Oc MG Flashcards
1
Q
Diff Dx for intermittent diplopia, esp when tired
A
Decompensated phoria Palsy Tumor -TED -MG -trauma
2
Q
DiffDx for right eyelid droops
A
Horners
CN3 palsy
trauma
MG
3
Q
Is a decompensated phoria commitment or non commitment
A
Comitant
4
Q
MG
A
- AI disease affecting NMJ, end of day
- ocular manifestations common: ptosis (fatigue testing, ice pack testing, Cogans lid twitch), diplopia (variable end of day), orbicularis oculi
- check for thymoma
- breathing problems=MG crisis
5
Q
Diplopia DiffDx: comitant
A
Decomp phoria
6
Q
Diplopia DiffDx: noncomitant
A
CN palsy
Tumor
Thyroid
MG
7
Q
CN 4 palsy
A
Vertical diplopia up and a hyperdeviation
8
Q
CPEO
A
Elderly
Ocular motility restrictions that can progress to complete limitations as well as ptosis
9
Q
Secondary deviation
A
Occurs in non-comitant strab and is the magnitude of ocular misalignment when the paretic eye is fixating. A primary is the mag of misalignment when the nonparetic eye is fixating
10
Q
Sherrington law
A
Agonist antagonist
Same eye
11
Q
What is the antidote for serious side effects of tensilon
A
IV atropine
