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neurology ophthalmology algorithm management ocular physicalexam acetylcholinereceptor achr beriberi deficiency doublevision endocrinology eyelid hyperthyroidism infections infectiousdiseases intravenousimmunoglobulin ivig korsakoff maneuvers
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Vision - Differential ... Clinical Pearls ... • Look for ptosis ... • Myasthenia ... depressed, abducted, ptosis
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
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 ... gravis, Wernicke's ... #differential # ... diagnosis #ophthalmology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... eyelid will cause ... #Gravis #PhysicalExam
Drugs associated with worsening of Myasthenia Gravis (MG): • D-penicillamine • Botulinum toxin. • Telithromycin • Fluoroquinolones • Quinine • Magnesium • Macrolide antibiotics • Corticosteroids (may cause transient
Gravis (MG): • ... Corticosteroids (may cause ... because of bulbar weakness ... ocularmyasthenia #ptosis ... #diplopia #myastheniccrisis
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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 Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm No Objective Weakness • Cardio-pulmonary disease
Causes of Peripheral ... Diagnosis Algorithm ... • Cardio-pulmonary ... Gravis • Lambert-Eaton ... #Causes
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
Weakness • Spinal ... 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 ... : • Based on clinical ... likely to cause ... - Improves clinical ... #Gravis #diagnosis
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