11 results
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Vertebral dissection, Myasthenia ... gravis, Wernicke's ... Thyroid myopathy (Graves ... #differential #diagnosis ... #ophthalmology
Differential diagnoses for the neuro-ophthalmologic finding of diplopia.
Neoplastic: 
 • Intraorbital meningioma 
 • Pituitary adenoma
Differential diagnoses ... finding of diplopia ... sclerosis • Myasthenia ... gravis • GBS ... lesion of MLF) • Graves
Diplopia - Double Vision - Differential Diagnosis Algorithm
Clinical Pearls:
 • Diplopia is almost always binocular.
 •
Neurologic ... Gravis is fatiguable ... Gravis Extraocular ... Subdural Hemorrhage Grave's ... Algorithm #Causes #Ophthalmology
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.
Gravis on Physical ... Myasthenia gravis ... gravis has been ... #Gravis #PhysicalExam ... #neurology
Diagnosis of Myasthenia Gravis - Physical Exam Maneuvers
 • Sustained lateral gaze for seconds to elicit
Diagnosis of Myasthenia ... Gravis - Physical ... elicit fatigable diplopia ... #Gravis #PhysicalExam ... #neurology
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
- Differential Diagnosis ... • Anemia • Chronic ... Gravis • Lambert-Eaton ... Myasthenic Syndrome ... Peripheral #Weakness #Neurology
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
- Differential Diagnosis ... Pulmonary Disease Neurologic ... Parkinson's • Myasthenia ... Gravis Pharmacologic ... #Differential #Diagnosis
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Myasthenia gravis ... Neurogenic Ptosis - Neurologic ... gravis • Botulinum ... gravis • Ocular ... #ophthalmology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Mononeuritis multiplex, Phrenic ... Eaton Syndrome, Myasthenia ... Gravis, Organophosphate ... #differential #diagnosis ... #neurology