[GUEST ACCESS MODE: Data is scrambled or limited to provide examples. Make requests using your API key to unlock full data. Check https://lunarcrush.ai/auth for authentication information.] #  @esanum esanum esanum posts on X about smoking, mis, gas, stable the most. They currently have XXXXX followers and XX posts still getting attention that total XXXXX engagements in the last XX hours. ### Engagements: XXXXX [#](/creator/twitter::1923490283557355520/interactions)  - X Week XXXXXX -XX% - X Month XXXXXXX +8% - X Months XXXXXXX +1,048,880% ### Mentions: XX [#](/creator/twitter::1923490283557355520/posts_active)  - X Week XX -XX% - X Month XXX +34% - X Months XXX +55,500% ### Followers: XXXXX [#](/creator/twitter::1923490283557355520/followers)  - X Week XXXXX +2.80% - X Month XXXXX +10% - X Months XXXXX +171,750% ### CreatorRank: XXXXXXXXX [#](/creator/twitter::1923490283557355520/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) XXXX% **Social topic influence** [smoking](/topic/smoking) 2.08%, [mis](/topic/mis) 2.08%, [gas](/topic/gas) 2.08%, [stable](/topic/stable) 2.08%, [bone bone](/topic/bone-bone) 2.08%, [ddx](/topic/ddx) 2.08%, [the ear](/topic/the-ear) 2.08%, [opacity](/topic/opacity) 2.08%, [trauma](/topic/trauma) 2.08%, [weight loss](/topic/weight-loss) XXXX% **Top accounts mentioned or mentioned by** [@drabdulhameed07](/creator/undefined) [@moarsahitopti](/creator/undefined) [@doctorssquad](/creator/undefined) [@drpharmdmdth](/creator/undefined) [@ogdukeneurosurg](/creator/undefined) [@mednomics](/creator/undefined) [@sagemedics](/creator/undefined) [@pharmafactz](/creator/undefined) [@trackyourheart](/creator/undefined) [@simplifydrugs](/creator/undefined) [@doctorsguild](/creator/undefined) ### Top Social Posts Top posts by engagements in the last XX hours "@drabdulhameed07 ✅ Answer: C) Demeclocycline 📍 Tetracycline that blocks ADH action in collecting ducts nephrogenic DI ⚡ Classically used (rarely now) for SIADH but can cause polyuria + hypernatremia 🧠 Mechanism: aquaporin-2 insertion / cAMP response to ADH 💡 Demeclo declines ADH" [X Link](https://x.com/esanum/status/1998420964342898979) 2025-12-09T15:54Z 6881 followers, XXX engagements "🔴 Diagnosis: Thyroid eye disease (Graves orbitopathy) 📍 Proptosis + lid retraction with binocular diplopia (often vertical from inferior rectus restriction) ⚡ EOM enlargement restrictive myopathy painful/limited upgaze 🧠 Autoimmune (TSH-R Ab) fibroblast activation + GAG deposition orbital edema/fat expansion 💡 Check TSH/FT4/TRAb; treat with lubrication + smoking cessation steroids/teprotumumab if active urgent eval if vision/optic neuropathy" [X Link](https://x.com/esanum/status/1999471076082954270) 2025-12-12T13:27Z 6881 followers, XX engagements "@doctors_squad ✅ Answer: Stapes (stirrup bone) 📍 Smallest bone in the body middle ear ossicle ⚡ Transmits vibrations incus oval window (inner ear) 🧠 Key for sound conduction into cochlear fluids 💡 Mnemonic: M-I-S = Malleus Incus Stapes" [X Link](https://x.com/esanum/status/1999616767803490314) 2025-12-12T23:06Z 6880 followers, XXX engagements "✅ Answer: A) Caecal volvulus 📍 Single massively dilated kidney-shaped loop arising from the right colon displaced centrally/left ⚡ Paucity of distal colonic gas suggests closed-loop large-bowel obstruction 🧠 Twisting of the caecum/ascending colon obstruction + ischemia risk 💡 Surgical emergency (CT to confirm if stable; urgent operative management if suspected)" [X Link](https://x.com/esanum/status/1999622138223874520) 2025-12-12T23:27Z 6881 followers, XXX engagements "@MoarSahitoPTI ✅ Answer: B) Raloxifene 📍 SERM: estrogen agonist on bone bone resorption BMD ⚡ Used for prevention of postmenopausal osteoporosis (also lowers breast Ca risk) 🧠 Watch-outs: VTE risk + can worsen hot flashes" [X Link](https://x.com/esanum/status/1995875133001793666) 2025-12-02T15:18Z 6857 followers, 1079 engagements "🔴 Cause: FBN1 mutation (Marfan syndrome) arachnodactyly 📍 Long slender spider fingers/toes (often + thumb/wrist signs) 🔷 Defective fibrillin-1 weak connective tissue (TGF- signaling) ⚡ Key association: aortic root dilation/dissection (screen with echo) 💡 Marfanoid ddx: homocystinuria (thrombosis + lens down)" [X Link](https://x.com/esanum/status/1997309546990121210) 2025-12-06T14:17Z 6832 followers, XXX engagements "@drabdulhameed07 ✅ Answer: C) X hours before 📍 Scopolamine transdermal patch needs time to reach therapeutic levels ⚡ Apply behind the ear X hrs before travel (often the night before for early trips) 💡 Wash hands after handling avoid accidental mydriasis/blurred vision" [X Link](https://x.com/esanum/status/1997312140995330491) 2025-12-06T14:28Z 6869 followers, 2193 engagements "🔴 Diagnosis: Traumatic cataract (rosette/star-shaped posterior subcapsular cataract) 📍 Classic stellate/rosette opacity in the lens after blunt trauma ⚡ Concern: may indicate significant ocular injury (angle recession late glaucoma lens subluxation retinal tear/detachment) 🧠 Mechanism: shockwave through lens posterior subcapsular fiber damage 💡 Needs urgent ophtho assessment if vision/pain/photophobia or trauma history" [X Link](https://x.com/esanum/status/1998439267337478293) 2025-12-09T17:07Z 6866 followers, XXX engagements "🔴 Diagnosis: Dermatitis herpetiformis (celiac disease) 📍 Intensely pruritic grouped papules/vesicles with excoriations on extensor surfaces (elbows/knees) ⚡ GI clues: recurrent diarrhea weight loss; triggered by gluten (protein) intolerance 🧠 IgA anti-transglutaminase granular IgA deposition in dermal papillae 💡 Tx: strict gluten-free diet + dapsone for rapid symptom control (check G6PD)" [X Link](https://x.com/esanum/status/1998865481713987918) 2025-12-10T21:20Z 6837 followers, 1617 engagements "🔴 Diagnosis: Friedreich ataxia 📍 Teen onset gait ataxia + dysarthria (often with areflexia loss of vibration/position) ⚡ Clues in image: pes cavus + hypertrophic cardiomyopathy scoliosis 🧠 GAA repeat expansion (FXN) frataxin mitochondrial dysfunction/oxidative stress 💡 Think Feet + Heart + () Diabetes = Friedreich" [X Link](https://x.com/esanum/status/1998886798135542126) 2025-12-10T22:45Z 6854 followers, 2033 engagements "🔴 Diagnosis: De Quervain tenosynovitis (positive Finkelstein test) 📍 Pain over radial styloid when thumb is flexed in fist and wrist is ulnar-deviated 🔷 Inflammation of abductor pollicis longus + extensor pollicis brevis tendon sheath ⚡ Classically seen in new parents repetitive wrist/thumb use or overuse injuries" [X Link](https://x.com/esanum/status/1999142991139606680) 2025-12-11T15:43Z 6853 followers, XX engagements "🔴 Reason: Medication-overuse headache (rebound) + tachyphylaxis/vasoconstrictive risk 📍 Frequent triptan use can trigger MOH and make migraines more frequent/chronic ⚡ Limit to X days/week ( XX days/month) 🧠 5-HT1B/1D agonists vasoconstriction; overuse increases adverse CV risk esp. in predisposed patients 💡 Tip: If needing triptans often start/optimize preventive therapy (e.g. beta-blocker topiramate CGRP options)" [X Link](https://x.com/esanum/status/1999463229169254805) 2025-12-12T12:55Z 6865 followers, XXX engagements "🔴 Diagnosis: Cystic hygroma (lymphangioma / lymphatic malformation) 📍 Congenital soft multilobulated neck mass (often posterior triangle/supraclavicular) may transilluminate 🧠 Failure of lymphatic channels to connect/drain cystic lymph-filled spaces ⚡ Assoc: Turner Down/Noonan (think karyotype if prenatal/other stigmata) 💡 Tx: US/MRI sclerotherapy (e.g. bleomycin/OK-432) or surgical excision if symptomatic" [X Link](https://x.com/esanum/status/1999463246231658740) 2025-12-12T12:56Z 6866 followers, XX engagements "@simplify_drugs ✅ Answer: Vitamin K epoxide reductase (VKORC1) 📍 Blocks recycling of vitamin K -carboxylation of factors II VII IX X + protein C/S 💡 Tip: WARFARIN = WAR on Vitamin K recycling" [X Link](https://x.com/esanum/status/1999463379266830447) 2025-12-12T12:56Z 6864 followers, XXX engagements "@MoarSahitoPTI ✅ First test: Non-contrast CT head 📍 Best initial study for thunderclap headache r/o SAH ⚡ If CT is negative but suspicion remains (esp. X hrs from onset) lumbar puncture for xanthochromia/RBCs 💡 CTA can follow to identify aneurysm once SAH is confirmed/suspected" [X Link](https://x.com/esanum/status/1999463408924868777) 2025-12-12T12:56Z 6869 followers, XX engagements "🔴 Rhythm: Atrial flutter with 2:1 AV conduction 📍 Regular narrow-complex tachycardia XXX bpm + sawtooth flutter activity (often best in II/III/aVF and V1) ⚡ Adenosine/vagal maneuvers can transiently AV block unmask flutter waves 💡 Tx: rate control + anticoag as indicated; synchronized cardioversion if unstable" [X Link](https://x.com/esanum/status/1999464968031240265) 2025-12-12T13:02Z 6866 followers, XXX engagements "✅ Answer: A) SDRIFE (baboon syndrome) 📍 Symmetric sharply demarcated erythema of gluteal/perineal + flexural areas after amoxicillin ⚡ Feels well no mucosal involvement normal labs (helps exclude AGEP/SJS/DRESS) 🧠 Delayed type IV drug hypersensitivity 💡 Stop culprit + topical steroids/antihistamines; avoid re-exposure" [X Link](https://x.com/esanum/status/1999471024492937323) 2025-12-12T13:26Z 6866 followers, XX engagements "@Doctors_GUILD ✅ Answer: A) Furosemide 📍 Loop (and thiazides) urate clearance hyperuricemia 🧠 Volume contraction proximal Na/urate reabsorption ⚡ Can precipitate gout flares 💡 Loops & thiazides = gouty rides" [X Link](https://x.com/esanum/status/1999856020089397286) 2025-12-13T14:56Z 6863 followers, XX engagements "✅ Answer: B) LBBB 📍 LBBB causes secondary STT changes that can mimic or mask STEMI ⚡ Use Sgarbossa / modified Sgarbossa (concordant ST concordant ST V1V3 excessive discordance) 🧠 Discordant ST elevation can be normal in LBBBdont call STEMI by ST alone 💡 If unstable + ischemic symptoms treat as ACS while applying criteria + serial ECG/troponins" [X Link](https://x.com/esanum/status/1999614890135208073) 2025-12-12T22:58Z 6879 followers, 1447 engagements "🔴 Diagnosis: Osteosarcoma (osteogenic sarcoma) 📍 Progressive bone pain + swelling with systemic signs (weight loss anemia) ⚡ X-ray: aggressive metaphyseal lesion with cloud-like osteoid matrix periosteal reaction (sunburst/Codman triangle) 🧠 Malignant osteoblasts producing osteoid (classically around knee/prox humerus) 💡 Next: MRI for local extent + biopsy then neoadjuvant chemo limb-sparing resection" [X Link](https://x.com/esanum/status/1999463977022071179) 2025-12-12T12:58Z 6880 followers, 2913 engagements "🔴 Diagnosis: Meningioma (dural-based extra-axial mass) 📍 Headache from mass effect/ICP; often incidental until large ⚡ Well-circumscribed extra-axial lesion with homogeneous enhancement ( dural tail/CSF cleft) 🧠 Arises from arachnoid cap cells; classically associated with NF2 💡 Extra-axial + dural tail = think meningioma (definitive tx: surgical resection RT)" [X Link](https://x.com/esanum/status/2000232614737711483) 2025-12-14T15:53Z 6881 followers, 1514 engagements
[GUEST ACCESS MODE: Data is scrambled or limited to provide examples. Make requests using your API key to unlock full data. Check https://lunarcrush.ai/auth for authentication information.]
@esanum esanum
esanum posts on X about smoking, mis, gas, stable the most. They currently have XXXXX followers and XX posts still getting attention that total XXXXX engagements in the last XX hours.
Engagements: XXXXX #
- X Week XXXXXX -XX%
- X Month XXXXXXX +8%
- X Months XXXXXXX +1,048,880%
Mentions: XX #
- X Week XX -XX%
- X Month XXX +34%
- X Months XXX +55,500%
Followers: XXXXX #
- X Week XXXXX +2.80%
- X Month XXXXX +10%
- X Months XXXXX +171,750%
CreatorRank: XXXXXXXXX #
Social Influence
Social category influence finance XXXX%
Social topic influence smoking 2.08%, mis 2.08%, gas 2.08%, stable 2.08%, bone bone 2.08%, ddx 2.08%, the ear 2.08%, opacity 2.08%, trauma 2.08%, weight loss XXXX%
Top accounts mentioned or mentioned by @drabdulhameed07 @moarsahitopti @doctorssquad @drpharmdmdth @ogdukeneurosurg @mednomics @sagemedics @pharmafactz @trackyourheart @simplifydrugs @doctorsguild
Top Social Posts
Top posts by engagements in the last XX hours
"@drabdulhameed07 ✅ Answer: C) Demeclocycline 📍 Tetracycline that blocks ADH action in collecting ducts nephrogenic DI ⚡ Classically used (rarely now) for SIADH but can cause polyuria + hypernatremia 🧠 Mechanism: aquaporin-2 insertion / cAMP response to ADH 💡 Demeclo declines ADH"
X Link 2025-12-09T15:54Z 6881 followers, XXX engagements
"🔴 Diagnosis: Thyroid eye disease (Graves orbitopathy) 📍 Proptosis + lid retraction with binocular diplopia (often vertical from inferior rectus restriction) ⚡ EOM enlargement restrictive myopathy painful/limited upgaze 🧠 Autoimmune (TSH-R Ab) fibroblast activation + GAG deposition orbital edema/fat expansion 💡 Check TSH/FT4/TRAb; treat with lubrication + smoking cessation steroids/teprotumumab if active urgent eval if vision/optic neuropathy"
X Link 2025-12-12T13:27Z 6881 followers, XX engagements
"@doctors_squad ✅ Answer: Stapes (stirrup bone) 📍 Smallest bone in the body middle ear ossicle ⚡ Transmits vibrations incus oval window (inner ear) 🧠 Key for sound conduction into cochlear fluids 💡 Mnemonic: M-I-S = Malleus Incus Stapes"
X Link 2025-12-12T23:06Z 6880 followers, XXX engagements
"✅ Answer: A) Caecal volvulus 📍 Single massively dilated kidney-shaped loop arising from the right colon displaced centrally/left ⚡ Paucity of distal colonic gas suggests closed-loop large-bowel obstruction 🧠 Twisting of the caecum/ascending colon obstruction + ischemia risk 💡 Surgical emergency (CT to confirm if stable; urgent operative management if suspected)"
X Link 2025-12-12T23:27Z 6881 followers, XXX engagements
"@MoarSahitoPTI ✅ Answer: B) Raloxifene 📍 SERM: estrogen agonist on bone bone resorption BMD ⚡ Used for prevention of postmenopausal osteoporosis (also lowers breast Ca risk) 🧠 Watch-outs: VTE risk + can worsen hot flashes"
X Link 2025-12-02T15:18Z 6857 followers, 1079 engagements
"🔴 Cause: FBN1 mutation (Marfan syndrome) arachnodactyly 📍 Long slender spider fingers/toes (often + thumb/wrist signs) 🔷 Defective fibrillin-1 weak connective tissue (TGF- signaling) ⚡ Key association: aortic root dilation/dissection (screen with echo) 💡 Marfanoid ddx: homocystinuria (thrombosis + lens down)"
X Link 2025-12-06T14:17Z 6832 followers, XXX engagements
"@drabdulhameed07 ✅ Answer: C) X hours before 📍 Scopolamine transdermal patch needs time to reach therapeutic levels ⚡ Apply behind the ear X hrs before travel (often the night before for early trips) 💡 Wash hands after handling avoid accidental mydriasis/blurred vision"
X Link 2025-12-06T14:28Z 6869 followers, 2193 engagements
"🔴 Diagnosis: Traumatic cataract (rosette/star-shaped posterior subcapsular cataract) 📍 Classic stellate/rosette opacity in the lens after blunt trauma ⚡ Concern: may indicate significant ocular injury (angle recession late glaucoma lens subluxation retinal tear/detachment) 🧠 Mechanism: shockwave through lens posterior subcapsular fiber damage 💡 Needs urgent ophtho assessment if vision/pain/photophobia or trauma history"
X Link 2025-12-09T17:07Z 6866 followers, XXX engagements
"🔴 Diagnosis: Dermatitis herpetiformis (celiac disease) 📍 Intensely pruritic grouped papules/vesicles with excoriations on extensor surfaces (elbows/knees) ⚡ GI clues: recurrent diarrhea weight loss; triggered by gluten (protein) intolerance 🧠 IgA anti-transglutaminase granular IgA deposition in dermal papillae 💡 Tx: strict gluten-free diet + dapsone for rapid symptom control (check G6PD)"
X Link 2025-12-10T21:20Z 6837 followers, 1617 engagements
"🔴 Diagnosis: Friedreich ataxia 📍 Teen onset gait ataxia + dysarthria (often with areflexia loss of vibration/position) ⚡ Clues in image: pes cavus + hypertrophic cardiomyopathy scoliosis 🧠 GAA repeat expansion (FXN) frataxin mitochondrial dysfunction/oxidative stress 💡 Think Feet + Heart + () Diabetes = Friedreich"
X Link 2025-12-10T22:45Z 6854 followers, 2033 engagements
"🔴 Diagnosis: De Quervain tenosynovitis (positive Finkelstein test) 📍 Pain over radial styloid when thumb is flexed in fist and wrist is ulnar-deviated 🔷 Inflammation of abductor pollicis longus + extensor pollicis brevis tendon sheath ⚡ Classically seen in new parents repetitive wrist/thumb use or overuse injuries"
X Link 2025-12-11T15:43Z 6853 followers, XX engagements
"🔴 Reason: Medication-overuse headache (rebound) + tachyphylaxis/vasoconstrictive risk 📍 Frequent triptan use can trigger MOH and make migraines more frequent/chronic ⚡ Limit to X days/week ( XX days/month) 🧠 5-HT1B/1D agonists vasoconstriction; overuse increases adverse CV risk esp. in predisposed patients 💡 Tip: If needing triptans often start/optimize preventive therapy (e.g. beta-blocker topiramate CGRP options)"
X Link 2025-12-12T12:55Z 6865 followers, XXX engagements
"🔴 Diagnosis: Cystic hygroma (lymphangioma / lymphatic malformation) 📍 Congenital soft multilobulated neck mass (often posterior triangle/supraclavicular) may transilluminate 🧠 Failure of lymphatic channels to connect/drain cystic lymph-filled spaces ⚡ Assoc: Turner Down/Noonan (think karyotype if prenatal/other stigmata) 💡 Tx: US/MRI sclerotherapy (e.g. bleomycin/OK-432) or surgical excision if symptomatic"
X Link 2025-12-12T12:56Z 6866 followers, XX engagements
"@simplify_drugs ✅ Answer: Vitamin K epoxide reductase (VKORC1) 📍 Blocks recycling of vitamin K -carboxylation of factors II VII IX X + protein C/S 💡 Tip: WARFARIN = WAR on Vitamin K recycling"
X Link 2025-12-12T12:56Z 6864 followers, XXX engagements
"@MoarSahitoPTI ✅ First test: Non-contrast CT head 📍 Best initial study for thunderclap headache r/o SAH ⚡ If CT is negative but suspicion remains (esp. X hrs from onset) lumbar puncture for xanthochromia/RBCs 💡 CTA can follow to identify aneurysm once SAH is confirmed/suspected"
X Link 2025-12-12T12:56Z 6869 followers, XX engagements
"🔴 Rhythm: Atrial flutter with 2:1 AV conduction 📍 Regular narrow-complex tachycardia XXX bpm + sawtooth flutter activity (often best in II/III/aVF and V1) ⚡ Adenosine/vagal maneuvers can transiently AV block unmask flutter waves 💡 Tx: rate control + anticoag as indicated; synchronized cardioversion if unstable"
X Link 2025-12-12T13:02Z 6866 followers, XXX engagements
"✅ Answer: A) SDRIFE (baboon syndrome) 📍 Symmetric sharply demarcated erythema of gluteal/perineal + flexural areas after amoxicillin ⚡ Feels well no mucosal involvement normal labs (helps exclude AGEP/SJS/DRESS) 🧠 Delayed type IV drug hypersensitivity 💡 Stop culprit + topical steroids/antihistamines; avoid re-exposure"
X Link 2025-12-12T13:26Z 6866 followers, XX engagements
"@Doctors_GUILD ✅ Answer: A) Furosemide 📍 Loop (and thiazides) urate clearance hyperuricemia 🧠 Volume contraction proximal Na/urate reabsorption ⚡ Can precipitate gout flares 💡 Loops & thiazides = gouty rides"
X Link 2025-12-13T14:56Z 6863 followers, XX engagements
"✅ Answer: B) LBBB 📍 LBBB causes secondary STT changes that can mimic or mask STEMI ⚡ Use Sgarbossa / modified Sgarbossa (concordant ST concordant ST V1V3 excessive discordance) 🧠 Discordant ST elevation can be normal in LBBBdont call STEMI by ST alone 💡 If unstable + ischemic symptoms treat as ACS while applying criteria + serial ECG/troponins"
X Link 2025-12-12T22:58Z 6879 followers, 1447 engagements
"🔴 Diagnosis: Osteosarcoma (osteogenic sarcoma) 📍 Progressive bone pain + swelling with systemic signs (weight loss anemia) ⚡ X-ray: aggressive metaphyseal lesion with cloud-like osteoid matrix periosteal reaction (sunburst/Codman triangle) 🧠 Malignant osteoblasts producing osteoid (classically around knee/prox humerus) 💡 Next: MRI for local extent + biopsy then neoadjuvant chemo limb-sparing resection"
X Link 2025-12-12T12:58Z 6880 followers, 2913 engagements
"🔴 Diagnosis: Meningioma (dural-based extra-axial mass) 📍 Headache from mass effect/ICP; often incidental until large ⚡ Well-circumscribed extra-axial lesion with homogeneous enhancement ( dural tail/CSF cleft) 🧠 Arises from arachnoid cap cells; classically associated with NF2 💡 Extra-axial + dural tail = think meningioma (definitive tx: surgical resection RT)"
X Link 2025-12-14T15:53Z 6881 followers, 1514 engagements