10 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diplopia - Double Vision ... - Differential ... • Neurologic ... • Myasthenia ... Refractive Error • Cataract
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Differential Diagnosis ... Iris 7. ... Trauma Cornea/Iris ... Uveitis Lens: • Cataracts ... #differential #
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... neurologist for double vision ... Myasthenia gravis ... myasthenia gravis ... #Myasthenia #Gravis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... life-threatening Differential ... immunologic assay - MuSK ... #management #neurology
Red Eye - Differential Diagnosis Framework

What?
Redness in the eye can be caused by many conditions and
Red Eye - Differential ... Hemorrhage Lids ... Questions to Ask ... Complete vision ... #ocular #differential
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... antibodies - MuSK-positive ... likely to cause ... Symptomatic treatment Of ocular ... #management #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... pain/pain upon eye ... complications (AQP4-positive ... Sjögren syndrome, Myasthenia ... gravis, Many others
Adie’s Tonic Pupil on Physical Exam

A young female was referred in for a sudden onset anisocoria.
Her ocular exam ... slightly reduced near vision ... control of the iris ... pilocarpine which if positive ... #physicalexam #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... previous gaze position ... Casey Albin MD @ ... #PhysicalExam #neurology
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
Examples: - Cataracts ... objects, recent vision ... Numbness in feet, positive ... Falls #Diagnosis #Differential ... Evaluation #Geriatrics #Neurology