مرجع تحلیلِ تخصصی کیسهای بالینی
■ بررسی مسائل روز پزشکی براساس استانداردها، گایدلاینها و منابع معتبر
اطلاع رسانی دوره های آموزشی■
تخفیفات ویژه■
همراه شما در مسیر علم و سلامت🏥
ارتباط با ادمین⬇️
@LinomSupport
Created
Between 1 June 2024 and 30 September 2024 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
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 11 September 2026 and assigned it the closest of 31 fixed categories, at 96% 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 the other topics.
Growth
60 measurements spanning 96 days, net +389. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 10,669–11,259 and does not start at zero.
Measurement log — every subscribers count we have recorded, most recent 20 of 60
Measured (UTC)
Subscribers
Change
9 Nov 2026, 21:51
11,126
-5
8 Nov 2026, 11:06
11,131
+5
7 Nov 2026, 06:08
11,126
-3
6 Nov 2026, 07:27
11,129
-3
5 Nov 2026, 06:47
11,132
-3
4 Nov 2026, 08:36
11,135
+2
3 Nov 2026, 09:19
11,133
-2
2 Nov 2026, 08:49
11,135
+3
1 Nov 2026, 07:58
11,132
-5
31 Oct 2026, 06:27
11,137
-6
30 Oct 2026, 09:15
11,143
+1
28 Oct 2026, 10:04
11,142
-1
27 Oct 2026, 07:19
11,143
-3
25 Oct 2026, 03:25
11,146
-1
24 Oct 2026, 01:01
11,147
-3
23 Oct 2026, 03:47
11,150
-3
21 Oct 2026, 00:00
11,153
-4
18 Oct 2026, 17:58
11,157
+4
17 Oct 2026, 20:30
11,153
+1
16 Oct 2026, 20:27
11,152
first reading
Engagement
87 posts held, back to 21 July 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 57 pages of Telegram’s post history, 20 posts per page.
ERR · 30 days
17.6%
avg views ÷ 11,126 subscribers
Avg views / post
1,950
27 posts measured
Reaction rate
0.519%
reactions ÷ views · ER floor
Posts in window
27
of 87 held
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. It is computed over the 26 of 27 measured posts that carry a reaction reading, and over those same posts' views.
What these figures were computed from
Window
Rolling 30 days · latest post in window 11 November 2026
Posts held
87 (21 July 2026 – 11 November 2026)
Views total
52,743
Reactions total
260
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
11 Nov 2026, 09:28 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.
What this channel posts
Photos
361
Videos
179
Links
230
Lifetime counters from Telegram’s own channel header, read 11 November 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.
Video runtime
1m 33s
Average length
1m 33s
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.
Reaction mix
605 reactions across 73 posts, in 8 distinct kinds. The most used accounts for 72.7% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
440
72.7%
👍
82
13.6%
👏
47
7.77%
🔥
18
2.98%
😢
10
1.65%
😁
5
0.826%
👌
2
0.331%
😍
1
0.165%
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 75 of the 87 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 628 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 87 most recent posts we hold, published 21 July 2026 to 11 November 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
Telegram’s own ‘edited’ marker: 2 of 27 posts held from the last 30 days (7.41%) carried it when this register last read them. The marker says a post was changed after publishing, not what it said before — this register holds the earlier wording only where an edit fell between two of its own reads (see the edit ledger and how it is measured).
🏥 سناریوی اورژانس
مسمومیت با استامینوفن
(Acetaminophen Toxicity)
خانم ۲۱ سالهای حدود ۶ ساعت پس از مصرف تعداد زیادی قرص استامینوفن توسط خانواده به اورژانس آورده میشود
بیمار ابتدا تهوع و استفراغ داشته، اما اکنون درد مبهم در قسمت فوقانی و راست شکم دارد
۱. شرح حال
- مصرف حدود ۳۰ قرص استامینوفن ۵۰۰ میلیگرمی
- مجموع دوز: حدود ۱۵ گرم
- زمان مصرف: حدود ۶ ساعت قبل
- سابقه بیماری کبدی ندارد
۲. علائم حیاتی
- BP: 115/7…
⚡️ «میگرن» که در واقع ترومبوز وریدهای مغزی بود
👩 بیمار
خانم ۳۲ ساله با سردرد از ۵ روز قبل مراجعه میکند.
- سردرد منتشر و مداوم
- صبحها شدیدتر است
- با دراز کشیدن و سرفه تشدید میشود
- تهوع دارد
- گاهی تاری دید چندثانیهای پیدا میکند
سابقه:
- مصرف قرص ضدبارداری ترکیبی
- زایمان نداشته
- سابقه میگرن خفیف در گذشته
🩺 معاینه
BP: 128/82
HR: 88
Temp: 36.8
معاینه عصبی طبیعی است
بیمار هوشیار است و ضعف اندام ندارد
…
صدای شما رو شنیدیم؛ یادگیری نباید به اینترنت وابسته باشه!
امسال با اتفاقات و محدودیتهای زیادی روبهرو بودیم؛ از جنگ و قطعی اینترنت گرفته تا اختلال و کندی دیتاسنترها و مسدود شدن ناگهانی سایت.
با توجه به این شرایط و دغدغههای شما برای دسترسی پایدار به محتوای آموزشی، قابلیت مشاهده آفلاین ویدئوها رو بهصورت آزمایشی توسعه دادیم.💚
چطور استفاده کنیم؟
۱. ابتدا سایت لینوم رو با گزینه Add to Home Screen به صفحه اصلی گوشی …
🩺 پانکراتیت حاد؛ وقتی پانکراس ملتهب میشود!
پانکراتیت حاد یک التهاب ناگهانی پانکراس است که میتواند از یک بیماری خفیف تا یک وضعیت تهدیدکننده حیات متغیر باشد
🔹 ۱. علائم بالینی
مهمترین علامت، درد شدید و ناگهانی اپیگاستر است که معمولاً به پشت انتشار پیدا میکند.
علائم همراه:
تهوع و استفراغ
حساسیت شکمی
نفخ شکم
تب و تاکیکاردی
🔹 ۲. شایعترین علل پانکراتیت حاد
1️⃣ سنگ صفراوی (Gallstones)
2️⃣ مصرف الکل
3️⃣ هیپرتریگلی…
🏥 اورژانس
مننژیت باکتریایی حاد (Acute Bacterial Meningitis)
مرد ۲۴ سالهای با سردرد بسیار شدید، تب و استفراغ به اورژانس آورده میشود. از صبح دچار خوابآلودگی و گیجی شده است
همراه بیمار میگوید سردرد از دیروز شروع شده و بهسرعت شدت گرفته است
۱. علائم حیاتی
- BP: 100/60 mmHg
- HR: 125/min
- RR: 25/min
- T: 39.5°C
- SpO₂: 97%
۲. معاینه
- سفتی گردن (Nuchal rigidity)
- فتوفوبی
- تست Kernig مثبت
- سطح هوشیاری کاهشی…
🩸چطور در کمتر از یک دقیقه ABG را تفسیر کنیم؟
یکی از مهارتهای ضروری در پزشکی، تفسیر سریع و صحیح گاز خون شریانی (ABG) است
بیایید با یک الگوریتم ساده و کاربردی یاد بگیریم
1️⃣ ابتدا pH را بررسی کنید
محدوده طبیعی:
pH: 7.35–7.45
🔹 pH کمتر از 7.35 → Acidemia
🔹 pH بیشتر از 7.45 → Alkalemia
2️⃣ علت اختلال را مشخص کنید
مقادیر طبیعی:
PaCO₂: 35–45 mmHg
HCO₃⁻: 22–26 mEq/L
قانون طلایی:
🔸 افزایش PaCO₂ باعث اسیدوز تنفسی میش…
🛑 آرتریت تاکایاسو یا بیماری بدون نبض
🔸 واسکولیت عروق بزرگ
🔹 8 برابر شایعتر در زنان و شایع در سن 20 تا 30 سال
💢 تظاهرات بالینی :
1️⃣ تفاوت فشار سیستولی بیشتر از 10mmHg بین دو دست
2️⃣ کاهش نبض شریانی رادیال یا براکیال
3️⃣ سمع بروئی روی شریان های ساب کلاوین ( یا آئورت )
4️⃣ لنگش اندام ها
5️⃣ درد گردن یا فک
6️⃣ سردرد
7️⃣ سرگیجه ( Dizziness )
8️⃣ هیپرتانسیون
9️⃣ آرترالژی
🔟 میالژی
💢 تشخیص :
🔺 تصویر برداری عروقی ( CT …
⚡️ «حمله صفراوی» که در واقع پانکراتیت نبود، بلکه ایسکمی مزانتریک بود!
👨 بیمار
مرد ۷۲ ساله با درد شکم از ۶ ساعت قبل مراجعه میکند
درد منتشر و شدید شکم
تهوع و دو بار استفراغ
از شدت درد بیقرار است
سابقه فیبریلاسیون دهلیزی دارد
چند روز است داروی Apixaban را مصرف نکرده
🩺 معاینه
BP: 138/82
HR: 112
Temp: 37.2°C
شکم:
نرم
تندرنس خفیف و منتشر
بدون گاردینگ یا ریباند واضح
نکته عجیب:
بیمار از درد ۹ از ۱۰ شکایت دارد، اما معا…
🏥 اورژانس
اندوکاردیت عفونی (Infective Endocarditis)
مرد ۵۶ سالهای با تب طولکشیده، تعریق شبانه، ضعف و کاهش وزن طی سه هفته اخیر به اورژانس مراجعه میکند
بیمار میگوید اخیراً چند بار دچار لرز شده و از دو روز قبل درد مبهم در پهلوی چپ نیز پیدا کرده است
۱. علائم حیاتی
- BP: 110/70 mmHg
- HR: 112/min
- RR: 20/min
- T: 39°C
- SpO₂: 97%
۲. شرح حال
- سابقه تعویض دریچه آئورت با دریچه مصنوعی دارد
- اخیراً برای درمان عفو…
🛑 بررسی وجود آسیت
✅ Shifting dullness :
حساس ترین تست برای تشخیص وجود آسیت در شکم می باشد.
💠 برای انجام تست ابتدا در حالت سوپاین ( خوابیده به پشت ) بیمار را دق میکنیم و قسمتی که صدای دق از تیپمان به مات تغییر میکند را علامت میزنیم سپس از بیمار میخواهیم به پهلو بخوابد و مجدد دق میکنیم درصورتی که محل تبدیل شدن تیمپان به مات تغییر کند ( محل علامت زده شده نباشد ) ، میگوییم shifting dullness وجود دارد.
❇️ تست دیگر برا…
🦴 علل کاهش و افزایش دانسیته استخوان در گرافی ساده
یکی از یافتههای مهم در بررسی رادیوگرافی استخوان، تغییر دانسیته استخوان نسبت به حد انتظار است
این تغییر میتواند به دو شکل دیده شود:
🔵 1. کاهش دانسیته استخوان (Osteopenia / Osteoporosis)
در گرافی، استخوان نسبت به حالت طبیعی رادیولوسنتتر (تیرهتر) دیده میشود
مهمترین علل:
🔹 متابولیک و اندوکرین:
Osteoporosis (شایعترین علت)
Osteomalacia
Hyperparathyroidism
Cush…
❤2👌2
Showing the 12 most recent of 87 posts we hold for @linomium. 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.
Mentions
Named by 58 registered channels — 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. The 24 listed below are the most frequent namers; the rest are counted above but not each listed.
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.
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.
امیر تشکر Amir Tashakor @tashakor · 22,504 Telegram ranks this channel #30 of 55 here — alongside 54 others — read 5 September 2026
آموزش نسخه خوانی @noskhe_daro · 48,308 Telegram ranks this channel #44 of 90 here — alongside 89 others — read 26 August 2026
فارماکولوژی @daruu_2020 · 33,052 Telegram ranks this channel #54 of 92 here — alongside 91 others — read 5 September 2026
This channel appears in 3 seed channels' Telegram-generated recommendation lists 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 9 November 2026 — this
entry's latest reading, not the date you are reading this.
“جامعهٔ پزشکان ایران | لینوم” (@linomium), 11,126 subscribers as measured 9 November 2026. Telegram Register, tgregister.com/channel/linomium.
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.