201 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Her clinical exam ... and the ice pack test ... include a Tensilon test ... #video #ophthalmology ... #neurology
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Diplopia TIER 1-CRITICAL ... Thyroid myopathy (Graves ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... a mass as the cause ... #Ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... for the neuro-ophthalmologic ... • Myasthenia gravis ... #Diagnosis #Causes ... #Ophthalmology
Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when the more affected
in Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology ... #ocular #ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology ... #ocular #Ptosis
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... #PhysicalExam #clinical ... #video #neurology ... #ophthalmology ... #ocular #Ptosis
Causes of Proximal Muscle Weakness That May Mimic Inflammatory Myopathy
 • Central or peripheral neurologic disease
Causes of Proximal ... or peripheral neurologic ... • Myasthenia gravis ... mimics #diagnosis #differential ... #causes #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... life-threatening Differential ... Bedside: ice pack test ... /Edrophonium test ... diagnosis #management #neurology
Convergence Retraction Nystagmus with a left 6th nerve palsy

Caused by a Midbrain hemorrhage

Dr. Boby Varkey Maramattom
nerve palsy Caused ... retraction #nystagmus #ocular ... #physicalexam #clinical ... #video #neurology ... #ophthalmology