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differential algorithm gravis management alice confabulation dizziness dysarthria extraocular generalized lightheadedness localization manifestations mimics movement muscleweakness myopathy neuromyelitis nmo ophthalmology
Causes of Dizziness / Lightheadedness - Differential Diagnosis Algorithm Lightheaded, unsteady, disoriented - Non-vertigo Organic Disease • Presyncope/Vasodepressor
Causes of Dizziness ... Problem • Drugs Psychiatric ... Anxiety • Panic Disorder ... Somatization #Dizzy ... Lightheadedness #Neurology
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy • Central or peripheral neurologic disease
Causes of Proximal ... or peripheral neurologic ... disease • Myasthenia ... Myopathy #mimics #diagnosis ... #neurology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
an autoimmune disorder ... Ocular- 50%: Ptosis ... Diagnosis - ... #Gravis #diagnosis ... #management #neurology
Localizing Extraocular Movement Disorders • CN Ill (Oculomotor) Nerve Palsy • CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... Skew Deviation Casey ... ophthalmology #neurology ... #differential #diagnosis ... #ocular
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
(Many causes!) ... • Epilepsy • Psychiatric ... disorders • Toxic ... Wonderland #Syndrome #diagnosis ... #neurology #differential
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
- Differential Diagnosis ... Polyneuropathy, ALS), NMJ disorder ... (Myasthenia, LEMS ... #Differential #Diagnosis ... #causes #neurology
Confabulation What? Honest Lie. No incoming sensory information + Filling of the blanks with different information
Cortical Blindness, Psychiatric ... Disorders By Dr ... #differential #diagnosis ... #causes #neurology
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
50 years in men Diagnosis ... More likely to cause ... Symptomatic treatment Of ocular ... glucocorticoids - can cause ... #management #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Comorbid autoimmune disorders ... Sjögren syndrome, Myasthenia ... Manifestations #diagnosis ... #neurology #symptoms
Causes of Dysarthria - Differential Diagnosis Algorithm Lower Motor Neuron - Slow, Low Volume, Breathy Speech, Tongue
Causes of Dysarthria ... - Differential Diagnosis ... IX, X, XII • Myasthenia ... Paraneoplastic Disorder ... #Dysarthria #Neurology
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