Page 105 —> Examining the patient with a murmur Page 131 —> Examining the patient with liver disease بالايباد تطلع صفحه 72 مرمرات صحفه 90 لفر
🫡11❤4
Signed Sara

Channel
@internalmedicine4th
On this record: Growth · Engagement · Reactions · Posts · Citations · Cite this entry
1,615subscribers
-2 since we began measuring on 1 September 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
| Telegram ID | -1001664106975 |
|---|---|
| Type | Channel |
| Username | @internalmedicine4th |
| Created | Between 1 December 2021 and 5 January 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 1 September 2026 |
| Last confirmed live | 14 September 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 2 times, most recently 14 September 2026 |
| On Telegram | t.me/internalmedicine4th |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 11 Sept 2026, 07:16 | 1,615 | -1 |
| 1 Sept 2026, 21:05 | 1,616 | -1 |
| 1 Sept 2026, 06:15 | 1,617 | no change |
| 1 Sept 2026, 06:00 | 1,617 | first reading |
19 posts held, back to 5 January 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 1 page of 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 19 posts for this entry, the most recent from 9 May 2023. An engagement rate over an empty window would be a number about nothing.
327 reactions across 19 posts, in 14 distinct kinds. The most used accounts for 59.6% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 195 | 59.6% | |
| 👍 | 37 | 11.3% | |
| 🫡 | 33 | 10.1% | |
| ❤🔥 | 21 | 6.42% | |
| 🔥 | 13 | 3.98% | |
| 🏆 | 6 | 1.83% | |
| 👏 | 6 | 1.83% | |
| 🐳 | 5 | 1.53% | |
| 🕊 | 5 | 1.53% | |
| 💯 | 2 | 0.612% | |
| 🍓 | 1 | 0.306% | |
| 🎉 | 1 | 0.306% | |
| 👨💻 | 1 | 0.306% | |
| 🥰 | 1 | 0.306% |
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 19 of the 19 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 327 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 19 most recent posts we hold, published 5 January 2023 to 9 May 2023, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
Page 105 —> Examining the patient with a murmur Page 131 —> Examining the patient with liver disease بالايباد تطلع صفحه 72 مرمرات صحفه 90 لفر
🫡11❤4
Signed Sara
Macleod's Clinical OSCEs
❤6🫡1
Signed Sara
القناه تجميع لاسئله كل الدكاتره لطلاب العام بالاوسكي لنك بدايه مسجات كل ماده جراحه باطنيه توليد
❤3🫡3🍓1
Signed Sara
الدفـعة 44 . Channel link : https://t.me/+FgpBd-QXAB5lZTRi
❤3👍1
Signed Sara
عدلت ال drug الاخير بالعراق امشي بهيج ترتيب بالعلاج :- quadruple therapy ما فاد levofloxacin + PPI + amoxicillin ما فاد PPI + amoxicillin + Rifabutin ما فاد Culture
🫡13❤6🕊2👍1🔥1
Signed Sara
كل محاضرات git خلصت + محاضره وحده من liver بشكل مفصل الي حيقرا عليهم ف كانما حيقرا على شرح د. محمد وشويه اوزموزز واضافات من المصدر وميحتاج يرجع لاي فويز ان شاء الله كل اللطف الالهي يرافقكم هاي الفتره ♥️
❤129❤🔥8🐳5🫡5👍4🕊3🏆2🎉1
Signed Sara
GIT :- Davidson MCQs of GIt - Lec 1 Gastroenterology || Notes - Lec 2+3 Presenting prob.+ bleeding || Notes - Lec 4 Relapsing diarrhoea || Notes - Lec 5 Esoph. motility disorders || Notes - Lec 6 Tumours of esophagus || Notes - Lec 7 Stomach & duodenum 1 || Notes - Lec 8 Stomach & duodenum 2 || Notes - Lec 9 Zollinger ellison || Notes - Lec 10 Gastric carcinoma || Notes - Lec 11 Celiac disease || Notes - Lec 12 IBD…
❤19👍11🏆2💯2❤🔥1
Signed Sara
Git Lec 16 Voice Notes
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Signed Sara
Chronic mesenteric ischaemia - نسمي abdominal angina Causes :- - atherosclerotic stenosis of : coeliac axis superior mesenteric artery inferior mesenteric artery على الاقل اثنين منهم ينضربون Clinical features :- - يجي المريض يكول من اكل فد ورا نص ساعه يصير عندي pain - Weight loss —> setophobia لدرجه من اشوفه عبالي ca - generalised arterial disease - abdominal bruit —> audible but non-specific Diagnosis : Me…
🔥7❤4
Signed Sara
Acute colonic ischaemia inferior mesenteric artery من يقل ال blood يصير necrosis بالمكانات الي بيها blood vessels قليله يسموها watershed areas of artery supply اول مكان يصير بي necrosis هو ال Distal part of transvers colon ( the splenic flexure ) لان هذا مكان متنازع بين ال inferior وال superior هم اكو spectrum يا يجي reversible colopathy او transient colitis يا يجي gangrene & fulminant pancolitis Causes :- - Ar…
👍6❤2❤🔥1
Signed Sara
Thumb-printing
👏5🔥2❤1
Signed Sara
#gitLec16 Ischaemic gut injury • Acute small bowel ischaemia :- superior mesenteric artery ينطي supply لل small intestine ولحد distal part of transvere colon ( the splenic flexure of the large intestine ) يعني اذا انضرب هذا الارتري ال absorption مال food كله يوكف ياكل المريض بس ماكو absorption ( عكس ال chronic ال pt ما ياكل ) Causes :- - embolus يجي المريض hypertensive DM AF تمشي وتدخل بالارتري وتسده Most common c…
❤5👍3
Signed Sara
Showing the 12 most recent of 19 posts we hold for @internalmedicine4th. 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.
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
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 11 September 2026 — this entry's latest reading, not the date you are reading this.
“Internal Medicine 4th stage ❤️” (@internalmedicine4th), 1,615 subscribers as measured 11 September 2026. Telegram Register, tgregister.com/channel/internalmedicine4th.
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.