19 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
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... change • Contact lens ... Chalazion • Contact lens ... Ptosis #neurology #Differential
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Ocular- 50%: Ptosis ... weakness, arms > legs ... life-threatening Differential ... Bedside: ice pack
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... the ptosis in less ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... the ptosis in less ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... the ptosis in less ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... ophthalmology #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Myasthenia Gravis ... Error • Cataract/Lens ... #DoubleVision #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... capillary-alveolar interface • Less ... failure • There are gravity-dependent ... (eg, atrial or ventricular ... Failure #hypoxia #Differential
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Thiamine Deficiency - Differential ... Framework and Clinical ... high in polished rice ... /processed grains ... Manifestations #Differential
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
Landscaper w/ painless nodular ... biopsy preferred Differential ... leishmania, Tb, NTM; less ... Sporotrichiosis #Infection #clinical