6 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Neurologic ... • Myasthenia ... #Algorithm #Causes ... #Ophthalmology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... • Lifting the ptotic ... eyelid will cause ... #Gravis #PhysicalExam ... #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and bilateral ptosis ... have a thymic tumor ... #Gravis #PhysicalExam ... clinical #video #ophthalmology ... #neurology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
More likely to cause ... for thymoma, a tumor ... usually • Starts ... glucocorticoids - can cause ... #management #neurology
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
consistent with a diagnosis ... experience, the cause ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... dissociation • Other causes ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology