14 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Diagnosis Algorithm Clinical ... • Look for ptosis ... • Neurologic ... • Myasthenia ... depressed, abducted, ptosis
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 ... Maneuvers #Diagnosis #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... of Diplopia TIER ... 1-CRITICAL Basilar ... Vertebral dissection, Myasthenia ... gravis, Wernicke's
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

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

Because of bilateral eyelid innervation, when
Curtain Sign in Myasthenia ... Gravis on Physical ... #Gravis #PhysicalExam ... #clinical #video ... #neurology #ophthalmology
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 ... Gravis (MG): • ... Corticosteroids (may cause ... ocularmyasthenia #ptosis ... #diplopia #myastheniccrisis
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. ... #management #neurology
Curtain Sign in Myasthenia Gravis on Physical Exam

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

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... and bilateral ptosis ... Myasthenia gravis ... subsequently improved the diplopia ... ophthalmology #neurology
Acquired Ptosis - Eyelid fatigue in Myasthenia Gravis

#Ptosis #Eyelid #fatigue #Myasthenia #Gravis #clinical #video #ocular #physicalexam
Acquired Ptosis ... Eyelid fatigue in Myasthenia ... Gravis #Ptosis ... #Gravis #clinical ... #physicalexam #neurology