16 results
Myasthenia Gravis - Ptosis, Diplopia, Blurred Vision

Acute Myasthenic Crisis 
• Triggered by infection, medication 
• Respiratory
Myasthenia Gravis ... - Ptosis, Diplopia ... Vision Acute Myasthenic ... ventilation #Myasthenia
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... elicit fatigable diplopia ... elicit fatigable ptosis ... • Lifting the ptotic ... BrighamMedRes #Myasthenia
Curtain Sign - Enhanced Ptosis in Myasthenia Gravis
Because of bilateral eyelid innervation, when the more affected
Sign - Enhanced Ptosis ... in Myasthenia Gravis ... Because of bilateral eyelid ... #Myasthenia #Gravis ... #physicalexam #eyelid
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Drooping of the upper eyelid ... that elevate the eyelid ... Myasthenia gravis ... Horner syndrome • Myasthenia ... Myotonic dystrophy • Myasthenia
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Differential Diagnosis Algorithm ... • Look for ptosis ... • Myasthenia ... Neuromuscular Junction • Myasthenia ... depressed, abducted, ptosis
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
and bilateral ptosis ... dismay the blood work ... subsequently improved the diplopia ... and ptosis tremendously ... anterior_seg_rocks #eyelid
Acquired Ptosis - Eyelid fatigue in Myasthenia Gravis

#Ptosis #Eyelid #fatigue #Myasthenia #Gravis #clinical #video #ocular #physicalexam
Acquired Ptosis ... - Eyelid fatigue ... in Myasthenia Gravis ... #Ptosis #Eyelid ... #fatigue #Myasthenia
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 ... prevent prolonged myasthenic ... higher risk of myasthenic ... ocularmyasthenia #ptosis ... #diplopia #myastheniccrisis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Enhanced Ptosis ... Curtain Sign in Myasthenia ... Because of bilateral eyelid ... enhancement of the ptosis ... Curtain #Sign #Myasthenia
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
Enhanced Ptosis ... Curtain Sign in Myasthenia ... Because of bilateral eyelid ... enhancement of the ptosis ... Curtain #Sign #Myasthenia