8 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... symptoms suggest ... a mass as the cause ... • Myasthenia ... #Ophthalmology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Myasthenia Gravis ... test - Cogan sign ... - Peek sign ... - Repetitive nerve ... #management #neurology
Anterior ischemic optic neuropathy (AION) - Recognition of giant cell arteritis (GCA)

1) Is visual loss caused
Is visual loss caused ... disorder of the optic nerve ... Doppler US : halo sign ... Abnormal TAB ... #Rheumatology #Ophthalmology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Myasthenia gravis ... such as cogan sign ... #clinical #video ... #ophthalmology ... #neurology
Hoffman's sign. Even in this specific case, accompanied by a clonus outline (rhythmic contractions). The median
this specific case ... The median nerve ... Reflex #Positive #Abnormal ... #clinical #video ... #neurology #PhysicalExam
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... systemic sx + signs ... , but normal values ... required +/- prompt ophthalmology ... #Temporal #Signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
purpura: Strong sign ... muscle weakness • Nerves ... • Progressive symptoms ... fluid (CSF) is abnormal ... tract, and often causes
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
• Bilateral signs ... and/or symptoms ... Sjogren's • CSF: - Abnormal ... brain and/or optic nerve ... diagnosis #management #neurology