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

Because of bilateral eyelid innervation, when
- Curtain Sign in ... Myasthenia Gravis ... #PhysicalExam # ... 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 # ... 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 # ... video #neurology #ophthalmology ... #ocular #ptosis
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Look for ptosis ... • Myasthenia ... Neuromuscular Junction • Myasthenia ... depressed, abducted, ptosis ... #Ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... such as cogan sign ... subsequently improved the diplopia ... #PhysicalExam # ... clinical #video #ophthalmology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... elicit fatigable diplopia ... • Lifting the ptotic ... eyelid will cause ... #Gravis #PhysicalExam
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Vertebral dissection, Myasthenia ... URGENT: Brainstem tumor ... #differential #diagnosis ... #ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... , diplopia 2. ... Diagnosis - ... test - Cogan sign ... - Peek sign
Strabismus - Ocular Misalignment - Differential Diagnosis Algorithm
Phoria:
 • Latent deviation
 • Symmetrical corneal light reflex,
Strabismus - Ocular ... - Differential Diagnosis ... and abducted, ptosis ... #Algorithm #Causes ... #Ophthalmology
The Neurological Evaluation of a Comatose Patient

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