11 results
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Myasthenia ... Gravis is fatiguable ... Gravis Extraocular ... Subdural Hemorrhage Grave's ... #Ophthalmology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... eyelid will cause ... #Gravis #PhysicalExam
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Important Causes ... Vertebral dissection, Myasthenia ... gravis, Wernicke's ... Thyroid myopathy (Graves ... differential #diagnosis #ophthalmology
Enhanced Ptosis - Curtain Sign in Myasthenia Gravis on Physical Exam

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

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

Because of bilateral eyelid innervation, when the more affected
Curtain Sign in Myasthenia ... Gravis on Physical ... Because of bilateral eyelid ... #Gravis #PhysicalExam ... video #neurology #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
finding of diplopia ... sclerosis • Myasthenia ... gravis • GBS ... lesion of MLF) • Graves ... Differential #Diagnosis #Causes
Ocular Myasthenia Gravis on Physical Exam

A 41yo female was referred by her neurologist for double vision.
Gravis on Physical ... Myasthenia gravis ... gravis has been ... anterior_seg_rocks #eyelid ... #Gravis #PhysicalExam
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Horner syndrome • Myasthenia ... gravis • Botulinum ... gravis • Ocular ... Differential #Diagnosis #ophthalmology
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 #myastheniccrisis