10 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 # ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... Diagnosis - ... Bedside: ice pack ... #Gravis #diagnosis ... #management #neurology
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
syndrome (bulbar symptoms ... similar to myasthenia ... degeneration - opsoclonus-myoclonus ... #Differential #Diagnosis ... #Causes #Neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... think about three clinical ... CN III palsy 2. ... Neurogenic Ptosis - Neurologic ... Syndrome #Ptosis #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... Sjögren syndrome, Myasthenia ... Manifestations #diagnosis ... #neurology #symptoms
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Algorithm Clinical ... • Neurologic ... symptoms suggest ... • Myasthenia ... Neuromuscular Junction • Myasthenia
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... symptoms (headache ... Behcet syndrome (Clinical ... management #signs #symptoms
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Arboviruses: - West Nile ... Coltivirus Symptoms ... • Common clinical ... influenzae Symptoms ... #neurology #meningitis
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
that results in CNS ... Transverse Myelitis - Clinical ... Bilateral signs and/or symptoms ... Herpes zoster, West Nile ... #management #neurology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... especially the CNS ... MC: CNS CSF: • ... osteoarticular, pulmonary, ocular