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diagnosis neurology ophthalmology differential management physicalexam achr algorithm clinical doublevision eyelid intravenousimmunoglobulin ivig maneuvers manifestations musclespecificreceptortyrosinekinase musk myastheniagravis myastheniccrisis neuromyelitis
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 TIER ... Vertebral dissection, Myasthenia ... gravis, Wernicke's ... Thyroid myopathy (Graves
Drugs associated with worsening of Myasthenia Gravis (MG): • D-penicillamine • Botulinum toxin. • Telithromycin • Fluoroquinolones • Quinine • Magnesium • Macrolide antibiotics • Corticosteroids (may cause transient
with worsening of Myasthenia ... Gravis (MG): • ... Corticosteroids (may cause ... ocularmyasthenia #ptosis #diplopia ... Pyridostigmine #acetylcholinereceptor
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
• Myasthenia ... Gravis is fatiguable ... Neuromuscular Junction • Myasthenia ... Gravis Extraocular ... Subdural Hemorrhage Grave's
Differential diagnoses for the neuro-ophthalmologic finding of diplopia. Neoplastic: • Intraorbital meningioma • Pituitary adenoma
sclerosis • Myasthenia ... gravis • GBS ... lesion of MLF) • Graves ... VI palsy) #Diplopia ... Differential #Diagnosis #Causes
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
Myasthenia Gravis ... Gravis is an autoimmune ... Gravis: - Fatiguability ... Gravis Treatment ... #Gravis #diagnosis
Ocular Myasthenia Gravis on Physical Exam A 41yo female was referred by her neurologist for double vision.
Ocular Myasthenia ... Gravis on Physical ... Myasthenia gravis ... myasthenia gravis ... #Myasthenia #Gravis
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 Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... ptotic eyelid will cause ... #Gravis #PhysicalExam
Myasthenia Gravis - Summary • an autoimmune disease of the postsynaptic neuromuscular junction associated with antibodies
Myasthenia Gravis ... More likely to cause ... Symptomatic treatment Of ocular ... glucocorticoids - can cause ... #Gravis #diagnosis
Neuromyelitis Optica (NMO) - Clinical Manifestations • Optic neuritis: Reduced visual acuity, ranging from mild to
desaturation, Scotoma, Ocular ... involvement: Intractable nausea ... Sjögren syndrome, Myasthenia ... gravis, Many others
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