PhysicalExam tremor ocular reflex sign diagnosis ophthalmology myasthenia ptosis diplopia syndrome

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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

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- Curtain Sign in ... Myasthenia Gravis ... #PhysicalExam # ... video #neurology #ophthalmology ... #ocular #Ptosis

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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

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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

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Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results

Diagnosis Framework ... three clinical diagnoses ... Myasthenia gravis ... • Myasthenia gravis ... #ophthalmology

Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
• Diplopia is almost always binocular.
•

• Look for ptosis ... • Myasthenia ... Neuromuscular Junction • Myasthenia ... depressed, abducted, ptosis ... Algorithm #Causes #Ophthalmology

Important Causes of Diplopia
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,

Important Causes of Diplopia ... 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

Clinical Manifestations of Serotonin Syndrome
• Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
• Gastrointestinal: Diarrhea,

Manifestations of Serotonin Syndrome ... • Ophthalmologic ... : Mydriasis, Ocular ... Status (agitated), Tremor ... #diagnosis

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

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