12 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Her clinical exam ... have a thymic tumor ... , and always ask ... #video #ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Clinical Picture ... Ocular- 50%: Ptosis ... life-threatening Differential ... immunologic assay - MuSK ... Gravis #diagnosis #management
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Diagnosis: • Based on clinical ... for thymoma, a tumor ... Symptomatic treatment Of ocular ... - Improves clinical ... Gravis #diagnosis #management
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 ... Vertebral dissection, Myasthenia ... URGENT: Brainstem tumor ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Myasthenia gravis ... Ptosis #neurology #Differential ... #Diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Myasthenia ... #DoubleVision #Differential ... Algorithm #Causes #Ophthalmology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Myelitis, Trauma, Tumor ... heavy metals), Critical ... Eaton Syndrome, Myasthenia ... Weakness #Causes #differential
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
Evaluation - Chest X-ray ... Phos), CBC with differential ... Intubation only if clinically ... (vital signs, clinical ... MyastheniaGravis #Checklist #Management
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Gouty Arthritis) - MSK ... diagnosed ON THE X-RAY ... Differential diagnosis ... PVNS/Giant Cell Tumor ... Tendon Sheath - Nodular
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... Behcet syndrome (Clinical ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... Syndrome #diagnosis #management