11 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... myasthenia gravis ... #Myasthenia #Gravis ... ophthalmology #neurology
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
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... gravisOcular ... #Differential #
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Phrenic nerve injury ... Eaton Syndrome, Myasthenia ... Gravis, Organophosphate ... Weakness #Causes #differential ... #diagnosis #neurology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... antibodies - MuSK-positive ... Symptomatic treatment Of ocular ... #Gravis #diagnosis ... #management #neurology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... acetaminophen dosing ... weakness (GBS, Myasthenia ... gravis) - Obstructive ... Diagnosis #Summary #Nephrology
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... HYPOVENTILATION • Rising ... respiratory drive due to neurologic ... injury or sedatives ... failure • There are gravity-dependent
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
Headache - Differential ... Reversible, only during ... Traumatic brain injury ... glaucoma - Ocular ... ophthalmology #Neurology
Scapular winging on Physical Exam - Bilateral trapezius palsy with lateral scapular displacement.

A young man with
(Spinal cord injury ... during a roll over ... PhysicalExam #clinical #video ... trapezius #palsy #neurology ... #msk
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Pathophysiology: • Severe injury ... Awareness • Injury ... • Vestibulo-ocular ... #PhysicalExam #neurology