13 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... cogan sign and ... dismay the blood work ... PhysicalExam #clinical #video ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... Generalized fatigue - ALS ... test - Cogan sign ... - Peek sign ... #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... syndrome, Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms ... #signs
Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism
 • Low TSH, Low normal T4
Hyperthyroidism: Work-up ... Hyperthyroidism → Signs ... ophthalmopathy → Graves ... ' Disease → Confirm ... Hyperthyroidism #algorithm
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... Medium and large also ... oral ulcers in 12 ... #management #signs
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... hypertension and signs ... renal bruit or signs ... Renal parenchymal disease
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
endocrine: Vitamin B12 ... Postsynaptic: Myasthenia Gravis ... Lack of UMN/LMN signs ... dystrophies Work ... #neurology
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
Differential diagnosis ... reversed halo sign ... cavitary lesions, lobular ... #Diagnosis #Pulmonary ... #Differential #Algorithm
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... , elevation of ALT ... purposes of this algorithm ... clinical and lab signs ... #Diagnosis #Peds
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... affects the skin, neurologic ... cognitive impairment, neurologic ... aneurysms can also