20 results
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
- Differential Diagnosis ... Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... surgery Congenital ... #Ptosis #neurology
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Gravis on Physical ... have a thymic tumor ... #PhysicalExam # ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... myasthenia Diagnosis ... Drugs, infection, surgery ... #diagnosis #management ... #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Myelitis, Trauma, Tumor ... Guillain-Barre syndrome ... , Myasthenia Gravis ... #differential #diagnosis ... #neurology
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... Other brainstem syndromes ... , Myasthenia gravis ... Manifestations #diagnosis ... #neurology #symptoms
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
following neck surgery ... consistent with a diagnosis ... induced by treatment/surgery ... ophthalmology #physicalexam ... #neurology #Anisocoria
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
ulceration • Ocular ... skin injury) • Neurologic ... ) Differential Diagnosis ... interferon alfa, or tumor ... signs #symptoms #rheumatology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... system: Brain tumor ... Postsynaptic: Myasthenia Gravis ... #Differential #Diagnosis ... #neurology
Adie's Pupil
What? Unknown nature & benign
 • Regular and mildly dilated pupil (4-6mm);
 • Light-near dissociaton;
Holmes-Adie Syndrome ... females Differential Diagnosis ... trauma/orbital tumor ... #Adies #Pupil #PhysicalExam ... #neurology #ophthalmology
Myasthenia Gravis - Summary
 • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... for thymoma, a tumor ... Symptomatic treatment Of ocular ... #Myasthenia #Gravis ... #neurology #treatment