51 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 ... dismay the blood work ... include a Tensilon test ... ophthalmology #neurology
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
if concern for nodular ... Graves disease – ... you’ve diagnosed Graves ... Check pregnancy test ... affects diagnostic workup
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
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... think about three clinical ... Neurogenic Ptosis - Neurologic ... Syndrome #Ptosis #neurology ... #Differential #
Initial Clinical and Laboratory Data Base for Defining Major Syndromes in Nephrology

#Major #Syndromes #Nephrology #Diagnosis #Workup
Initial Clinical ... Major Syndromes in Nephrology ... Major #Syndromes #Nephrology ... #Diagnosis #Workup ... #Differential #
Hypernatremia Differential Diagnosis Algorithm - Diabetes Insipidus Workup

Step #1 - Consider the history
Step #2 - Assess
Hypernatremia Differential ... Diabetes Insipidus Workup ... & desmopressin test ... Algorithm #Sodium #nephrology
Curtain Sign in Myasthenia Gravis on Physical Exam

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

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

Because of bilateral eyelid innervation, when
in Myasthenia Gravis ... Sign #Myasthenia #Gravis ... #PhysicalExam #clinical ... #video #neurology ... ophthalmology #ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Double Vision - Differential ... Diagnosis Algorithm Clinical ... • Neurologic ... • Myasthenia Gravis ... #DoubleVision #Differential