58 results
Myasthenia Gravis
Signs, Symptoms and Testing - Likelihood Ratios
Does this patient have myasthenia gravis?
JAMA. 2005 Apr 20;293(15):1906-14.
Myasthenia Gravis ... , Symptoms and Testing ... eye movements #Diagnosis ... LikelihoodRatios #PhysicalExam ... #Testing
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
, Orbital apex syndrome ... Miller-Fisher syndrome ... Thyroid myopathy (Graves ... #differential #diagnosis ... #ophthalmology
Ice-pack Test for Myasthenia Gravis - Likelihood Ratio (LR) +24 / -0.16
Ice pack's can be used
Ice-pack Test for ... Myasthenia Gravis ... #Myasthenia #Gravis ... #physicalexam # ... neurology #diagnosis
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... • Myasthenia gravis ... Miller-Fisher syndrome ... #Causes #Ophthalmology
Shoulder Exam - Provocative Testing

Supraspinatus muscle injury:
 - Jobe’s Test
 - Hawkin’s Test
 - Drop Arm
- Provocative Testing ... - Hawkin’s Test ... - Drop Arm Test ... #Diagnosis #PhysicalExam ... #Shoulder #Testing
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... include a Tensilon test ... #PhysicalExam # ... clinical #video #ophthalmology
Pronator Drift Testing for Stroke
Subtle extensor weakness - Sign of Upper motor neuron lesion
In detecting CT/MRI
Pronator Drift Testing ... test characteristics ... Pronator #Drift #Testing ... #Stroke #physicalexam ... #diagnosis #neurology
Cushing Syndrome Testing Algorithm
INDICATIONS FOR TESTING:
 • Suspected Cushing syndrome (central obesity, muscle weakness, refractory hypertension)
Testing:
Cushing Syndrome ... Testing Algorithm ... INDICATIONS FOR TESTING ... dexamethasone suppression test ... #diagnosis #algorithm
Cholecystitis Diagnostic Test Characteristics  

Sensitivity, Specificity and Likelihood Ratios of Labs, Physical Exam findings, and
Cholecystitis Diagnostic ... Test Characteristics ... Cholecystitis #Diagnosis ... Cholecystitis #Testing ... LikelihoodRatio #Accuracy #PhysicalExam
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... Hering's law) • Testing ... #PhysicalExam # ... Maneuvers #Diagnosis