76 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... cogan sign and the ice ... #PhysicalExam #clinical ... ophthalmology #neurology
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy
 • Central or peripheral neurologic disease
Causes of Proximal ... or peripheral neurologic ... • Myasthenia gravis ... mimics #diagnosis #differential ... #causes #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... dissection, Myasthenia gravis ... Thyroid myopathy (Graves ... mass #Diplopia #differential
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... a mass as the cause ... #DoubleVision #Differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Ocular- 50%: Ptosis ... life-threatening Differential ... Bedside: ice pack ... diagnosis #management #neurology
The FAST exam from the case in this episode reveals a massive hemopericardium with tamponade. RV
exam from the case ... RV collapse = tamponade ... Crazy case with ... Vanden Berge MD, UC Davis ... Emergency Medicine #Clinical
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 ... Syndrome #Ptosis #neurology ... #Differential #
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... heavy metals), Critical ... Syndrome, Myasthenia Gravis ... #differential # ... diagnosis #neurology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... #video #neurology ... ophthalmology #ocular
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Causes of Peripheral ... Sensory Changes - Differential ... • Myasthenia Gravis ... Peripheral #Weakness #Neurology ... #Differential #