10 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... have a thymic tumor ... #PhysicalExam # ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... diagnosis #management #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Neurogenic Ptosis - Neurologic ... #Ptosis #neurology ... #Differential #
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... , Myasthenia gravis ... Manifestations #diagnosis #neurology ... #symptoms #signs
Downbeat Nystagmus on Physical Exam

65 year old female with new walking difficulty and dizziness. Why downbeat
move down due to gravity ... #Nystagmus #PhysicalExam ... #clinical #video ... #ocular #ophthalmology ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... system: Brain tumor ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... #Diagnosis #neurology
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... (Clinical Dx). ... Behcet disease) Differential ... diagnosis #management #signs
Characteristic eye movements found in Downbeat Nystagmus

Downbeat nystagmus (downward fast phase) is the most common of
Nystagmus Downbeat ... The differential ... Ophthalmology #Neurology ... #Clinical #Video ... #Ocular #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... • Vestibulo-ocular ... myoclonic movements, tremors ... • Examine for signs ... #neurology #comatose
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
infections • Nodular ... Lady Windermere Syndrome ... : • Syndrome of ... Lung Disease: • Clinical ... NTM #Infections #differential