17 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
- Differential Diagnosis ... • Neurologic ... • Myasthenia Gravis ... Cataract/Lens Dislocation ... Algorithm #Causes #Ophthalmology
Argyll Robertson Pupil
Definition:
 - Irregular and small (1-2mm) pupil
 - Light-near dissociation (accommodation remains intact)
 -
- Light-near dissociation ... Robertson #Pupil #neurology ... #diagnosis #ophthalmology ... #physicalexam
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... Assessing for neck ... #PhysicalExam # ... #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... tumor, and always ask ... #PhysicalExam # ... clinical #video #ophthalmology ... #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Neck: “dropping ... myasthenia Diagnosis ... immunologic assay - MuSK ... #diagnosis #management ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
females Differential Diagnosis ... no light-near dissociation ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... 50 years in men Diagnosis ... #Myasthenia #Gravis ... #diagnosis #management ... #neurology #treatment
Landau's Reaction (Reflex)  on Physical Exam

Landau's reaction is investigated holding the baby firmly under the
First the neck extension ... 5th month and should ... to stand with gravity ... Reaction #Reflex #PhysicalExam ... clinical #video #Neurology
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
Motor Function Shoulder ... Dislocation - May ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #arm #physicalexam
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
month following neck ... consistent with a diagnosis ... clinical #video #ophthalmology ... #physicalexam # ... neurology #Anisocoria