Channel
@internalmedcines
On this record: Growth · Engagement · What this channel posts · Posts · Polls · Citations · Cite this entry
18,921subscribers
-37 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 10,000–31,623.
| Telegram ID | -1001132926806 |
|---|---|
| Type | Channel |
| Username | @internalmedcines |
| Description | The best internal medicine channel: offering books, audio video lectures, apps and so much more... Admin @med_pros |
| Created | Between 1 June 2017 and 31 August 2020— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 13 August 2026 |
| Measurements held | 8 |
| Confirmed unchanged | 1 time, most recently 13 August 2026 |
| On Telegram | t.me/internalmedcines |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 13 Aug 2026, 06:36 | 18,921 | -3 |
| 12 Aug 2026, 09:55 | 18,924 | -9 |
| 11 Aug 2026, 11:27 | 18,933 | -3 |
| 10 Aug 2026, 12:06 | 18,936 | -8 |
| 9 Aug 2026, 15:13 | 18,944 | -10 |
| 7 Aug 2026, 14:55 | 18,954 | -4 |
| 6 Aug 2026, 14:30 | 18,958 | no change |
| 6 Aug 2026, 14:28 | 18,958 | first reading |
20 posts held, back to 25 April 2023 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 18 pagesof 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 February 2026. An engagement rate over an empty window would be a number about nothing.
Lifetime counters from Telegram’s own channel header, read 13 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.
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Educational objective: Surgical resection is recommended for solitary brain metastasis in patients with good performance status and stable extracranial disease. patients with multiple brain metastases, whole brain radiation therapy is typically used.
Which of the following is the most appropriate next step in the management of this patient?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
https://t.me/studentdoctor
A 65-year-old man is brought to the emergency department after having a seizure. Past medical history is significant for non-small cell lung carcinoma diagnosed 2 years ago and treated surgically. He continues to work as a college professor and usually walks 1-2 miles daily. MRI of the brain shows a solitary cortical mass (2 cm x 3.5 cm) in the right hemisphere at the grey-white matter junction that is most consisten…
Educational objective: Phenytoin is an antiepileptic drug with known teratogenic effects (eg, fetal hydantoin syndrome). Women of childbearing age who have a low risk of seizure recurrence may safely discontinue phenytoin if considering becoming pregnant; however, the medication should be slowly tapered as rapid withdrawal may result in seizure recurrence.
Which of the tollowinq is the best next step in management of this patient?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 29-year-old woman comes to the clinic for routine follow-up. Five years ago, she experienced an unprovoked generalized tonic-clonic seizure. At that time, phenytoin was prescribed, and the patient has been on a stable dose since. She has not experienced seizure recurrence. MRI of the brain performed following the initial episode was normal. She has no other medical problems and is a lifetime nonsmoker. The patient'…
Educational objective: Patients with an intracranial mass often have headache associated with nausea and vomiting andfor focal neurologic deficits. Symptoms are often worse at night and with body positioning that increases intracranial pressure. An MRI of the brain is usually diagnostic .
Which of the following is the most likely cause of his current condition?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 65-year-old man comes to the ·office due to unsteady gait and frequent falls over the past 2 months. His left side feels "weak," which makes it difficult to maintain balance when walking or standing. He has also had headaches and nausea, which are worse in the mornings before he has had coffee. The patient has a history of hypertension and type 2 diabetes mellitus, and he had a myocardial infarction 5 years ago. He…
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Showing the 12 most recent of 20 posts we hold for @internalmedcines. 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 5 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 appropriate next step in the management of this patient?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the tollowinq is the best next step in management of this patient?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the most likely cause of his current condition?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the best next step in management of this patient?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the most likely diagnosis in this patient?
Shares as published, totalling 99%. 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 25 April 2023 to 28 February 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.
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 13 August 2026 — this entry's latest reading, not the date you are reading this.
“Internal Medicine” (@internalmedcines), 18,921 subscribers as measured 13 August 2026. Telegram Register, tgregister.com/channel/internalmedcines.
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.