6 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... such as cogan sign ... dismay the blood work ... #PhysicalExam # ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... test - Cogan sign ... - Peek sign ... #neurology
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
- Differential ... Diagnosis Framework ... Acute meningeal signs ... k_vaishnani and Ravi ... #diagnosis #neurology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
and Headache - Differential ... Diagnosis Framework ... meningeal irritation signs ... glaucoma - Ocular ... #Neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Diagnosis Framework ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... dystrophies Work ... #Diagnosis #neurology
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Diagnosis: • ... • Vestibulo-ocular ... • Examine for signs ... caseyalbin #PhysicalExam