Channel
@internalmedicineresident
On this record: Topic · Growth · Engagement · What this channel posts · Reactions · Posts · Telegram's recommendations · Cite this entry
910subscribers
+23 since we began measuring on 28 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
| Telegram ID | -1001892110195 |
|---|---|
| Type | Channel |
| Username | @internalmedicineresident |
| Created | Between 1 October 2022 and 30 September 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 28 August 2026 |
| Last confirmed live | 14 September 2026 |
| Measurements held | 5 |
| Confirmed unchanged | 1 time, most recently 14 September 2026 |
| On Telegram | t.me/internalmedicineresident |
Education — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 19 September 2026 and assigned it the closest of 31 fixed categories, at 95% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 14 Sept 2026, 06:56 | 910 | +21 |
| 6 Sept 2026, 21:37 | 889 | +1 |
| 29 Aug 2026, 03:08 | 888 | +1 |
| 28 Aug 2026, 13:45 | 887 | no change |
| 28 Aug 2026, 13:30 | 887 | first reading |
20 posts held, back to 14 August 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 1 page of Telegram’s post history, 20 posts per page.
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.
| Window | Rolling 30 days · latest post in window 26 August 2026 |
|---|---|
| Posts held | 20 (14 August 2026 – 26 August 2026) |
| Views total | 147 |
| Reactions total | 2 |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 28 Aug 2026, 13:45 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.
Measured directly from 1 video with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no ≈ mark.
59 reactions across 19 posts, in 5 distinct kinds. The most used accounts for 44.1% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 26 | 44.1% | |
| 🔥 | 16 | 27.1% | |
| 👍 | 13 | 22.0% | |
| ✍ | 2 | 3.39% | |
| 👏 | 2 | 3.39% |
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 59 reactions 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 14 August 2026 to 26 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.
#شاه_نکته #نفرو #هاریسون 📌 یادمان باشد AIN حتی در کسی که قبلا مصرف داروی مورد نظر را داشته ممکن است اتفاق بیوفتد. به شرطی که قطع و مجددا شروع کرده باشد. Acute allergic immune tubulointerstitial nephritis (ATIN) usually develops 1 day to 2 weeks following an exposure, change in dose, or re-exposure to an offending drug. 📌میدونستین AIN می تواند اختلال فانکشن توبولار و DI ، هیپو و هیپرکالمی بدهد؟؟🤓🤓 جالبه بدونید بعض…
✍2
#شاه_نکته #نفرو #هاریسون 📌در GN ها برخلاف تصور مورد انتظار ممکن است سدیم ادرار پایین باشد و دلیل آن هم آسیب توبولی و فلذا تجمع آب و نمک در بدن است 📌اندوکاردیت حاد یا تحت حاد می تواند GN بدهد و این عارضه ممکن است حتی زمانی رخ بدهد که بیمار تحت آنتی بیوتیک تراپی است 📌گلومرونفریت های post infection باید از گلومرونفریت های infection associated افتراق داده شوند نوع دوم در اثر عفونت های استاف اورئوس و آبسه پیوژن امپیم و…
🔥3
📌 Classically, there is flaccid proximal and distal arm and leg weakness. The weakness is usually symmetric and starts in the legs, but begins in the arms or facial muscles in about 10 percent of patients 📌 Paresthesias in the hands and feet are reported by more than 80 percent of patients, but sensory abnormalities on examination are frequently mild. 📌 Pain due to nerve root inflammation, typically located in the …
🔥2
این مریض MRI توراسیک و لومبار شد نرمال بود جالبه EMG NCV هم شد نرمال بود😳😳 تا همینجاش عجایب هفتگانه رو پشت سر میگذاره خلاصه در جلسه مشترک نورو معرفی شد که ایشون رو چه کنیم نظر مشترک اساتید بر این شد که LP بشه و اگر پروتئین بالا داشت با تشخیص گیلن باره IVIG بگیره و پلاسمافرز بشه که LP شد سلول صفر و پروتئین ۱۱۰ فلذا درمان فوق شروع شد بیمار بهتر شد اندام ها رو تکون میده و فعلا درمانش ادامه دار هست برای خودم خیلی جا…
❤3
#کیس یک کیس خیلی جالب چند وقت قبل تو کشیک دیدم از سبزوار اعزام شده بود یک خانم ۳۸ ساله با سابقه نفریت لوپوسی کلاس ۴ از حدود ۸ سال قبل که تحت درمان با سلسپت و پردنیزولون بود که avn دو طرفه هم شده بود اما تعویض مفصل هیپ انجام داده بود و کاملا میتوانسته متکی به خودش راه برود و کارهای شخصی را انجام بدهد شرح حالش بدین صورت که صبح از خواب بیدار میشه احساس گزگز دست ها داشته و شبش دچار کمردرد پارااسپاینال میشه و از فردا دچ…
دو نکته در خصوص بیماران ADPKD بگیم و اطاله کلام نکنیم نکته اول: همونطور که میدونید این کیست ها ممکن است پاره شوند و عفونی شوند و بیمار با علائمی مثل تب و دیزوری فرکوئنسی مراجعه کند آنتی بیوتیک انتخابی باید نفوذ خوبی به کیست ها داشته باشد سه تا آنتی بیوتیک این نفوذ مناسب را دارند: Ciprofloxacin Chloramphenicol Co-trimoxazole نکته دوم: تنها دارویی که جلوی پیشرفت ADPKD را میگیرد واپتان ها هستند که ما در ایران نداریم…
❤3🔥1
تشخیص؟
❤3
#گوارش #آسیت خب میدونیم که این جواب بیشتر دوتا تشخیص دارد یا TB یا کارسینوماتوز پریتوئن هرچند تشخیص های دیگری مثل پانکراتیت هم دارد حالا چند تا نکته کلیدی 📌اولین اینکه اگر بیماری آسیت high saag نداشت قطعا پورتال هیپرتنشن ندارد 📌 سیتولوژی در ۱۰۰ درصد بیماران با کارسینوماتوز پریتوئن مثبت است. (البته شرطی که حداقل ۵۰ سیسی جمع اوری شده باشد) 📌فقط دو سوم مواردی که آسیت به علت کنسر دارند کارسینوماتوز پریتوئن هم دارند …
❤2🔥2👍1
دیشب یک بیمار داشتیم خانم ۳۹ ساله بدون بیماری قبلی با آسیت تازه تشخیص داده شده سونو گرافی کبد رو نرمال خونده بود مایع رو تپ کردیم جواب اومد low saag high pr داشتم آپتودیت رو نگاه می کردم چند تا شاه نکته به چشمم خورد👇👇
❤1
اینم خلاصه فصل انسفالیت جمع و جور و کاربردی🤓😊
🔥8
درمان: محدودیت مایع ساپرس تب و درمان تشنج مایع هیپوتون ندهیم درمان پروفیلاکسی تشنج در موارد شدید مد نظر باشد پروفیلاکسی dvt و stress ulcer درمان هرپس: آسیکلوویر وریدی که در موارد شدید vzv و ebv هم هست درمان خوراکی جایگاهی ندارد اسیکلوویر ۱۰ میلی پر کیلو هر ۸ ساعت برای ۲۱ روز انفوزیون طی ۱ ساعت می تواند فلبیت شدید بدهد و تزیرق im scنباید باشد عوارض نفروتوکسیسیتی و نورو توکسیسیتی و ترومبوسیتوپنی برای عفونت CMV گا…
❤4
تشخیص افتراقی ها اگر بیمار با انسفالیت و علامت ساقه مغز اومد به وست نیل لیستریا و هاری باید فکر شود علائم انسفالیت هاری🐺🐗 تب و نوسانات هوشیاری و اختلال اتونوم اسپاسم فوبیک حنجره و عضلات گردن و دیافراگم و هیدروفوبیا و ائروفوبیا فاز پارالیتیک که با فلج حاد صعودی خودش را نشان می دهد. تشخیص با pcr روی csf بزاق یا اشک است 📌انسفالیت اتوایمیون بسیار علائم شبیه به هرپس دارد و هرپس می تواند به طور کاذب NMDA را مثبت کند حت…
❤1
Showing the 12 most recent of 20 posts we hold for @internalmedicineresident. 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 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 14 September 2026 — this entry's latest reading, not the date you are reading this.
“دوران رزیدنتی” (@internalmedicineresident), 910 subscribers as measured 14 September 2026. Telegram Register, tgregister.com/channel/internalmedicineresident.
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.