12 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
non-localized EOM weakness ... and the ice pack test ... 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 ... Limb- proximal weakness ... Bedside: ice pack test ... /Edrophonium test ... diagnosis #management #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Neuromuscular Weakness ... Myelitis, Trauma, Tumor ... Guillain-Barre syndrome ... , Myasthenia Gravis ... differential #diagnosis #neurology
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... to ptosis and weakness ... • Myasthenia gravis ... #Ptosis #neurology
Oppositional Grasp Weakness in Carpal Tunnel Syndrome

Dysfunction of the six- Opposition weakness-in carpal tunnel syndrome with
in Carpal Tunnel ... Syndrome Dysfunction ... carpal tunnel syndrome ... #video #physicaleaxm ... #neurology #orthopedics
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
• Acute stroke syndromes ... system: Brain tumor ... Paraneoplastic syndrome ... Postsynaptic: Myasthenia Gravis ... Differential #Diagnosis #neurology
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 ... diagnosis #management #neurology
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 ... Positive pathergy test ... is a skin prick test ... interferon alfa, or tumor
Upper Extremity Dermatomes and Myotomes
Motor Function
Shoulder:
 • Abduction - C5,C6 (axillary)
 • Adduction - C6, C7,
hand" ± Horner Syndrome ... Carpal Tunnel Syndrome ... anesthesia and deltoid weakness ... Myotomes #diagnosis #neurology ... sensory #motor #arm #physicalexam
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
of breath • Neurologic ... • Dyspnea at rest ... EMERGENCIES: Tumor ... mental function • Weakness ... Constipation • Muscle weakness