16 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... a mass as the cause ... • Myasthenia ... #Ophthalmology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
: • Based on clinical ... More likely to cause ... for thymoma, a tumor ... - Improves clinical ... #management #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Diagnosis - ... and EMG Findings ... #Gravis #diagnosis ... #management #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... Vertebral dissection, Myasthenia ... #differential #diagnosis ... #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... have a thymic tumor ... #Gravis #PhysicalExam ... #ophthalmology ... #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Myelitis, Trauma, Tumor ... Eaton Syndrome, Myasthenia ... #differential #diagnosis ... #neurology
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
- Differential Diagnosis ... Rhabdomyolysis, Critical ... : UMN (stroke, tumor ... NMJ disorder (Myasthenia ... #causes #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... involvement: Intractable nausea ... Sjögren syndrome, Myasthenia ... Manifestations #diagnosis ... #neurology #symptoms
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Cardiac, pulmonary etc ... system: Brain tumor ... Postsynaptic: Myasthenia ... #neurology