14 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... such as cogan sign ... test were negative ... include a Tensilon test ... #PhysicalExam #
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... Graves disease – ... Graves disease! ... Check pregnancy test ... management options
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... /Edrophonium test ... - Cogan sign ... - Peek sign 2. ... #diagnosis #management
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... Giant retinal tears ... Leukemia, Lymphoma Ocular ... #management #signs ... #symptoms #rheumatology
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
and Management ... Signs: 1. ... Oculomasticatory/oculo-facial-skeletal ... positive T. whipplei test ... #algorithm #management
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
ocular inflammation ... Syndrome: - Ocular ... purpura: strong sign ... retinopathy Lab Tests ... #rheumatology #
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... • Vestibulo-ocular ... • Examine for signs ... If ok with ICU team ... caseyalbin #PhysicalExam
Terrien's Marginal Degeneration on Slit Lamp Ocular Examination

70-year-old patient who consulted for subconjunctival hemorrhage x 1
Degeneration on Slit Lamp Ocular ... It is diagnosed ... #Degeneration #Ocular ... #PhysicalExam # ... ophthalmology #SlitLamp
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... ocular inflammation ... ulcers, cutaneous, ocular ... Cogan syndrome: Ocular ... #Rheumatology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
• A clinical diagnosis ... sites such as the collar ... blockers had the best ... SAPHO #Syndrome #Rheumatology ... #diagnosis #management