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diagnosis differential causes clinical blood endocrinology eyelid falciparum malaria microbiology ocular physicalexam plasmodium algorithm bilateral doublevision graefes graves myasthenia neurology
Important Causes of Diplopia TIER 1-CRITICAL Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn TIER 2-EMERGENT: Vertebral dissection, Myasthenia gravis,
Important Causes of Diplopia ... dissection, Myasthenia gravis ... Thyroid myopathy (Graves ... Orbital apex mass #Diplopia ... differential #diagnosis #ophthalmology
Von Graefe's Sign - Graves' Eyelid Ophthalmopathy on Ocular Exam Lagging of the upper eyelid on downward
Graefe's Sign - Graves ... the eye #Von #Graefes ... VonGraefes #Sign #Graves ... #PhysicalExam #ophthalmology ... endocrinology #hyperthyroidism
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 Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
for the neuro-ophthalmologic ... finding of diplopia ... • Myasthenia gravis ... lesion of MLF) • Graves ... VI palsy) #Diplopia
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• Myasthenia Gravis ... • Myasthenia Gravis ... Subdural Hemorrhage Grave's ... Ophthalmopathy • Hyperthyroidism ... Algorithm #Causes #Ophthalmology
Plasmodium Falciparum Blood Smear. Key features suggesting Plasmodium falciparum: - extreme parasitemia - normocytic RBCs (vivax, ovale prefer big
Falciparum Blood Smear ... reticulocytes) - thin trophozoites ... rare in blood smears ... Rich Davis, PhD, ... peripheral #clinical #microscopy
Plasmodium falciparum trophozoites (and crenated red blood cells) - Blood Smear A classic presentation of Plasmodium falciparum
Plasmodium falciparum trophozoites ... cells) - Blood Smear ... in a thin blood smear ... scalloped edge) Rich Davis ... peripheral #clinical #microscopy
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperthyroidism ... Manifestation of Hyperthyroidism ... diffuse goiter (Graves ... antibodies (TRAb) if Graves ... orbital edema, diplopia
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia Gravis ... Myasthenia gravis ... ocular myasthenia gravis ... Ocular #Myasthenia #Gravis ... clinical #video #ophthalmology
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 Proptosis - Differential Diagnosis - Unilateral vs Bilateral Unilateral: • Infections (can become bilateral with cavernous sinus
Inflammatory - Grave's ... Red Flags: • Diplopia ... Bilateral #Causes #ophthalmology
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