34 results
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 ... Gravis #diagnosis #management
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... Her ocular exam ... cogan sign and the ice ... #PhysicalExam #clinical
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
an autoimmune disease ... Diagnosis: • Based on clinical ... Symptomatic treatment Of ocular ... - Improves clinical ... Gravis #diagnosis #management
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
Borrelia (Lyme Disease ... encephalitis, West Nile ... - Influenza A FUNGAL ... VASCULITIS - Behcet Disease ... symptoms similar to myasthenia
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis ... Checklist - Myasthenia ... Intubation only if clinically ... (vital signs, clinical ... MyastheniaGravis #Checklist #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 ... Horner syndrome • Myasthenia ... Myotonic dystrophy • Myasthenia
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 ... Sjögren syndrome, Myasthenia
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