39 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... tumor, Miller-Fisher ... syndrome, Multiple ... Thyroid myopathy (Graves ... differential #diagnosis #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
for the neuro-ophthalmologic ... • Myasthenia gravis ... GBS • Miller-Fisher ... syndrome • Orbital ... lesion of MLF) • Graves
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Bedside: ice pack test ... /Edrophonium test ... stimulation - Single fiber ... immunologic assay - MuSK ... diagnosis #management #neurology
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT2)

To assess for Median Nerve Peripheral Neuropathy

Elbow extension →
Nerve Tension Test ... forearm supination → wrist ... dorsiflexion/finger ... physicalexam #sports #msk ... #orthopedics #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and the ice pack test ... include a Tensilon test ... tumor, and always ask ... clinical #video #ophthalmology ... #neurology
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Carpal Tunnel Syndrome ... carpal tunnel syndrome ... Fully flex wrists ... #Wrist #PhysicalExam ... video #sports #msk
Median Nerve Tension Test (Upper-Limb Neurodynamic Tests, ULNT1)

To assess for Median Nerve Peripheral Neuropathy

Shoulder abduction →
Nerve Tension Test ... forearm supination → wrist ... dorsiflexion/finger ... physicalexam #sports #msk ... #orthopedics #neurology
Eichhoff's Test in de Quervain's Tenosynovitis

1) Patient makes a fist with fingers wrapped around the thumb
2)
makes a fist with fingers ... ulnar deviates the wrist ... extensor pollicis brevis ... physicalexam #sports #msk ... #rheumatology #wrist
Phalen's Test for Carpal Tunnel Syndrome

Phalen's test evaluates for carpal tunnel syndrome. 
Fully flex wrists and
Carpal Tunnel Syndrome ... carpal tunnel syndrome ... Fully flex wrists ... #Wrist #PhysicalExam ... video #sports #msk
Mytomes - Segmental Innervation of Muscles
Shoulder	Abduction	C5	Axillary Nerve
Shoulder	Adduction	C6-C8	Thoracodorsal Nerve
Elbow	Flexion	C5	Musculocutaneous Nerve
Elbow	Extension	C7	Radial Nerve
Wrist	Extension	C6	Radial Nerve
Fingers	Flexion	C8	Median Nerve
Fingers	Abduction	T1	Ulnar Nerve
Hip	Flexion	L2	Nerve to Psoas
Hip	Extension	S1	Inferior Gluteal
Radial Nerve Wrist ... Radial Nerve Fingers ... Median Nerve Fingers ... #MuscleGroups #MSK ... #Orthopedics #Neurology