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@esanum Avatar @esanum esanum

esanum posts on X about chronic the most. They currently have XXXXX followers and XXX posts still getting attention that total XXX engagements in the last XX hours.

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Top posts by engagements in the last XX hours

"✅ Answer: Paroxysmal supraventricular tachycardia (PSVT) 📍 Purpose: Modified Valsalva maneuver to terminate the tachycardia 🔷 Vagal tone transient AV-nodal block (15 s strain at XX mmHg then supine + leg raise) 💡 If unsuccessful/unstable adenosine; avoid if hypotension or VT suspected"
X Link @esanum 2025-10-16T20:45Z 5517 followers, XXX engagements

"🔴 Diagnosis: Infantile hemangioma (strawberry hemangioma) periocular 📍 Bright red soft raised vascular papule in infancy; may obstruct visual axis/induce astigmatism amblyopia risk 💊 Treatment: Observe if small; periocular/high-risk oral propranolol (13 mg/kg/day) topical timolol for superficial lesions 💡 Refractory/ulcerated: systemic steroids pulsed-dye laser or surgery; co-manage with ophthalmology"
X Link @esanum 2025-10-16T20:46Z 5517 followers, XX engagements

"🔴 Diagnosis: Gastric phytobezoar (endoscopically fragmented and retrieved) 📍 Multiple irregular brown vegetative lumps consistent with plant-fiber concretions 🔷 Risks: prior gastric surgery or diabetic gastroparesis poor dentition high-fiber diet (e.g. persimmon) 💡 Tx: endoscopic fragmentation/extraction Coca-Cola/cellulase; consider prokinetics and diet changes to prevent recurrence"
X Link @esanum 2025-10-16T23:17Z 5516 followers, XX engagements

"@MoarSahitoPTI 🧠 Why avoid NSAIDs with antihypertensives 📍 COX inhibition renal prostaglandins afferent vasoconstriction & GFR ⚡ Na/HO retention BP; blunts the effect of ACEi/ARBs and diuretics 💡 Triple whammy: ACEi/ARB + diuretic + NSAID high AKI risk"
X Link @esanum 2025-10-10T14:47Z 5507 followers, 2062 engagements

"🌿🩹 Full-spectrum cannabis extract (VER-01) reduces chronic low back pain (phase X RCT) Design: Multicenter double-blind RCT in adults with CLBP (n=820); 12-week treatment 612-month extension/withdrawal phases. Primary endpoint: change in pain (11-point NRS). Results: Mean pain fell XXX NRS with VER-01; mean difference vs placebo XXX (95% CI XXX to 0.3; P0.001). Neuropathic component subgroup: NPSI MD XXX (95% CI XXXX to 1.3; P=0.017). Effects maintained in extension; randomized withdrawal did not meet its primary endpoint but pain rose more after switch to placebo. Safety: Adverse events"
X Link @esanum 2025-10-07T19:54Z 5517 followers, XXX engagements

"🔴 Diagnosis: Lipodermatosclerosis inverted champagne bottle leg 📍 Indurated erythematous lower calf with ankle tapering hyperpigmentation from chronic venous insufficiency 🔷 Venous hypertension panniculitis & dermal fibrosis classic contour; risk of medial malleolar ulcers 💡 Manage reflux + compression/elevation; skin care; exclude superimposed cellulitis in painful flares"
X Link @esanum 2025-10-09T15:25Z 5509 followers, XXX engagements

"@TrackYourHeart ✅ Answer: B) NT-proBNP 📍 Ventricular stretch from a stiff fibrotic myocardium proBNP release ⚡ Tracks diastolic dysfunction and correlates with fibrosis burden on CMR (ECV/LGE) 💡 Troponin/CK-MB = acute myocyte necrosis; CRP = nonspecific inflammation"
X Link @esanum 2025-10-10T18:15Z 5511 followers, 1299 engagements

"@Doctors_GUILD ✅ Answer: C) Hypocalcemia 📍 Post-thyroidectomy paresthesias/tetany; Chvostek/Trousseau signs 🔷 Transient hypoparathyroidism from devascularized/removed parathyroids PTH Ca 💡 Monitor Ca/PTH; treat with calcium calcitriol (IV if symptomatic)"
X Link @esanum 2025-10-02T17:03Z 5515 followers, 1702 engagements

"✅ Answer: Reversal of benzodiazepine effects (procedural sedation or overdose) 📍 Competitive antagonist at the benzodiazepine site on GABA_A receptors ⚠ Avoid in chronic BZD users or mixed overdoses (esp. TCAs) due to seizure/withdrawal risk 💡 Short half-lifemonitor for re-sedation; supportive care remains first-line in overdose"
X Link @esanum 2025-10-08T11:48Z 5516 followers, XXX engagements

"@doctors_squad ✅ Answer: A) Flumazenil 📍 Competitive antagonist at the benzodiazepine site on GABA_A reverses sedation ⚠ Avoid in chronic BZD users or mixed overdoses (esp. TCAs) due to seizure risk 💡 Airway/ventilation and supportive care remain first-line"
X Link @esanum 2025-10-08T11:51Z 5506 followers, XX engagements

"@medcrux ✅ Answer: A) Carbon monoxide 📍 Bright cherry-red postmortem lividity from carboxyhemoglobinemia 🔷 CO binds Hb with high affinity impaired O delivery; blood appears bright red 💡 DDx: cyanide pink; nitrites chocolate-brown (metHb); HS green-black"
X Link @esanum 2025-10-16T23:17Z 5516 followers, XX engagements