert and conscious but toxic. Generalized urticarial plaques and erythema were seen on the skin. Bilateral wheezing was detected on lung auscultation, and mild abdominal te…
❤4
Signed Alireza M.h
Showing the 12 most recent of 20 posts we hold for @internalmedcases. 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 11 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.
Which of the following is the most likely cause of this patient's current condition?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
After the third intramuscular epinephrine injection and glucagon use, the patient felt better. Vital signs improved immediately: BP 130/80 PR 95 RR 18 SPO2 94% room air Lung sounds seemed clear. No pruritis was present. What is your next step?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
10 minutes later the patient still has dyspnea. O2 saturation is 75% despite 10 liters/min O2 supplementation. BP is 70/P. Her sister arrives and claims she has been using propranolol since 5 years ago. Which option is not suitable at the moment?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
5 minutes after epinephrine injection there was no change in the patient's situation and vital signs. What will you do next?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which option is not suitable and urgent at this moment?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
What is your next step?
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 20 most recent posts we hold, published 23 September 2025 to 28 July 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.
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.
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.
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 28 August 2026 — this entry's latest reading, not the date you are reading this.
“Internal Medicine Cases” (@internalmedcases), 3,700 subscribers as measured 28 August 2026. Telegram Register, tgregister.com/channel/internalmedcases.
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.