14 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... • Myasthenia ... Neuromuscular Junction • Myasthenia ... Algorithm #Causes #Ophthalmology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
TIER 1-CRITICAL ... Vertebral dissection, Myasthenia ... Ophthalmoplegic migraine, Ischemic ... #differential #diagnosis ... #ophthalmology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Curtain Sign in ... Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Ptosis - Curtain Sign ... in Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Ptosis - Curtain Sign ... in Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
- 50%: Ptosis, diplopia ... Diagnosis - ... test - Cogan sign ... - Peek sign ... #management #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... such as cogan sign ... subsequently improved the diplopia ... #video #ophthalmology ... #neurology
Sarcoidosis 
Non-caseating granulomas (Composed of T-helper & inflammatory cells) 
Clinical:
 • Disease fatal in 10% of
inflammatory cells) Clinical ... exertion • Neurologic ... dysrhythmias • Ophthalmologic ... #Sarcoidosis #Diagnosis ... #Symptoms #Signs
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Neurogenic Ptosis - Neurologic ... fracture with ischemia ... Syndrome #Ptosis #neurology ... #ophthalmology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... the apex of the lung ... Horners #Syndrome #clinical ... #video #ophthalmology ... #physicalexam #neurology