24 results
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

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

Because of bilateral eyelid innervation, when
- Curtain Sign in ... Myasthenia Gravis ... #PhysicalExam #clinical ... video #neurology #ophthalmology ... #ocular #Ptosis
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
Curtain Sign in ... Myasthenia Gravis ... #PhysicalExam #clinical ... video #neurology #ophthalmology ... #ocular #ptosis
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Myasthenia gravis ... retraction of one eye ... contralateral eye ... Differential #Diagnosis #ophthalmology
Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins
Pemberton's Sign ... Thyroid Goiter ... #Pembertons #Sign ... #PhysicalExam #clinical ... #otolaryngology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • Look for ptosis ... a mass as the cause ... depressed, abducted, ptosis ... #Ophthalmology
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 ... Multiple sclerosis, Thyroid ... myopathy (Graves ... differential #diagnosis #ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... and bilateral ptosis ... such as cogan sign ... Bennett & Bloom Eye ... #video #ophthalmology
Horner's Syndrome: Loss of sympathetic nervous system input to (in this case) right eye. 
Note that
Horner's Syndrome ... ) right eye. ... greater portion of eye ... #Ophthalmology ... #Ptosis #UCSDH
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
- Autoimmune: thyroid ... Ocular- 50%: Ptosis ... Differential DX: - Thyroid ... test - Cogan sign ... - Peek sign