Myasthenia gravis physical examination: Difference between revisions
Hardik Patel (talk | contribs) (Created page with "__NOTOC__ {{Myasthenia gravis}} {{CMG}} ==Overview== Myasthenia can be a difficult diagnosis, as the symptoms can be subtle and hard to distinguish from both normal variants ...") |
Hardik Patel (talk | contribs) No edit summary |
||
| Line 7: | Line 7: | ||
===Physical Examination=== | ===Physical Examination=== | ||
Muscle fatigability can be tested for many muscles. A thorough examination demonstrates easy fatigability during following | Muscle fatigability can be tested for many muscles. A thorough examination demonstrates easy fatigability during following movements: | ||
* Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | * Looking upward and sidewards for 30 seconds: [[ptosis (eyelid)|ptosis]] and [[diplopia]]. | ||
* Looking at the feet while lying on the back for 60 seconds | * Looking at the feet while lying on the back for 60 seconds | ||
| Line 17: | Line 17: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Autoimmune diseases]] | [[Category:Autoimmune diseases]] | ||
Revision as of 18:55, 9 July 2013
|
Myasthenia gravis Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Myasthenia gravis physical examination On the Web |
|
American Roentgen Ray Society Images of Myasthenia gravis physical examination |
|
Risk calculators and risk factors for Myasthenia gravis physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Myasthenia can be a difficult diagnosis, as the symptoms can be subtle and hard to distinguish from both normal variants and other neurological disorders.[1] A thorough physical examination can reveal easy fatiguability, with the weakness improving after rest and worsening again on repeat of the exertion testing. Applying ice to weak muscle groups characteristically leads to improvement in strength of those muscles.
Physical Examination
Muscle fatigability can be tested for many muscles. A thorough examination demonstrates easy fatigability during following movements:
- Looking upward and sidewards for 30 seconds: ptosis and diplopia.
- Looking at the feet while lying on the back for 60 seconds
- Keeping the arms stretched forward for 60 seconds
- 10 deep knee bends
- Walking 30 steps on both the toes and the heels
- 5 situps, lying down and sitting up completely