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.
9 measurements spanning 6 days, net +64. 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 10,727–10,811 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
12 Aug 2026, 08:54
10,801
+11
11 Aug 2026, 08:22
10,790
+7
10 Aug 2026, 10:28
10,783
+3
9 Aug 2026, 08:31
10,780
+9
8 Aug 2026, 08:11
10,771
+21
7 Aug 2026, 09:33
10,750
+11
6 Aug 2026, 11:40
10,739
+2
6 Aug 2026, 02:46
10,737
no change
6 Aug 2026, 02:33
10,737
first reading
Engagement
27 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 16 pagesof Telegram’s post history, 20 posts per page.
ERR · 30 days
16.1%
avg views ÷ 10,801 subscribers
Avg views / post
1,740
26 posts measured
Reaction rate
0.5%
reactions ÷ views · ER floor
Posts in window
27
of 27 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 24 of 26 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 12 August 2026
Posts held
27 (21 July 2026 – 12 August 2026)
Views total
45,163
Reactions total
206
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
13 Aug 2026, 04:40 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
326
Videos
178
Links
207
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.
Reaction mix
183 reactions across 22 posts, in 6 distinct kinds. The most used accounts for 68.3% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
125
68.3%
👏
39
21.3%
👍
13
7.10%
🔥
3
1.64%
😢
2
1.09%
😁
1
0.546%
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 24 of the 27 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 206reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 27 most recent posts we hold, published 21 July 2026 to 12 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.
🩺 دانستن کافی نیست؛ باید بتوانی تصمیم بگیری
اگر میخواهی مطالب بالینی را کاربردیتر یاد بگیری،
الان فرصت مناسبی است👩🏼⚕
🔹ویزیت
🔹نسخه نویسی
🔹تفسیر آزمایشات
🔹تفسیر سی تی اسکنها
🔹معاینات بالینی
🔹شروع کار زیبایی
در چله تابستون لینوم
تمام دورههای بالینی با ۴۰٪ تخفیف میتونی قسطی هم بخری
بخش رایگان دورهها رو ببین بعد تصمیم بگیر👇🏻
لینک تمام دورههای بالینی
🩺 @linomium
🎓 وقتی زمان تصمیمگیری میرسه، باید سریع و مطمئن عمل کنی
دوره جامع رزیدنتی برای مرور سریع، تصمیمگیری بالینی و همراهی در روزهای شلوغ طراحی شده است👩🏻⚕
در چله تابستون لینوم
میتونی دوره ی جامع رزیدنتی رو فقط با ۴۰٪ تخفیف و قسطی بخریش
اول بخش رایگان رو ببین بعد بخر👇🏻
لینک دوره جامع رزیدنتی
🩺 @linomium
🏥 سناریو: درد شکم و اسهال خونی
اورژانس – ساعت ۱۰ شب
آقای ۳۴ ساله با شکایت درد شکم و اسهال خونی مراجعه میکند
میگوید:
«از دیروز دلپیچه شدید دارم و امروز چند بار اسهال کردم که آخرش خون هم داشت»
علائم حیاتی
BP: 110/70
HR: 105
RR: 18
T: 38.2°C
O₂ Sat: 99%
قدم اول: شرح حال
👨⚕️ «اسهال از کی شروع شد؟»
👨 بیمار:«از دو روز پیش»
«چند بار در روز؟»
«حدود ۸ تا ۱۰ بار»
«آبکیه یا خونی؟»
«اول آبکی بود، از امروز خون و کمی م…
📚 هنوز نمیدونی از کدوم مبحث علوم پایه شروع کنی؟
با نزدیک شدن به آزمون، وقت آزمون و خطا بین منابع مختلف نیست🙅🏼♀
دورههای علوم پایه لینوم کمک میکنن مطالب مهمتر رو منظم، هدفمند و با تمرکز یاد بگیری🤓
در چله تابستون لینوم،🔥
تمام دورههای علوم پایه با ۴۰٪ تخفیف و امکان خرید اقساطی در دسترسن
بخش رایگان دورهها رو ببین بعد تصمیم بگیر👇🏻
منتظر چی ؟ همین الان کلیک کن
🩺 @linomium
✅ پاسخ
🔬 تشخیص
Sturge–Weber syndrome
یافتههای تیپیک
1⃣ وجود Port-wine stain در توزیع V1 2⃣ عصب سهقلو
3⃣ تشنجهای زودرس
4⃣ تأخیر تکاملی و احتمال همیپارزی
5⃣ خطر گلوکوم
🩻 بررسیها
1⃣ برای بررسی آنژیوماتوز لپتومننژیال MRI مغز با کنتراست
2⃣ معاینه کامل چشم و اندازهگیری فشار داخل چشم
3⃣ در صورت تشنج EEG
4⃣ ارزیابی تکامل کودک و پیگیری نورولوژی
💊 درمان
1⃣ کنترل تشنج با داروهای ضدصرع (مانند Levetiracetam یا Oxcar…
چله تابستون لینوم تمدید شد💥
بین تشخیص درست و درمان درست، یک نسخه فاصله اس💊
اگر میخواهی نسخهنویسی یکبار برای همیشه اصولی و کاربردی یاد بگیری،
این فرصت را از دست نده
در چله تابستون لینوم🔥
دوره نسخه نویسی رو با ۴۰٪ تخفیف میتونی قسطی هم بخری
قبل از خرید بخش رایگان دوره رو ببین👇🏻
💠 لینک دوره نسخه نویسی
📥 @linomium
🏥 سناریو: ولولوس
اورژانس – ساعت ۳ بامداد
پسر ۶۸ سالهای با شکایت درد و اتساع شدید شکم مراجعه میکند
همسرش میگوید:
«از دیشب شکمش خیلی باد کرده و از صبح هم دیگه گاز و مدفوع دفع نکرده»
بیمار بیقرار است و از درد مبهم و فشارنده شکم شکایت دارد
علائم حیاتی
BP: 105/70
HR: 112
RR: 22
T: 37.4°C
O₂ Sat: 97%
قدم اول: شرح حال
👨⚕️ «درد از کی شروع شد؟»
👨 بیمار:
«حدود ۱۲ ساعت پیش. اول خفیف بود، ولی کمکم شدیدتر شد»
«استفر…
👨🏻⚕️ اولین ویزیت، نباید اولین آزمون و خطایت باشه
از گرفتن شرححال تا تصمیمگیری و نسخهنویسی،
همهچیز را در یک مسیر آموزشی کاربردی یاد بگیر🩺
در چله تابستون لینوم🔥
دوره جامع ویزیت رو با ۴۰٪ تخفیف میتونی قسطی هم بخری
⏳فقط تا ۱۶ مرداد
بخش رایگان رو ببین بعد خریدت تکمیل کن👇🏻
لینک دوره جامع ویزیت
📥 @linomium
🏥 سناریو
اورژانس داخلی – ساعت ۸ شب
پرستار میگوید:
«دکتر، یک آقای ۵۶ ساله با تب و درد پشت آوردهاند»
بیمار به سختی روی تخت نشسته و مدام کمرش را گرفته است
علائم حیاتی
BP: 105/70
HR: 112
RR: 20
T: 38.7
O₂ Sat: 98%
قدم اول: شرح حال
👨⚕️ «درد از کجا شروع شد؟»
👨 بیمار: «وسط کمرم... حدود یک هفته است»
👨⚕️ «با حرکت بدتر میشود؟»
👨 «آره... ولی حتی وقتی دراز میکشم هم درد دارم»
تا اینجا DDx
کشیدگی عضله
دیسک کمر
پیلون…
چله تابستون لینوم شروع شد🔥
چند وقته میگی:
بعدا این دوره رو تهیه میکنم؟
این بار دلیلی برای عقب انداختن نیست
در چله تابستون لینوم، همه دورههای آموزشی با ۴۰٪ تخفیف میتونی قسطی هم بخری ✨
📚 دورههای علوم پایه
🩺دورههای بالینی
🎓 رزیدنتی
💊 نسخهنویسی
👨🏻⚕️ ویزیت
و...
⏳ فقط تا ۱۶ مرداد
دوره مناسب خودت رو انتخاب کن👇🏻
🌐لینک سایت
📥 @linomium
🩺 Case Challenge
👶 کودک ۸ ماههای به دلیل تشنجهای مکرر سمت راست بدن به درمانگاه ارجاع میشود
طی دو ماه اخیر، کودک چندین حمله تشنج داشته و پس از هر حمله، برای مدتی دچار ضعف اندامهای سمت راست میشود
همچنین والدین احساس میکنند تکامل حرکتی او نسبت به همسنهایش کمی عقبتر است
معاینه عصبی بین حملات طبیعی است
❓سؤال
محتملترین تشخیص چیست؟
چه بررسیهایی برای بیمار لازم است؟
درمان این بیمار چیست؟
#اطفال
#کودکان
#…
❤1
Showing the 12 most recent of 27 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.
Citation-graph rank
Citation-graph rank — 12,382 of 1,151,006entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Mentions
Named by 27 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.
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 12 August 2026 — this
entry's latest reading, not the date you are reading this.
“جامعهٔ پزشکان ایران | لینوم” (@linomium), 10,801 subscribers as measured 12 August 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.