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differential management ophthalmology signs causes gravis rheumatology algorithm arteritis behcet diplopia disease doublevision eyelid gca giantcell manifestations neuromyelitis nmo optica
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Diagnosis Framework ... think about three clinical ... - Neurologic disease ... • Marcus Gunn jaw-winking ... #Ptosis #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
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... and bilateral ptosis ... cogan sign and the ice ... ophthalmology #neurology
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 Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Algorithm Clinical ... • Look for ptosis ... • Neurologic ... symptoms suggest ... • Myasthenia
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... desaturation, Scotoma, Ocular ... , Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms
Rhombencephalitis BACTERIAL - Listeria (biphasic illness with bulbar dysfunction occurring later) - Mycobacterium tuberculosis - Pneumococcus - Brucella - Borrelia (Lyme Disease) -
encephalitis, West Nile ... (bulbar symptoms ... similar to myasthenia ... #Differential #Diagnosis ... #Causes #Neurology
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 ... meningitis), MCC CNS symptoms ... (Clinical Dx). ... #signs #symptoms
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... Nice to be confident ... absence of visual symptoms ... Temporal #Signs #Symptoms
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
- Differential Diagnosis ... Presentation: Systemic Symptoms ... scalp tenderness, jaw ... affects the skin, neurologic ... • Progressive symptoms
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