Channel
@med_Notes2
On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Cite this entry
1,822subscribers
-2 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
| Telegram ID | -1001970475678 |
|---|---|
| Type | Channel |
| Username | @med_Notes2 |
| Created | Between 1 April 2023 and 31 October 2023— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 10 August 2026 |
| Measurements held | 3 |
| Confirmed unchanged | 1 time, most recently 10 August 2026 |
| On Telegram | t.me/med_Notes2 |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 10 Aug 2026, 20:45 | 1,822 | -1 |
| 7 Aug 2026, 11:37 | 1,823 | -1 |
| 7 Aug 2026, 07:02 | 1,824 | first reading |
20 posts held, back to 9 December 2024 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 2 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 10 December 2024. An engagement rate over an empty window would be a number about nothing.
149 reactions across 11 posts, in 5 distinct kinds. The most used accounts for 96.0% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 143 | 96.0% | |
| 😭 | 2 | 1.34% | |
| 🥰 | 2 | 1.34% | |
| 💔 | 1 | 0.671% | |
| 😍 | 1 | 0.671% |
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 11 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 149reactions 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 9 December 2024 to 10 December 2024, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
في ودائِــعِ الله أحلامُنا ها هِـيَ صفحاتُ التعبِ و سهرُ الليالِي تُطوى ها هِـيَ اللحظاتُ الأخيرة مِن مسيرةٍ طويلةٍ ، حضرَ فيها توفيقُ الله ، و رِضا الوالدين و دعائهُم أسالُ اللهَ عزَّ و جل أن يُوفّقنا لِما يُحِبُ و يرضى اللهُـــمَّ كما أنعمتَ فتمِّـم ساعة و نصف تفصِلُنا على النهاية ❤🥹⏳
❤52
■ ليه اخترنا cardiac tamponade :- 1-Beck's triad = muffled heart sounds + hypotension + ⬆️ JVP 2- bilateral clear يبقى كدا تم استبعاد pneumothorax ■ تاني حاجة أهم حاجة تشخصه EChO و بيعمل obstructive shock ■ ثالت حاجة أهم حاجة لازم ابدأ urgent pericardiocentesis
❤9
What is the type of shock ?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
❤1
What is the SINGLE most appropriate investigation that can lead to a a diagnosis?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
What is ur diagnosis ?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
❤2😭2
11 A 46 year old man was broguht into the A&E after being stabbed in the chest with a knife. His chest is bilaterally clear. He has muffled heart sounds and his neck veings look distended. His blood pressure is 84/40 mmHg and pulse is 110 bpm
What is ur diagnosis ?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 50 year old chronic smoker attended the outpatient department with complaints of chronic productive cough, dyspnoea and wheeze. ECG is requesd as in the picture . Full blood count shows an increase in haematocrit.
■ السؤال دا ليه تشخيصه PE : ♤ لأنها جايه ب acute breathless من PE بسبب hypoxia و دا بان عندي low Pao2 و حصل hyperventilation دا دليل انه low PaCo2 و بعد كدا حصل alkalosis ■ ليه مينفعش DKA ؟ لانه بيعمل acidosis ■ ليه م ينفعش severe vomting لانه بيؤدي إلى metabloic alkalosis و دا بيظهر عندي high PH & high HCO3 و Pao2 مش بيقل ■ ليه م ينفعش panic attack ؟ لأنه بيحصل acute alkalosis في عدم وجود hypoxia
❤10💔1
"سَل عنَّا الليل والكتب ومضاجع باتت تشكينا وجحيمُ الطبِ إذا نشبَ بليالٍ كادت تردينا" أخر ليالي الطب ومعاها تنتهي الأيام ُالمريرة "إن شاء الله". الليالي دي على الرغم من صعوبتها ومشاعر الخوف واليأس والجذع اللي بتصيب الإنسان ، إلا أنها أكتر ليالي نحسُ فيها بمعية الله عز وجل ولطفه بينا وإنها مش بتعدي كل مرة غير بكرمه وعمرها ما كانت بجهودنا. اللهم لك الحمد ربنا لا نحصي ثناءاً عليك أنت كما أثنيت علي نفسك ، نسألك بفضلك أ…
❤61🥰2
What is the SINGLE most approprite next step in management?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
❤2
A 69 year old women had sudden burning chest pain and shortness of breath that started 4 hours ago. The pain was associated with nausea, vomiting and diaphoresis. Her ECG on admission shows ST elevation in leads II, III and aVF. Oxygen has been started and she was given sublingual GTN which has improved her chest pain. She was given aspirin 300 mg by the ambulance crew. Her heart rate is 70 bpm and respiratory rate i…
Showing the 12 most recent of 20 posts we hold for @med_Notes2. 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 6 most recent of 9 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.
What is the type of shock ?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the SINGLE most appropriate investigation that can lead to a a diagnosis?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
What is ur diagnosis ?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
What is ur diagnosis ?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
What is the SINGLE most approprite next step in management?
Shares as published, totalling 99%. No per-option vote count is published by Telegram, so none is shown.
What is the single investigation to determine the underlying cause ?
Shares as published. 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 9 December 2024 to 10 December 2024. 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.
Citation-graph rank — 456,908 of 1,189,255entries 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.
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
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.
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 10 August 2026 — this entry's latest reading, not the date you are reading this.
“" Clinical Notes "” (@med_Notes2), 1,822 subscribers as measured 10 August 2026. Telegram Register, tgregister.com/channel/med_Notes2.
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.