20 results
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Autoimmune Myositis ... /full triad at diagnosis ... @AnnKumfer #Autoimmune ... #Myositis #diagnosis ... #rheumatology
Pulsatile Exophthalmos on Physical Exam - Protrusion and Pulsation of the eyeball

The differential diagnosis of pulsatile
The differential diagnosis ... of pulsatile proptosis ... #Exophthalmos #PhysicalExam ... video #ocular #ophthalmology ... #proptosis
Proptosis - Differential Diagnosis - Unilateral vs Bilateral
Unilateral:
 • Infections (can become bilateral with cavernous sinus
Proptosis - Differential ... Diagnosis - Unilateral ... - Orbital myositis ... @AnnKumfer #Proptosis ... Bilateral #Causes #ophthalmology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
• Transverse myelitis ... pain • Extra-CNS ... positive NMO only): Myositis ... , Comorbid autoimmune ... Manifestations #diagnosis
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... pulmonary etc) • CNS ... -> PNS -> NMJ - ... necrotizing myopathy • Autoimmune ... #Differential #Diagnosis
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... pseudotumor • Orbital myositis ... #Differential #Diagnosis ... #Causes #Ophthalmology
Inflammatory Myopathies
Dermatomyositis
 • Onset: Subacute
 • Pattern: Proximal
 • CK: Up to 50X ULN
 • Autoantibodies:
Associated Features: Diagnosis ... exclusion Necrotizing Autoimmune ... Myositis • Onset ... #differential #diagnosis ... #comparison #rheumatology
Anterior Non-necrotizing Scleritis - Slit Lamp Ocular Examination

This 57 yo WM reported to clinic complaining of
history of systemic autoimmune ... patient was sent to rheumatology ... clinical #video #ophthalmology ... #physicalexam # ... rheumatology #SlitLamp
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
Multi-system autoimmune ... acro-osteolysis, myositis ... Scleroderma #SSc #rheumatology ... #diagnosis #signs
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
be any age) Autoimmune ... nervous system (CNS ... neuropathy, transverse myelitis ... • 8%-27% for CNS ... Sjogrens #Syndrome #Rheumatology