10 results
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
In-office testing ... and the ice pack test ... dismay the blood work ... tumor, and always ask ... ophthalmology #neurology
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
life-threatening Differential ... Bedside: ice pack test ... /Edrophonium test ... immunologic assay - MuSK ... diagnosis #management #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... Eaton Syndrome, Myasthenia ... poisoning, Scorpion sting ... Weakness #Causes #differential ... #diagnosis #neurology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup
History:
 - Prior platelet count, family
Platelet Disorders - Differential ... Diagnosis and Workup ... /HCV testing - ... K), H. pylori test ... (CVID, WAS), (neurologic
Recommended initial testing for patients being evaluated for glomerular disease 

24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... C3, C4 - Test for ... #glomerular #testing ... #workup #diagnosis ... nephrotic #nephritic #nephrology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Postsynaptic: Myasthenia ... dystrophies Work ... #Weakness #Differential ... #Diagnosis #neurology
Recommended initial testing for patients being evaluated for glomerular disease
1) 24-hour urine collection - Quantify proteinuria.
Recommended initial testing ... . 5) C3, C4 - Test ... glomerular #disease #workup ... diagnosis #initial #testing ... #nephrology #nephrotic
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... to work through ... approach to the differential ... up to 3x in the setting ... Treatment #management #nephrology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
Neurologic deficit ... nerve injury (25%) TEST ... Check hip and ankle ... ligament/meniscus testing ... Posterior #Injury #msk
Transverse Myelitis Overview

Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
negative, MOG-IgG test ... simplex virus, HIV ... , Hep A/B/CMV, TB ... diagnosis #management #neurology ... #differential