12 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... pack test were negative ... #PhysicalExam #clinical ... ophthalmology #neurology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... Inadequate injection ... #cardiology #clinical ... #echocardiogram
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... test - Cogan sign ... - Peek sign ... precipitated by: Drugs, infection ... #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... high index of clinical ... is required for diagnosis ... : Serial negative ... large infarct - Infectious
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Checklist - Myasthenia Gravis ... if symptoms of infection ... Pyridostigmine - New diagnosis ... monitoring (vital signs ... Do not measure negative
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... • Common clinical ... Acute meningeal signs ... in 70%-85% • Negative ... #neurology #meningitis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... Libman Sacks) • Atrial ... Sanguinis, Mitis, Oralis ... • Coagulase-negative ... Paradoxical emboli via ASD
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Transverse Myelitis - Clinical ... bouts of HTN Diagnostic ... • Bilateral signs ... tested and if negative ... #management #neurology
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Nodular or ... Pulmonary Disease: Clinical ... Diagnosis Of NTM ... Lung Disease: • Clinical ... k_vaishnani and Ravi