40 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Gravis on Physical ... Her clinical exam ... cogan sign and the ice ... #PhysicalExam #clinical
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... Graves disease – ... you’ve diagnosed Graves ... disease! ... workup choices AND management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Ocular- 50%: Ptosis ... Clinical DX: - ... Bedside: ice pack ... #diagnosis #management
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Myasthenia gravis ... Ptosis - Neurologic disease ... • Myasthenia gravis ... • Myasthenia gravis
Graves Disease - Autoimmune Hyperthyroidism
Epidemiology: Most common cause of hyperthyroidism, Incidence peaks at 30-50
Diagnosis: 
1 )
Graves Disease - ... Clinical Presentation ... @UTSWIMchief #Graves ... #Disease #Autoimmune ... Hyperthyroidism #diagnosis #management
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... Diagnosis: • Based on clinical ... Symptomatic treatment Of ocular ... #Myasthenia #Gravis ... #diagnosis #management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... Clinical triad ... autoinflammatory diseases ... • Ocular: uveitis ... #diagnosis #management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... Complications • Ocular ... week to assess ocular ... or TEE unless clinical ... candidiasis #treatment #fungal
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... mainly AQP4-lgG disease ... mainly MOG-lgG disease ... syndrome, Myasthenia gravis
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
Fungal Biomarkers ... component of many fungi ... cut-offs defined in clinical ... colonization vs invasive disease ... - Frozen ice-pops