2014 results
Myasthenia Gravis - Ptosis, Diplopia, Blurred Vision

Acute Myasthenic Crisis 
• Triggered by infection, medication 
• Respiratory
Myasthenia Gravis ... Vision Acute Myasthenic ... ventilation #Myasthenia
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Overview Myasthenia ... arthritis, SLE Myasthenia ... test - Cogan sign ... - Peek sign
Curtain Sign - Enhanced Ptosis in Myasthenia Gravis
Because of bilateral eyelid innervation, when the more affected
Curtain Sign - Enhanced ... Ptosis in Myasthenia ... #Curtain #Sign # ... Enhanced #Ptosis #Myasthenia
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... #Ultrasound #echocardiogram
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... Signs, Symptoms ... this patient have myasthenia ... #Diagnosis #Myasthenia
Pulmonary Ultrasound Signs

B Sign, B Line, Comets, A Lines, C Lines

#BSign #BLine #Comets #ALines #Clines #Pulmonary
Pulmonary Ultrasound Signs ... B Sign, B Line ... Lines, C Lines #BSign ... Lung #Ultrasound #Signs
POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
- McConnell's Sign ... Accuracy #POCUS #Signs ... #McConnells #Signs ... #DSign #Diagnosis
Drugs associated with worsening of Myasthenia Gravis (MG):
•	D-penicillamine 
•	Botulinum toxin.
•	Telithromycin
•	Fluoroquinolones 
•	Quinine
•	Magnesium
•	Macrolide antibiotics 
•	Corticosteroids (may cause transient
with worsening of Myasthenia ... prevent prolonged myasthenic ... higher risk of myasthenic
Abdominal Pain - Physical Examination Signs and Maneuvers
 - Murphy's sign
 - Kehr's sign
 - McBurney's
- Kehr's sign ... - McBurney's sign ... - Psoas sign ... - Obturator's sign ... - Cough sign
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Curtain Sign in ... Myasthenia Gravis ... #Curtain #Sign # ... Myasthenia #Gravis