Refractory ITP: angioimmunoblastic T cell Lymphoma خانم ۴۵ ساله، با سابقه افت پلاکت از ۲۶ سال پیش و اسپلنوکتومی ۲۱ سال پیش به دلیل ITP مقاوم (درمان با MMF و Aza، قطع شده یک سال پیش به دلیل عدم پاسخ). شکایتهای فعلی: سردرد میگرنی (۳ روز)، خارش منتشر (۲ ماه)، تعریق شبانه، تب و لرز، ریزش مو، فتوسنسیتیویته، آرترالژی خفیف، کاهش شنوایی خفیف اخیر. بدون شکایت بینایی.علائم نوروپاتی حرکتی محیطی: سنگینی اندامهای فوقانی و …

Channel
نکات
@nokatmed
On this record: Growth · Engagement · What this channel posts · Posts · Cite this entry
1,705subscribers
+9 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1001434579124 |
|---|---|
| Type | Channel |
| Username | @nokatmed |
| Created | Between 1 April 2019 and 31 October 2021— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 26 August 2026 |
| Measurements held | 8 |
| Confirmed unchanged | 1 time, most recently 26 August 2026 |
| On Telegram | t.me/nokatmed |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 26 Aug 2026, 19:38 | 1,705 | +2 |
| 23 Aug 2026, 16:43 | 1,703 | +2 |
| 20 Aug 2026, 03:52 | 1,701 | -1 |
| 17 Aug 2026, 09:57 | 1,702 | +1 |
| 14 Aug 2026, 03:08 | 1,701 | +2 |
| 11 Aug 2026, 05:05 | 1,699 | +3 |
| 7 Aug 2026, 21:02 | 1,696 | no change |
| 7 Aug 2026, 19:14 | 1,696 | first reading |
Engagement
20 posts held, back to 16 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 1 pageof Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 14.7%
- avg views ÷ 1,705 subscribers
- Avg views / post
- 251
- 3 posts measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 3
- of 20 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.
| Window | Rolling 30 days · latest post in window 1 August 2026 |
|---|---|
| Posts held | 20 (16 July 2026 – 1 August 2026) |
| Views total | 752 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 7 Aug 2026, 21:02 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
- Video runtime
- 3m 19s
- Average length
- 1m 06s
Measured directly from 3 videos 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.
Recent posts
اندوسکوپی و پاتولوژی بیوپسی سونوگرافی و CT با کنتراست شکم و لگن. #radiology
celiac disease complications: enteropathy associated T cell Lymphoma (EATL) خانم ۴۶ ساله بدون سابقه خاص، دو ماه پیش دچار درد شکم منتشر، ضعف، بیحالی، کاهش اشتها و کاهش وزن شده. ده روز پیش بر اساس آزمایش و بیوپسی، سلیاک تشخیص داده شده. از آن زمان علائم تشدید شده و یک نوبت رکتوراژی داشته. کاهش وزن ۵ کیلویی در یک ماه اخیر داشته. 🌹با تشکر از جناب آقای دکتر پژمان نوری گرامی بابت کیس. #case 👇
❤️
chest CT findings: Parenchyma: Extensive bilateral asymmetric disease, predominantly upper and middle lung zones. Prominent upper-lobe reticular opacities, traction bronchiectasis, and focal cystic/cavitary changes. Acute Inflammatory Features: Bilateral patchy ground-glass opacities (GGOs) superimposed on fibrotic lung parenchyma, accompanied by consolidation with air bronchograms (notably right upper/lower l…
#RemindMe cricothyroidotomy
#case 84 y.o male, progressive dyspnea in last month. farmer, Hx of 10 pack year smoking. no PMH. بیمار ما آقای ۸۴ ساله، با تنگی نفس پیشرونده از یکماه قبل. کشاورز، سابقه ۱۰ pack year سیگار در گذشته. بدون سابقه بیماری قبلی. + Chest CT findings? + most probable diagnosis? #radiology
Chest CT severe bilateral structural lung disease: 1. Extensive cystic and varicose bronchiectasis, primarily involving the left lower lobe. 2. Thick-walled cavitary/cystic spaces and areas of subpleural consolidation with patchy ground-glass opacities. DDx with Eosinophilia: + Eosinophilic Granulomatosis with Polyangiitis (EGPA) + Allergic Bronchopulmonary Aspergillosis (ABPA) with central bronchiectasis, + …
Hypereosinophilia: EGPA vs ABPA vs monoclonal Hypereosinophilic syndrome (M-HES) vs parasitic infection (strongyloides) بیمار ما آقای ۵۸ ساله به دنبال فعالیت دچار تنگی نفس و سرفه شده. با اپیستاکسی و هماچوری و OB مثبت. آزمایشات اولیه پلاکت 6 هزار و در تکرار پلاکت 8 هزار دارد. در PBS ائوزینوفیل فراوان به طوریکه در هر فیلد high power میانگین حدود 1.5 ائوزینوفیل دارد. BP:156/80 PR:125 RR:22 T:36.8 SpO2:96% 🌹با تشک…
Cold agglutinin disease (CAD, Cold AIHA) بیمار ما خانم ۱۹ ساله با علایم آنمی شدید (Hb 3.9)، تنگی نفس، تب و ضعف پس از شنا. در معاینه رنگپریدگی، زردی، اسپلنومگالی (۲ سانتیمتر زیر لبه دنده)، سوفل سیستولیک و gallop S3 در سمع قلب دارد. CBC: RBC 0.79, MCV 126, RDW 20.8, Retic 6.38, NRBC 8. گلبولهای قرمز: آنیزوسیتوز، پلیکرومازی، اووالوسیتوز، اسفروسیتها. آزمایشات Coombs مستقیم مثبت (2+)، تست کولد آگلوتینین 1/102…
alcoholic cirrhosis بیمار ما آقای ۳۷ ساله با سابقه بیست ساله مصرف حجم بالای الکل روزانه در حد یک لیتر که از سال 99 به دنبال ایکتر هماتشزی و هماتمز کاندید پیوند کبد قرار گرفته و مدارک بیشتری همراه ندارد. بیمار تحت درمان با آلداکتون، لازیکس، لاکتولوز و لیورگل بوده که از پانزده روز پیش درمان ها را قطع کرده است و باعلایم کندی سایکوموتور، ترمور و تشدید ایکتر مراجعه کرده است. Vital signs within normal limit. Total Bil…
atypical lymphocyte ddx #RemindMe
Showing the 12 most recent of 20 posts we hold for @nokatmed. 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.
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 26 August 2026 — this entry's latest reading, not the date you are reading this.
“نکات” (@nokatmed), 1,705 subscribers as measured 26 August 2026. Telegram Register, tgregister.com/channel/nokatmed.
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.