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neurology causes algorithm ophthalmology diplopia floppy infections infectiousdiseases management ocular pediatrics physicalexam summary abg acetylcholinereceptor achr acid acidbase agonists baby
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Myasthenia Gravis ... Ocular- 50%: Ptosis ... chewing, loss of smile ... life-threatening Differential ... #Gravis #diagnosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable ptosis ... • Lifting the ptotic ... #Gravis #PhysicalExam
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
non-localized EOM weakness ... and bilateral ptosis ... Myasthenia gravis ... tumor, and always ask ... #clinical #video
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 Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm No Objective Weakness • Cardio-pulmonary disease
Sensory Changes - Differential ... Diagnosis Algorithm ... • Cardio-pulmonary ... Gravis • Lambert-Eaton ... Myasthenic Syndrome
Drugs associated with worsening of Myasthenia Gravis (MG): • D-penicillamine • Botulinum toxin. • Telithromycin • Fluoroquinolones • Quinine • Magnesium • Macrolide antibiotics • Corticosteroids (may cause transient
with worsening of Myasthenia ... Gravis (MG): • ... higher risk of myasthenic ... because of bulbar weakness ... ocularmyasthenia #ptosis
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Myasthenia gravis ... and weakness of ... gravis • Botulinum ... gravis • Ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Double Vision - Differential ... • Look for ptosis ... • Myasthenia ... Gravis is fatiguable ... depressed, abducted, ptosis
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Eaton Syndrome, Myasthenia ... Gravis, Organophosphate ... #Causes #differential ... #diagnosis #neurology
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... 50 years in men Diagnosis ... or respiratory weakness ... or generalized weakness ... #Gravis #diagnosis
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy • Central or peripheral neurologic disease
Proximal Muscle Weakness ... neurologic disease • Myasthenia ... gravis • Muscular ... Myopathy #mimics #diagnosis ... #differential #
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