27 results
Curtain Sign in Myasthenia Gravis on Physical Exam

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

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

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Myasthenia #Gravis ... #PhysicalExam # ... video #neurology #ophthalmology ... #ocular #Ptosis
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... Signs, Symptoms ... eye movements #Diagnosis ... #Myasthenia #Gravis ... LikelihoodRatios #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
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
• Neurologic symptoms ... a mass as the cause ... • Myasthenia ... #Algorithm #Causes ... #Ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Myasthenia gravis ... such as cogan sign ... myasthenia gravis ... #Myasthenia #Gravis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... Diagnosis - ... - Peek sign ... #Gravis #diagnosis
Dysphagia Differential Diagnosis Algorithm
Oropharyngeal Dysphagia
Structural
 • Tumors
 • Zenker's Diverticulum
 • Foreign Bodv
Neuromuscular Toxic/Metabolic
 • Myasthenia
Dysphagia Differential Diagnosis ... /Metabolic • Myasthenia ... Gravis • CNS ... • Reflux Stricture ... #Algorithm #Causes
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Serotonin Syndrome • Ophthalmologic ... : Mydriasis, Ocular ... Status (agitated), Tremor ... Serotonin #Syndrome #Symptoms ... #diagnosis