12 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... non-localized EOM ... such as cogan sign ... and the ice pack ... ophthalmology #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
Optica (NMO) - Clinical ... pain • Extra-CNS ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
myasthenia Diagnosis ... Bedside: ice pack ... test - Cogan sign ... - Peek sign ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... Coxsackie, HIV, CMV, EBV ... #neurology
Lyme Disease: Early and Late Clinical manifestations
Stage 1. Localized
 • EM appears 7-14 days at the
Early and Late Clinical ... Localized • EM ... lymphocytic meningitis, CN ... Lyme #Disease #diagnosis ... #signs #symptoms
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
- Differential Diagnosis ... should be based on clinical ... effect/Edema • EBV ... and <25% culture positive ... InfectiousDiseases #Neurology
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
and Differential Diagnosis ... investigations depending on clinical ... context and signs ... ANCA, ANA, Anti-GBM ... #nephrology #causes
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
CNS Infections - ... virus • CMV • EBV ... • Common clinical ... Acute meningeal signs ... #neurology #meningitis
Cullen's sign. Lipase 1,781. Bruising in the skin around the umbilicus. This sign is named after
Clinical Significance ... Diagnosis and Context ... is not diagnostic ... #cullensign #em ... peritonitis #IM #FM #ICU
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... previous gaze position ... • Examine for signs ... • If ok with ICU ... #PhysicalExam #neurology