286 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
dissection, Myasthenia gravis ... Thyroid myopathy (Graves
Motor and Reflex Grading (0-5)

Motor Strength Grading

5	Normal

4	Reduced, moves against resistance

3	Moves against gravity

2	Moves only with elimination of
Moves against gravity ... elimination of gravity ... Grading #Scoring #Grades
Hashitoxicosis - Autoimmune thyroid disease overlap syndrome of Graves' and Hashimoto's disease

Autoimmune thyroid disease overlap syndrome
overlap syndrome of Graves ... overlap syndrome of Graves ... Simultaneously having both Graves ... of people with Graves ... Developing Graves
Myasthenia Gravis - Ptosis, Diplopia, Blurred Vision

Acute Myasthenic Crisis 
• Triggered by infection, medication 
• Respiratory
Myasthenia Gravis ... #Myasthenia #Gravis
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... have myasthenia gravis ... Diagnosis #Myasthenia #Gravis
Hypersensitivity: Summary
Type I Hypersensitivity:
 • Immunological Mediator: lgE
 • Immunological Target: Allergen Molecules
 • Ex: Antibiotic
reaction, Myasthenia Gravis ... , Graves' Disease
Curtain Sign - Enhanced Ptosis in Myasthenia Gravis
Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Ptosis #Myasthenia #Gravis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Myasthenia Gravis ... • Myasthenia Gravis ... Subdural Hemorrhage Grave's
Hyperthyroidism and Thyrotoxicosis Interpretation Table
 - Autonomy (Graves)
 - Autonomy (toxic nodule)
 - Exogenous thyroid hormone
- Autonomy (Graves ... endocrinology #graves
Grading of Muscle Strength (1-5):

5 - The muscle can move the joint it crosses through a
motion, against gravity ... motion against gravity ... the force of gravity ... elimination of gravity ... Muscle #Strength #Grades