[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 $8572t, raynaud, frame, bone bone 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 +44% - X Months XXXXXXX +1,025,178% ### Mentions: XX [#](/creator/twitter::1923490283557355520/posts_active)  - X Week XX -XX% - X Month XXX +46% - X Months XXX +54,400% ### Followers: XXXXX [#](/creator/twitter::1923490283557355520/followers)  - X Week XXXXX +1.70% - X Month XXXXX +11% - X Months XXXXX +167,925% ### CreatorRank: XXXXXXX [#](/creator/twitter::1923490283557355520/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) XXXX% **Social topic influence** [$8572t](/topic/$8572t) #8, [raynaud](/topic/raynaud) 3.57%, [frame](/topic/frame) 1.79%, [bone bone](/topic/bone-bone) 1.79%, [moses](/topic/moses) 1.79%, [v1](/topic/v1) 1.79%, [definitive](/topic/definitive) 1.79%, [skin](/topic/skin) 1.79%, [major](/topic/major) 1.79%, [tb](/topic/tb) XXXX% **Top accounts mentioned or mentioned by** [@moarsahitopti](/creator/undefined) [@doctorsguild](/creator/undefined) [@trackyourheart](/creator/undefined) [@doctorssquad](/creator/undefined) [@simplifydrugs](/creator/undefined) [@roberthermanmd](/creator/undefined) [@smithecgblog](/creator/undefined) [@pendellm](/creator/undefined) [@didlakedw](/creator/undefined) [@thenanashio](/creator/undefined) [@drrazi4](/creator/undefined) [@drbasitmasoodi](/creator/undefined) [@ecgandrhythmroe](/creator/undefined) [@ekghacks](/creator/undefined) [@theecgmedic](/creator/undefined) [@mubarakalhatemi](/creator/undefined) [@nervemed](/creator/undefined) [@drpharmdmdth](/creator/undefined) [@ogdukeneurosurg](/creator/undefined) [@sagemedics](/creator/undefined) ### Top Social Posts Top posts by engagements in the last XX hours "🔴 Diagnosis: Upper GI foreign body swallowed eyeglasses in the stomach 📍 Endoscopy shows an intact spectacle frame lodged among gastric rugae ⚡ Main risk: mucosal laceration/perforation (especially during passage/removal) 🧠 Mechanical injury + obstruction risk depending on size/shape 💡 Next step: endoscopic retrieval (snare/basket) with airway protection if needed" [X Link](https://x.com/esanum/status/1995509969001590872) 2025-12-01T15:07Z 6744 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 6746 followers, 1075 engagements "✅ Answer: A) Deep venous thrombosis in the deep calf veins 📍 Bancrofts (Moses) sign = calf pain on squeezing the calf (anteroposterior compression) ⚡ Historically used to suggest DVT (though not very sensitive/specific) 💡 Confirm with compression ultrasound + D-dimer/risk stratification" [X Link](https://x.com/esanum/status/1997313391791108330) 2025-12-06T14:33Z 6747 followers, XXX engagements "🔴 Diagnosis: Femoral cortical button migration/pull-through after ACL reconstruction (EndoButton not seated) 📍 Post-op knee X-ray shows cortical buttons; femoral button is sitting in lateral soft tissues not flush on the lateral femoral cortex ⚡ Suggests failed flip/seat or lateral femoral cortex blowout loss of graft fixation 🧠 Button passes through cortex / interposed soft tissue graft laxity + early failure risk 💡 Always confirm button position on lateral view/fluoro it should lie tight against cortex" [X Link](https://x.com/esanum/status/1998096123878092943) 2025-12-08T18:23Z 6742 followers, XXX engagements "🔴 Diagnosis: Premature ventricular contraction (PVC) 📍 Early wide bizarre QRS not preceded by a P wave ⚡ Discordant STT changes after the ectopic beat 🧠 Full compensatory pause before the next sinus beat 💡 Isolated PVCs can be benignif frequent: check electrolytes stimulants ischemia review" [X Link](https://x.com/esanum/status/1998141207906484261) 2025-12-08T21:22Z 6744 followers, XX engagements "🔴 Diagnosis: Typical atrial flutter with AV block (4:1) 📍 Sawtooth flutter (F) waves (best in V1 / inferior leads) with no true isoelectric baseline ⚡ Atrial rate 300/min with ventricular response 7080/min (block can vary palpitations) 🧠 Etiology: right-atrial macroreentry around the tricuspid annulus (cavotricuspid isthmusdependent) 💡 Definitive tx: CTI ablation (plus rate control anticoagulation as indicated)" [X Link](https://x.com/esanum/status/1998434676889801182) 2025-12-09T16:48Z 6750 followers, XX engagements "✅ Answer: A) Bromocriptine 📍 Ergot-derived dopamine agonist can cause peripheral vasospasm/Raynaud phenomenon ⚡ Also associated with fibrosis (pleuropulmonary/retroperitoneal/cardiac) 🧠 Non-ergot agonists (ropinirole) more often cause nausea hypotension impulse-control issues 💡 Ergot drugs = vasospasm" [X Link](https://x.com/esanum/status/1998437489896218896) 2025-12-09T17:00Z 6750 followers, XXX engagements "🔴 Diagnosis: Severe acute malnutrition Marasmus 📍 Profound wasting with loss of subcutaneous fat/old man facies no edema ⚡ High risk: hypoglycemia hypothermia sepsis electrolyte derangements 🧠 Chronic calorie deficit catabolism + immune suppression 💡 Manage: stabilize first (warmth glucose treat infection) then cautious therapeutic feeds (F-75 F-100/RUTF) to avoid refeeding syndrome" [X Link](https://x.com/esanum/status/1998437507919151499) 2025-12-09T17:00Z 6750 followers, 8012 engagements "@DrPharmDMDTh @OGdukeneurosurg 🔴 Most common site: Anterior communicating artery (ACom) junction (ACAACom) 📍 Berry aneurysms cluster at Circle of Willis branch points ⚡ #2 classic: PComICA junction (often CN III palsy if compressive) 💡 Rupture SAH (worst headache) meningismus LOC" [X Link](https://x.com/esanum/status/1995609021425090759) 2025-12-01T21:40Z 6697 followers, XXX engagements "🔴 Diagnosis: Systemic sclerosis (scleroderma) with secondary Raynaud phenomenon 📍 Cold-induced painful pallor of hands = Raynaud ⚡ Digital ulcers suggest secondary Raynaud (vascular ischemia) 🔷 Facial look: tight shiny skin with microstomia/perioral tightening (mask-like facies) 💡 Raynaud + digital ulcers + sclerodermatous face think CREST/systemic sclerosis" [X Link](https://x.com/esanum/status/1995852699393228990) 2025-12-02T13:48Z 6685 followers, 1808 engagements "✅ Answer: B) Calcium channel blockers 📍 First-line for Raynaud = trigger avoidance + dihydropyridine CCBs (nifedipine/amlodipine) ⚡ Relax vascular smooth muscle fewer/less severe vasospasm episodes 💡 Beta-blockers can worsen symptoms; consider topical nitrates/PDE5i if refractory" [X Link](https://x.com/esanum/status/1996329533734305942) 2025-12-03T21:23Z 6683 followers, 5141 engagements "🔴 Diagnosis: Annular (polycyclic) urticaria / hives 📍 Serpiginous ring wheals with central clearing no scale typically itchy + transient/migratory ⚡ Blanching raised borders points to urticaria (vs tinea = scaly edge; EAC = trailing scale) 🔷 Often triggered by infection meds foods NSAIDs; ask about angioedema/resp symptoms 💡 Treat: 2nd-gen H1 antihistamines; airway symptoms = epinephrine" [X Link](https://x.com/esanum/status/1997309427758625280) 2025-12-06T14:17Z 6731 followers, 122.1K engagements "🔴 Structure: Circle of Willis (cerebral arterial circle) 📍 Arterial ring at the brains base: ACA + ACom ICA PCom PCA (via basilar) ⚡ Major collateral route to maintain cerebral perfusion with proximal stenosis/occlusion 🧠 Aneurysm hotspots at branch points (ACom PCom MCA bifurcation) 💡 Willis = wheel of brain blood supply" [X Link](https://x.com/esanum/status/1998141472328090035) 2025-12-08T21:23Z 6750 followers, XXX engagements "@Sage_medics ✅ Anterior communicating artery (ACom) 📍 Short bridge connecting R + L anterior cerebral arteries (A1 segments) ⚡ Classic Circle of Willis landmark + most common site of berry aneurysm 💡 ACom aneurysm SAH optic chiasm compression (visual symptoms)" [X Link](https://x.com/esanum/status/1998147449081217477) 2025-12-08T21:47Z 6750 followers, 5194 engagements "✅ Answer: A) After one year 📍 Cleft lip is usually repaired earlier (3 months; rule of 10s) ⚡ Cleft palate repair is typically XXX months (before speech develops) 🧠 Goal: restore feeding + normal speech resonance 💡 Lip X months palate X year (ideally before XX months)" [X Link](https://x.com/esanum/status/1998420908130652318) 2025-12-09T15:54Z 6750 followers, XXX engagements "@TrackYourHeart ✅ Answer: C) Atoll sign (reverse halo sign) 📍 Central ground-glass opacity surrounded by a ring of denser consolidation ⚡ Classically seen in organizing pneumonia (but can occur with fungal infections TB infarct) 💡 Reverse halo = Atoll" [X Link](https://x.com/esanum/status/1998421325405368581) 2025-12-09T15:55Z 6750 followers, XXX engagements "✅ Answer: C) Sildenafil 📍 Blue vision (cyanopsia) from PDE-6 inhibition in the retina ⚡ Usually transient: blue tint light sensitivity blurred vision 🔷 Amiodarone corneal deposits/optic neuropathy; chloroquine retinopathy; minocycline pigmentation 💡 Warn patients to stop and seek care if vision loss is persistent/severe" [X Link](https://x.com/esanum/status/1995509940526399572) 2025-12-01T15:06Z 6750 followers, 10.6K engagements "@mednomics ✅ Answer: X months ( XXX weeks) 📍 Reflects average glucose over the RBC lifespan (120 days) weighted more to the most recent XX weeks 💡 If RBC turnover is abnormal (hemolysis CKD transfusion) A1c may mislead" [X Link](https://x.com/esanum/status/1995849882289246335) 2025-12-02T13:37Z 6750 followers, XXX engagements "✅ Answer: B) Headache 📍 Most common early symptom due to intracranial pressure/inflammation ⚡ Classic triad (often incomplete): headache + fever + focal neuro deficits 🧠 Seizures/focal deficits tend to appear as the abscess enlarges/irritates cortex 💡 Think: early = headache later = focal signs/seizures" [X Link](https://x.com/esanum/status/1998420892582326281) 2025-12-09T15:54Z 6750 followers, XXX engagements "@PharmaFactz ✅ Answer: B) Ethosuximide 📍 Blocks T-type Ca channels in thalamus treats absence seizures ⚡ AE: fatigue GI upset urticaria; rare SJS 💡 Ethosuximide for Empty stare (absence)" [X Link](https://x.com/esanum/status/1998421270736888193) 2025-12-09T15:55Z 6750 followers, XX engagements "🔴 Likely: Moderatesevere inflammatory acne (papules/pustules + early PIH) 📍 Cheeks/jaw involvement think hormonal + product/occlusion triggers (hair oils heavy creams masks) ⚡ Core routine: AM benzoyl peroxide XXXX% + non-comedogenic moisturizer/SPF; PM adapalene/tretinoin (start XX nights/wk) 🧠 If persistent/painful or scarring risk derm for oral doxycycline or hormonal therapy (COC/spironolactone) isotretinoin (avoid retinoids/tetracyclines if pregnant) 💡 Add azelaic acid to help dark marks; dont pick" [X Link](https://x.com/esanum/status/1998426038007689533) 2025-12-09T16:14Z 6750 followers, XX 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 6750 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 esanum
esanum posts on X about $8572t, raynaud, frame, bone bone 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 +44%
- X Months XXXXXXX +1,025,178%
Mentions: XX #
- X Week XX -XX%
- X Month XXX +46%
- X Months XXX +54,400%
Followers: XXXXX #
- X Week XXXXX +1.70%
- X Month XXXXX +11%
- X Months XXXXX +167,925%
CreatorRank: XXXXXXX #
Social Influence
Social category influence finance XXXX%
Social topic influence $8572t #8, raynaud 3.57%, frame 1.79%, bone bone 1.79%, moses 1.79%, v1 1.79%, definitive 1.79%, skin 1.79%, major 1.79%, tb XXXX%
Top accounts mentioned or mentioned by @moarsahitopti @doctorsguild @trackyourheart @doctorssquad @simplifydrugs @roberthermanmd @smithecgblog @pendellm @didlakedw @thenanashio @drrazi4 @drbasitmasoodi @ecgandrhythmroe @ekghacks @theecgmedic @mubarakalhatemi @nervemed @drpharmdmdth @ogdukeneurosurg @sagemedics
Top Social Posts
Top posts by engagements in the last XX hours
"🔴 Diagnosis: Upper GI foreign body swallowed eyeglasses in the stomach 📍 Endoscopy shows an intact spectacle frame lodged among gastric rugae ⚡ Main risk: mucosal laceration/perforation (especially during passage/removal) 🧠 Mechanical injury + obstruction risk depending on size/shape 💡 Next step: endoscopic retrieval (snare/basket) with airway protection if needed"
X Link 2025-12-01T15:07Z 6744 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 6746 followers, 1075 engagements
"✅ Answer: A) Deep venous thrombosis in the deep calf veins 📍 Bancrofts (Moses) sign = calf pain on squeezing the calf (anteroposterior compression) ⚡ Historically used to suggest DVT (though not very sensitive/specific) 💡 Confirm with compression ultrasound + D-dimer/risk stratification"
X Link 2025-12-06T14:33Z 6747 followers, XXX engagements
"🔴 Diagnosis: Femoral cortical button migration/pull-through after ACL reconstruction (EndoButton not seated) 📍 Post-op knee X-ray shows cortical buttons; femoral button is sitting in lateral soft tissues not flush on the lateral femoral cortex ⚡ Suggests failed flip/seat or lateral femoral cortex blowout loss of graft fixation 🧠 Button passes through cortex / interposed soft tissue graft laxity + early failure risk 💡 Always confirm button position on lateral view/fluoro it should lie tight against cortex"
X Link 2025-12-08T18:23Z 6742 followers, XXX engagements
"🔴 Diagnosis: Premature ventricular contraction (PVC) 📍 Early wide bizarre QRS not preceded by a P wave ⚡ Discordant STT changes after the ectopic beat 🧠 Full compensatory pause before the next sinus beat 💡 Isolated PVCs can be benignif frequent: check electrolytes stimulants ischemia review"
X Link 2025-12-08T21:22Z 6744 followers, XX engagements
"🔴 Diagnosis: Typical atrial flutter with AV block (4:1) 📍 Sawtooth flutter (F) waves (best in V1 / inferior leads) with no true isoelectric baseline ⚡ Atrial rate 300/min with ventricular response 7080/min (block can vary palpitations) 🧠 Etiology: right-atrial macroreentry around the tricuspid annulus (cavotricuspid isthmusdependent) 💡 Definitive tx: CTI ablation (plus rate control anticoagulation as indicated)"
X Link 2025-12-09T16:48Z 6750 followers, XX engagements
"✅ Answer: A) Bromocriptine 📍 Ergot-derived dopamine agonist can cause peripheral vasospasm/Raynaud phenomenon ⚡ Also associated with fibrosis (pleuropulmonary/retroperitoneal/cardiac) 🧠 Non-ergot agonists (ropinirole) more often cause nausea hypotension impulse-control issues 💡 Ergot drugs = vasospasm"
X Link 2025-12-09T17:00Z 6750 followers, XXX engagements
"🔴 Diagnosis: Severe acute malnutrition Marasmus 📍 Profound wasting with loss of subcutaneous fat/old man facies no edema ⚡ High risk: hypoglycemia hypothermia sepsis electrolyte derangements 🧠 Chronic calorie deficit catabolism + immune suppression 💡 Manage: stabilize first (warmth glucose treat infection) then cautious therapeutic feeds (F-75 F-100/RUTF) to avoid refeeding syndrome"
X Link 2025-12-09T17:00Z 6750 followers, 8012 engagements
"@DrPharmDMDTh @OGdukeneurosurg 🔴 Most common site: Anterior communicating artery (ACom) junction (ACAACom) 📍 Berry aneurysms cluster at Circle of Willis branch points ⚡ #2 classic: PComICA junction (often CN III palsy if compressive) 💡 Rupture SAH (worst headache) meningismus LOC"
X Link 2025-12-01T21:40Z 6697 followers, XXX engagements
"🔴 Diagnosis: Systemic sclerosis (scleroderma) with secondary Raynaud phenomenon 📍 Cold-induced painful pallor of hands = Raynaud ⚡ Digital ulcers suggest secondary Raynaud (vascular ischemia) 🔷 Facial look: tight shiny skin with microstomia/perioral tightening (mask-like facies) 💡 Raynaud + digital ulcers + sclerodermatous face think CREST/systemic sclerosis"
X Link 2025-12-02T13:48Z 6685 followers, 1808 engagements
"✅ Answer: B) Calcium channel blockers 📍 First-line for Raynaud = trigger avoidance + dihydropyridine CCBs (nifedipine/amlodipine) ⚡ Relax vascular smooth muscle fewer/less severe vasospasm episodes 💡 Beta-blockers can worsen symptoms; consider topical nitrates/PDE5i if refractory"
X Link 2025-12-03T21:23Z 6683 followers, 5141 engagements
"🔴 Diagnosis: Annular (polycyclic) urticaria / hives 📍 Serpiginous ring wheals with central clearing no scale typically itchy + transient/migratory ⚡ Blanching raised borders points to urticaria (vs tinea = scaly edge; EAC = trailing scale) 🔷 Often triggered by infection meds foods NSAIDs; ask about angioedema/resp symptoms 💡 Treat: 2nd-gen H1 antihistamines; airway symptoms = epinephrine"
X Link 2025-12-06T14:17Z 6731 followers, 122.1K engagements
"🔴 Structure: Circle of Willis (cerebral arterial circle) 📍 Arterial ring at the brains base: ACA + ACom ICA PCom PCA (via basilar) ⚡ Major collateral route to maintain cerebral perfusion with proximal stenosis/occlusion 🧠 Aneurysm hotspots at branch points (ACom PCom MCA bifurcation) 💡 Willis = wheel of brain blood supply"
X Link 2025-12-08T21:23Z 6750 followers, XXX engagements
"@Sage_medics ✅ Anterior communicating artery (ACom) 📍 Short bridge connecting R + L anterior cerebral arteries (A1 segments) ⚡ Classic Circle of Willis landmark + most common site of berry aneurysm 💡 ACom aneurysm SAH optic chiasm compression (visual symptoms)"
X Link 2025-12-08T21:47Z 6750 followers, 5194 engagements
"✅ Answer: A) After one year 📍 Cleft lip is usually repaired earlier (3 months; rule of 10s) ⚡ Cleft palate repair is typically XXX months (before speech develops) 🧠 Goal: restore feeding + normal speech resonance 💡 Lip X months palate X year (ideally before XX months)"
X Link 2025-12-09T15:54Z 6750 followers, XXX engagements
"@TrackYourHeart ✅ Answer: C) Atoll sign (reverse halo sign) 📍 Central ground-glass opacity surrounded by a ring of denser consolidation ⚡ Classically seen in organizing pneumonia (but can occur with fungal infections TB infarct) 💡 Reverse halo = Atoll"
X Link 2025-12-09T15:55Z 6750 followers, XXX engagements
"✅ Answer: C) Sildenafil 📍 Blue vision (cyanopsia) from PDE-6 inhibition in the retina ⚡ Usually transient: blue tint light sensitivity blurred vision 🔷 Amiodarone corneal deposits/optic neuropathy; chloroquine retinopathy; minocycline pigmentation 💡 Warn patients to stop and seek care if vision loss is persistent/severe"
X Link 2025-12-01T15:06Z 6750 followers, 10.6K engagements
"@mednomics ✅ Answer: X months ( XXX weeks) 📍 Reflects average glucose over the RBC lifespan (120 days) weighted more to the most recent XX weeks 💡 If RBC turnover is abnormal (hemolysis CKD transfusion) A1c may mislead"
X Link 2025-12-02T13:37Z 6750 followers, XXX engagements
"✅ Answer: B) Headache 📍 Most common early symptom due to intracranial pressure/inflammation ⚡ Classic triad (often incomplete): headache + fever + focal neuro deficits 🧠 Seizures/focal deficits tend to appear as the abscess enlarges/irritates cortex 💡 Think: early = headache later = focal signs/seizures"
X Link 2025-12-09T15:54Z 6750 followers, XXX engagements
"@PharmaFactz ✅ Answer: B) Ethosuximide 📍 Blocks T-type Ca channels in thalamus treats absence seizures ⚡ AE: fatigue GI upset urticaria; rare SJS 💡 Ethosuximide for Empty stare (absence)"
X Link 2025-12-09T15:55Z 6750 followers, XX engagements
"🔴 Likely: Moderatesevere inflammatory acne (papules/pustules + early PIH) 📍 Cheeks/jaw involvement think hormonal + product/occlusion triggers (hair oils heavy creams masks) ⚡ Core routine: AM benzoyl peroxide XXXX% + non-comedogenic moisturizer/SPF; PM adapalene/tretinoin (start XX nights/wk) 🧠 If persistent/painful or scarring risk derm for oral doxycycline or hormonal therapy (COC/spironolactone) isotretinoin (avoid retinoids/tetracyclines if pregnant) 💡 Add azelaic acid to help dark marks; dont pick"
X Link 2025-12-09T16:14Z 6750 followers, XX 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 6750 followers, XXX engagements