132 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... about difficulty swallowing ... #PhysicalExam #clinical ... ophthalmology #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... dissection, Myasthenia gravis ... Thyroid myopathy (Graves ... , Orbital apex mass
Thyroid Goiter in Severe Hypothyroidism on Neck Physical Examination

TSH 124. Hashimoto’s, lost to care and thyroid
Note the neck mass ... moves up with swallowing ... #Thyroid #Mass # ... #PhysicalExam #clinical
REBEL Review 93: Myasthenia Gravis via J. Yosuf Alam #clinical #myastheniagravis #neurology
93: Myasthenia Gravis ... Yosuf Alam #clinical ... myastheniagravis #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
think about three clinical ... Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... impaired due to the mass ... Syndrome #Ptosis #neurology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... #video #neurology ... ophthalmology #ocular
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... #video #neurology ... ophthalmology #ocular
Retrosternal Thyroid Goiter on Physical Exam

Note the movement with swallowing, indicating a thyroid mass.

#Retrosternal #Thyroid #Goiter
movement with swallowing ... indicating a thyroid mass ... #PhysicalExam #clinical ... endocrinology #neck #mass
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • Neurologic ... symptoms suggest a mass ... • Myasthenia Gravis ... • Myasthenia Gravis