14 results
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
an autoimmune disorder ... Ocular- 50%: Ptosis ... life-threatening Differential ... syndrome - Miller ... diagnosis #management #neurology
Localizing Extraocular Movement Disorders
 • CN Ill (Oculomotor) Nerve Palsy 
 • CN IV (Trochlear) Nerve
Extraocular Movement Disorders ... One-and-a-half Syndrome ... ophthalmology #neurology ... #differential # ... diagnosis #ocular
Opsoclonus Myoclonus Syndrome (OMS) on Physical Exam

Opsoclonus: Rapid, repetitive conjugate involuntary chaotic multidirectional (horizontal, vertical, and
Syndrome (OMS) ... #Myoclonus #Syndrome ... #PhysicalExam # ... ocular #clinical ... #video #eyes #neurology
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
symptoms similar to myasthenia ... degeneration - opsoclonus-myoclonus ... syndrome - brain ... Rhombencephalitis #Differential ... Diagnosis #Causes #Neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Myasthenia gravis ... • Myasthenia gravis ... #Ptosis #neurology ... #Differential #
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... Comorbid autoimmune disorders ... , Myasthenia gravis ... Manifestations #diagnosis #neurology
Blurry Vision - Differential Diagnosis Framework

Anatomical Approach to Eye Disease:
1. Lids/Lashes
2. Extraocular Muscles/Motility
3. Conjunctiva/Sclera
4. Cornea
5. Anterior
Blurry Vision - Differential ... Ocular Adverse Effects ... of Systemic Medications ... • Sjögren’s syndrome ... • Systemic disorder
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Non-neuromuscular disorder ... Postsynaptic: Myasthenia ... • Inflammatory disorders ... #Diagnosis #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
dark; • Slow redilation ... Holmes-Adie Syndrome ... Young females Differential ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... D-lactate (short bowel syndrome ... weakness (GBS, Myasthenia ... #AcidBase #disorders ... Diagnosis #Summary #Nephrology