6 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Gravis on Physical ... Her ocular exam ... cogan sign and ... ophthalmology #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... , Myasthenia gravis ... Manifestations #diagnosis #neurology ... #symptoms #signs
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
thyroid, Sjogren syndrome ... Ocular- 50%: Ptosis ... test - Cogan sign ... - Peek sign ... diagnosis #management #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... • Myasthenia gravis ... • Myasthenia gravis ... #Ptosis #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
• Acute stroke syndromes ... Paraneoplastic syndrome ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... Differential #Diagnosis #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • Vestibulo-ocular ... • Examine for signs ... #PhysicalExam #neurology