Posted without readable text
Signed AliReza Morovat

Channel
@medical_notess
On this record: Growth · Engagement · Reactions · Posts · Polls · Citations · Cite this entry
208subscribers
-3 since we began measuring on 13 August 2026
Risers and fallers across the register · movement among entries of Under 1,000.
| Telegram ID | -1001635442887 |
|---|---|
| Type | Channel |
| Username | @medical_notess |
| Created | Between 1 December 2021 and 30 April 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 13 August 2026 |
| Last confirmed live | 6 September 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 2 times, most recently 6 September 2026 |
| On Telegram | t.me/medical_notess |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 28 Aug 2026, 14:47 | 208 | -2 |
| 21 Aug 2026, 04:43 | 210 | -1 |
| 13 Aug 2026, 01:00 | 211 | no change |
| 13 Aug 2026, 00:48 | 211 | first reading |
16 posts held, back to 22 November 2025 — 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 16 posts for this entry, the most recent from 21 June 2026. An engagement rate over an empty window would be a number about nothing.
7 reactions across 3 posts, in 1 kind.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| 👍 | 7 | 100.0% |
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 3 of the 16 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 7 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 16 most recent posts we hold, published 22 November 2025 to 21 June 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.
Posted without readable text
Signed AliReza Morovat
بیمار مرد ۲۸ ساله، بازیکن فوتسال، حدود دو ساعت پس از فرود نامناسب روی پای حریف در حین مسابقه، به بخش اورژانس مراجعه کرد. وی گزارش میدهد که در لحظه آسیب، صدای «تق» (pop) شنیده و بلافاصله دچار درد شدید و تورم در ناحیه لترال مچ پا شده است. بیمار قادر به ادامه بازی نبود، اما میتوانست وزن بدن خود را تحمل کند و با لنگش تا کنار زمین حرکت نماید. سابقه آسیب قبلی در مچ پا را انکار میکند. معاینه فیزیکی: - تورم متوسط همراه ب…
Signed AliReza Morovat
تمایز مهمی بین «بالا رفتن یکطرفه دیافراگم» ناشی از فلج عصب فرنیک و پلورال افیوژن وجود دارد؛ دو وضعیتی که در رادیوگرافی قفسه سینه (PA) بسیار شبیه به یکدیگر به نظر رسیده و هر دو در معاینه فیزیکی، صدای dullness را در پایه ریه ایجاد میکنند. در بیماری که دارای توده مدیاستنی است، محتملترین علت بالا رفتن دیافراگم، تهاجم مستقیم تومور به عصب فرنیک است. تعبیه لوله سینهای (Chest Drain) در دیافراگمی که بالا رفته (به دلیل تشخ…
Signed AliReza Morovat
کدامیک از موارد زیر، مناسبترین اقدام است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed AliReza Morovat
یک مرد ۶۲ ساله با تشخیص سرطان لوب فوقانی ریه چپ (غیرقابل جراحی)، با تنگی نفس که در دو هفته اخیر به سرعت رو به وخامت گذاشته، مراجعه کرده است. در معاینه، در قاعده ریه چپ صدای مات (Dullness) در دق شنیده میشود. رادیوگرافی قفسه سینه (PA) در بالا مشاهده میشود.
Signed AliReza Morovat
یک اصل اساسی در فیزیولوژی اسید و باز این است که سیستمهای جبرانی بدن معمولاً کار را نیمهکاره رها میکنند؛ یعنی pH را به سمت محدوده نرمال میبرند اما هیچوقت آن را کاملاً نرمال نمیکنند. وقتی در کنار بالا بودن شدید فشار دیاکسید کربن (۶۰ میلیمتر جیوه)، با یک pH کاملاً نرمال (۷.۴۰) مواجه میشویم، باید به یک اختلال اسید و باز مختلط شک کنیم. در این مورد خاص، یعنی یک اختلال آلکالوز متابولیک همزمان روی اسیدوز تنفسی مزمن …
Signed AliReza Morovat
File, posted without a caption
Signed AliReza Morovat
سؤال: کدامیک از گزینههای زیر مناسبترین قدم بعدی برای تفسیر این گاز خون است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed AliReza Morovat
یک خانم ۵۸ ساله مبتلا به بیماری مزمن انسدادی ریه (COPD) به دلیل تشدید حاد بیماری در بیمارستان بستری شده است. آزمایش گاز خون شریانی (ABG) او این نتایج را نشان میدهد: پیاچ (pH): ۷.۴۰ فشار دیاکسید کربن (PaCO₂): ۶۰ میلیمتر جیوه بیکربنات (HCO₃⁻): ۳۶ میلیاکیوالان در لیتر سدیم (Na⁺): ۱۴۰ میلیاکیوالان در لیتر کلر (Cl⁻): ۹۸ میلیاکیوالان در لیتر
Signed AliReza Morovat
بصورت روزانه، چند درصد پتاسیم تغذیهای در بدن انسان دفع میشود؟!
Shares as published. No per-option vote count is published by Telegram, so none is shown.
👍2
Signed AliReza Morovat
مدولای کلیه بهدلیل عملکرد خاص خود و ساختار منحصربهفرد عروقیاش، بهعنوان ناحیهای شناخته میشود که شدیدترین هیپوکسی (کمبود اکسیژن) فیزیولوژیک در بدن انسان در آن رخ میدهد. این ناحیه در محیطی با اکسیژن بسیار پایین فعالیت میکند تا ادرار را غلیظ کند؛ بهگونهای که فشار اکسیژن در مدولا معمولاً حدود ۱۰ میلیمتر جیوه است، که بسیار کمتر از سایر بافتهای بدن است. این هیپوکسی ناشی از آرایش متقابل عروق خونی است که در آن جری…
👍2
Signed AliReza Morovat
کدام یک از مکانهای آناتومیک زیر در بدن انسان، در شرایط هموستاتیک طبیعی، کمترین فشار جزئی اکسیژن (pO₂) فیزیولوژیک را دارد که عمدتاً به دلیل vascularization محدود و مصرف بالای اکسیژن است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Signed AliReza Morovat
Showing the 12 most recent of 16 posts we hold for @medical_notess. 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 4 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.
کدامیک از موارد زیر، مناسبترین اقدام است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
سؤال: کدامیک از گزینههای زیر مناسبترین قدم بعدی برای تفسیر این گاز خون است؟
Shares as published. No per-option vote count is published by Telegram, so none is shown.
بصورت روزانه، چند درصد پتاسیم تغذیهای در بدن انسان دفع میشود؟!
Shares as published. No per-option vote count is published by Telegram, so none is shown.
کدام یک از مکانهای آناتومیک زیر در بدن انسان، در شرایط هموستاتیک طبیعی، کمترین فشار جزئی اکسیژن (pO₂) فیزیولوژیک را دارد که عمدتاً به دلیل vascularization محدود و مصرف بالای اکسیژن است؟
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 16 most recent posts we hold, published 22 November 2025 to 21 June 2026. 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.
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 28 August 2026 — this entry's latest reading, not the date you are reading this.
“Amiloride” (@medical_notess), 208 subscribers as measured 28 August 2026. Telegram Register, tgregister.com/channel/medical_notess.
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.