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# ![@esanum Avatar](https://lunarcrush.com/gi/w:26/cr:twitter::1923490283557355520.png) @esanum esanum

esanum posts on X about fell, chronic 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)
![Engagements Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1923490283557355520/c:line/m:interactions.svg)

- X Week XXXXX -XX%
- X Month XXXXXX -XX%

### Mentions: X [#](/creator/twitter::1923490283557355520/posts_active)
![Mentions Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1923490283557355520/c:line/m:posts_active.svg)

- X Week XX -XX%
- X Month XXX +4.50%

### Followers: XXXXX [#](/creator/twitter::1923490283557355520/followers)
![Followers Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1923490283557355520/c:line/m:followers.svg)

- X Week XXXXX +1.60%
- X Month XXXXX +24%

### CreatorRank: XXXXXXXXX [#](/creator/twitter::1923490283557355520/influencer_rank)
![CreatorRank Line Chart](https://lunarcrush.com/gi/w:600/cr:twitter::1923490283557355520/c:line/m:influencer_rank.svg)

### Social Influence [#](/creator/twitter::1923490283557355520/influence)
---

**Social category influence**
[currencies](/list/currencies)  XXXX%

**Social topic influence**
[fell](/topic/fell) 1.11%, [chronic](/topic/chronic) XXXX%

**Top accounts mentioned or mentioned by**
[@moarsahitopti](/creator/undefined) [@ihabfathisulima](/creator/undefined) [@doctorssquad](/creator/undefined) [@doctorsguild](/creator/undefined) [@drkeithsiau](/creator/undefined) [@manualomedicine](/creator/undefined) [@grok](/creator/undefined) [@trackyourheart](/creator/undefined) [@medcrux](/creator/undefined) [@nervemed](/creator/undefined) [@ecgandrhythmroe](/creator/undefined) [@mayoclinic](/creator/undefined) [@drakhilx](/creator/undefined) [@jnnpbmj](/creator/undefined) [@livescience](/creator/undefined) [@naturemedicine](/creator/undefined) [@liebertpub](/creator/undefined) [@neurotrauma](/creator/undefined) [@docxusofficial](/creator/undefined) [@unusual_shrimp](/creator/undefined)
### Top Social Posts [#](/creator/twitter::1923490283557355520/posts)
---
Top posts by engagements in the last XX hours

"@TrackYourHeart βœ… Answer: B) NT-proBNP πŸ“ Ventricular stretch from a stiff fibrotic myocardium  proBNP release ⚑ Tracks diastolic dysfunction and correlates with fibrosis burden on CMR (ECV/LGE) πŸ’‘ Troponin/CK-MB = acute myocyte necrosis; CRP = nonspecific inflammation"  
[X Link](https://x.com/esanum/status/1976713087852945616) [@esanum](/creator/x/esanum) 2025-10-10T18:15Z 5525 followers, 1303 engagements


"@medcrux βœ… Answer: A) Carbon monoxide πŸ“ Bright cherry-red postmortem lividity from carboxyhemoglobinemia πŸ”· CO binds Hb with high affinity impaired O delivery; blood appears bright red πŸ’‘ DDx: cyanide pink; nitrites chocolate-brown (metHb); HS green-black"  
[X Link](https://x.com/esanum/status/1978963558713917826) [@esanum](/creator/x/esanum) 2025-10-16T23:17Z 5531 followers, XX engagements


"@doctors_squad βœ… Answer: A) Flumazenil πŸ“ 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 πŸ’‘ Airway/ventilation and supportive care remain first-line"  
[X Link](https://x.com/esanum/status/1975891866324439505) [@esanum](/creator/x/esanum) 2025-10-08T11:51Z 5506 followers, XX engagements


"βœ… Answer: Paroxysmal supraventricular tachycardia (PSVT) πŸ“ Purpose: Modified Valsalva maneuver to terminate the tachycardia πŸ”· Vagal tone transient AV-nodal block (15 s strain at XX mmHg then supine + leg raise) πŸ’‘ If unsuccessful/unstable adenosine; avoid if hypotension or VT suspected"  
[X Link](https://x.com/esanum/status/1978925355453821018) [@esanum](/creator/x/esanum) 2025-10-16T20:45Z 5533 followers, 1565 engagements


"πŸ”΄ Diagnosis: Infantile hemangioma (strawberry hemangioma) periocular πŸ“ Bright red soft raised vascular papule in infancy; may obstruct visual axis/induce astigmatism amblyopia risk πŸ’Š Treatment: Observe if small; periocular/high-risk oral propranolol (13 mg/kg/day) topical timolol for superficial lesions πŸ’‘ Refractory/ulcerated: systemic steroids pulsed-dye laser or surgery; co-manage with ophthalmology"  
[X Link](https://x.com/esanum/status/1978925467827605701) [@esanum](/creator/x/esanum) 2025-10-16T20:46Z 5531 followers, XXX engagements


"πŸ”΄ Diagnosis: Gastric phytobezoar (endoscopically fragmented and retrieved) πŸ“ Multiple irregular brown vegetative lumps consistent with plant-fiber concretions πŸ”· Risks: prior gastric surgery or diabetic gastroparesis poor dentition high-fiber diet (e.g. persimmon) πŸ’‘ Tx: endoscopic fragmentation/extraction Coca-Cola/cellulase; consider prokinetics and diet changes to prevent recurrence"  
[X Link](https://x.com/esanum/status/1978963506809507874) [@esanum](/creator/x/esanum) 2025-10-16T23:17Z 5531 followers, XX engagements


"@Doctors_GUILD βœ… Answer: C) Hypocalcemia πŸ“ Post-thyroidectomy paresthesias/tetany; Chvostek/Trousseau signs πŸ”· Transient hypoparathyroidism from devascularized/removed parathyroids PTH Ca πŸ’‘ Monitor Ca/PTH; treat with calcium calcitriol (IV if symptomatic)"  
[X Link](https://x.com/esanum/status/1973795874141843730) [@esanum](/creator/x/esanum) 2025-10-02T17:03Z 5533 followers, 1755 engagements


"@MoarSahitoPTI 🧠 Why avoid NSAIDs with antihypertensives πŸ“ COX inhibition renal prostaglandins afferent vasoconstriction & GFR ⚑ Na/HO retention BP; blunts the effect of ACEi/ARBs and diuretics πŸ’‘ Triple whammy: ACEi/ARB + diuretic + NSAID high AKI risk"  
[X Link](https://x.com/esanum/status/1976660976146792706) [@esanum](/creator/x/esanum) 2025-10-10T14:47Z 5526 followers, 2075 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](https://x.com/esanum/status/1975650874308677950) [@esanum](/creator/x/esanum) 2025-10-07T19:54Z 5524 followers, XXX engagements


"πŸ”΄ Diagnosis: Lipodermatosclerosis inverted champagne bottle leg πŸ“ Indurated erythematous lower calf with ankle tapering hyperpigmentation from chronic venous insufficiency πŸ”· Venous hypertension panniculitis & dermal fibrosis classic contour; risk of medial malleolar ulcers πŸ’‘ Manage reflux + compression/elevation; skin care; exclude superimposed cellulitis in painful flares"  
[X Link](https://x.com/esanum/status/1976308155706466306) [@esanum](/creator/x/esanum) 2025-10-09T15:25Z 5509 followers, XXX engagements


"βœ… Answer: Reversal of benzodiazepine effects (procedural sedation or overdose) πŸ“ 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 πŸ’‘ Short half-lifemonitor for re-sedation; supportive care remains first-line in overdose"  
[X Link](https://x.com/esanum/status/1975890949487116486) [@esanum](/creator/x/esanum) 2025-10-08T11:48Z 5516 followers, XXX 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 Avatar @esanum esanum

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

Engagements: XXXXX #

Engagements Line Chart

  • X Week XXXXX -XX%
  • X Month XXXXXX -XX%

Mentions: X #

Mentions Line Chart

  • X Week XX -XX%
  • X Month XXX +4.50%

Followers: XXXXX #

Followers Line Chart

  • X Week XXXXX +1.60%
  • X Month XXXXX +24%

CreatorRank: XXXXXXXXX #

CreatorRank Line Chart

Social Influence #


Social category influence currencies XXXX%

Social topic influence fell 1.11%, chronic XXXX%

Top accounts mentioned or mentioned by @moarsahitopti @ihabfathisulima @doctorssquad @doctorsguild @drkeithsiau @manualomedicine @grok @trackyourheart @medcrux @nervemed @ecgandrhythmroe @mayoclinic @drakhilx @jnnpbmj @livescience @naturemedicine @liebertpub @neurotrauma @docxusofficial @unusual_shrimp

Top Social Posts #


Top posts by engagements in the last XX hours

"@TrackYourHeart βœ… Answer: B) NT-proBNP πŸ“ Ventricular stretch from a stiff fibrotic myocardium proBNP release ⚑ Tracks diastolic dysfunction and correlates with fibrosis burden on CMR (ECV/LGE) πŸ’‘ Troponin/CK-MB = acute myocyte necrosis; CRP = nonspecific inflammation"
X Link @esanum 2025-10-10T18:15Z 5525 followers, 1303 engagements

"@medcrux βœ… Answer: A) Carbon monoxide πŸ“ Bright cherry-red postmortem lividity from carboxyhemoglobinemia πŸ”· CO binds Hb with high affinity impaired O delivery; blood appears bright red πŸ’‘ DDx: cyanide pink; nitrites chocolate-brown (metHb); HS green-black"
X Link @esanum 2025-10-16T23:17Z 5531 followers, XX engagements

"@doctors_squad βœ… Answer: A) Flumazenil πŸ“ 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 πŸ’‘ Airway/ventilation and supportive care remain first-line"
X Link @esanum 2025-10-08T11:51Z 5506 followers, XX engagements

"βœ… Answer: Paroxysmal supraventricular tachycardia (PSVT) πŸ“ Purpose: Modified Valsalva maneuver to terminate the tachycardia πŸ”· Vagal tone transient AV-nodal block (15 s strain at XX mmHg then supine + leg raise) πŸ’‘ If unsuccessful/unstable adenosine; avoid if hypotension or VT suspected"
X Link @esanum 2025-10-16T20:45Z 5533 followers, 1565 engagements

"πŸ”΄ Diagnosis: Infantile hemangioma (strawberry hemangioma) periocular πŸ“ Bright red soft raised vascular papule in infancy; may obstruct visual axis/induce astigmatism amblyopia risk πŸ’Š Treatment: Observe if small; periocular/high-risk oral propranolol (13 mg/kg/day) topical timolol for superficial lesions πŸ’‘ Refractory/ulcerated: systemic steroids pulsed-dye laser or surgery; co-manage with ophthalmology"
X Link @esanum 2025-10-16T20:46Z 5531 followers, XXX engagements

"πŸ”΄ Diagnosis: Gastric phytobezoar (endoscopically fragmented and retrieved) πŸ“ Multiple irregular brown vegetative lumps consistent with plant-fiber concretions πŸ”· Risks: prior gastric surgery or diabetic gastroparesis poor dentition high-fiber diet (e.g. persimmon) πŸ’‘ Tx: endoscopic fragmentation/extraction Coca-Cola/cellulase; consider prokinetics and diet changes to prevent recurrence"
X Link @esanum 2025-10-16T23:17Z 5531 followers, XX engagements

"@Doctors_GUILD βœ… Answer: C) Hypocalcemia πŸ“ Post-thyroidectomy paresthesias/tetany; Chvostek/Trousseau signs πŸ”· Transient hypoparathyroidism from devascularized/removed parathyroids PTH Ca πŸ’‘ Monitor Ca/PTH; treat with calcium calcitriol (IV if symptomatic)"
X Link @esanum 2025-10-02T17:03Z 5533 followers, 1755 engagements

"@MoarSahitoPTI 🧠 Why avoid NSAIDs with antihypertensives πŸ“ COX inhibition renal prostaglandins afferent vasoconstriction & GFR ⚑ Na/HO retention BP; blunts the effect of ACEi/ARBs and diuretics πŸ’‘ Triple whammy: ACEi/ARB + diuretic + NSAID high AKI risk"
X Link @esanum 2025-10-10T14:47Z 5526 followers, 2075 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 5524 followers, XXX engagements

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

"βœ… Answer: Reversal of benzodiazepine effects (procedural sedation or overdose) πŸ“ 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 πŸ’‘ Short half-lifemonitor for re-sedation; supportive care remains first-line in overdose"
X Link @esanum 2025-10-08T11:48Z 5516 followers, XXX engagements

creator/x::esanum
/creator/x::esanum