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neurology causes ophthalmology algorithm management ocular physicalexam acetylcholinereceptor achr baby beriberi deficiency doublevision endocrinology eyelid floppy hyperthyroidism infections infectiousdiseases intravenousimmunoglobulin
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Myasthenia Gravis ... of Myasthenia Gravis ... Ocular- 50%: Ptosis ... , diplopia 2. ... #Gravis #diagnosis
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... • Lifting the ptotic ... #Gravis #PhysicalExam
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
TIER 1-CRITICAL ... Vertebral dissection, Myasthenia ... gravis, Wernicke's ... #differential # ... diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Vision - Differential ... Clinical Pearls ... • Look for ptosis ... • Myasthenia ... depressed, abducted, ptosis
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... non-localized EOM weakness ... Myasthenia gravis ... subsequently improved the diplopia ... #clinical #video
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 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): • ... because of bulbar weakness ... ocularmyasthenia #ptosis ... #diplopia #myastheniccrisis
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
Ptosis - Differential Diagnosis Framework Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Myasthenia gravis ... and weakness of ... gravis • Ocular
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 ... : • Based on clinical ... - Improves clinical ... #Gravis #diagnosis
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