Discover and read the best of Twitter Threads about #myastheniagravis
Most recents (7)
#NeuromuscularQandA! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @somedocs @ContinuumAAN
Q: What gives doc? Patient took the prednisone for #myastheniagravis and got worse. Is it a wonky batch?
A: Sometimes you get worse before you get better. 20 percent of #myastheniagravis patients get weaker in 2 weeks after starting steroids. Be careful if they have bulbar or respiratory symptoms - you don’t wanna have a #myastheniccrisis on your hands. @MyastheniaOrg
#NeuromuscularQandA! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @CambridgeMedsoc
Q: What gives doc. Got a #myastheniagravis patient. The repetitive stimulations are positive but the AchR antibody ain’t. Ain’t MG an #autoimmune thing?
A: AChR Ab ain’t the only fish in the sea.Try Musk antibody -positive in 40% AChR Ab negative patients. If negative, the waiting game - 20% AChR Ab negative patients seroconvert in a year. Still negative? Ab are teeny tiny and sensitivity of lab testing determines what we see.
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
More on #myastheniagravis we are #onaroll Q: Doc doc. The single fiber EMG is positive for this patient. Ain’t got nothing else. He’s weak so he’s got #myastheniagravis. Right? Right?
A: Congratulations, padawan. The most sensitive #neuromuscular test, you have. #myastheniagravis, it could be. #ALS, it could be. #myositis, it could be. Any disease which affects #muscle, #nerve or #NMJ, it could be. Seek to find what ye are looking for. #Yoda
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Let’s do more on #myastheniagravis. Q: Doc doc. Patient’s AchR antibodies are super sky high. It’s a crisis! She’s a crisis! We are a crisis!
A: Ain’t no mountain high enough. Them antibody titers don’t correlate with severity or response to treatment - they are good for diagnosis is all. #allornone
Bonus question! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #neurology #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What up doc. We sent for the AchR antibodies for this #myastheniagravis suspect patient and they came back #positive. Still need the repetitive nerve stimulations to confirm diagnosis?
A: Ye already have the answer ye seek. #RNS less sensitive than AChR antibody testing for #myastheniagravis. #RNS positive in only 50-70 percent generalized MG and 30-50 percent ocular MG. A yes is a yes and 2 yesses ain’t yesser. Less is more #mariekondo
A question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #neurology #medtwitter #MedEd #neurology #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What up doc. My patient has ocular #myastheniagravis for 3 years now. Why hasn’t he got weakness in his arms and legs and breathing and everything?
A: Luck be a lady. 85 percent of ocular MG generalize and most do so within 2 years of onset. So now you know, after 2 years - look in the eyes - that’s where the answers lie.
Launching a question a day! Questions you always wanted to ask your friendly #neuromuscular doc. #medtwitter #MedEd #medstudent #neurologyresident Short answers only. Join me in discussing/learning/educating with #passion and #humor @WNGtweets @AANEMorg @AANMember
Q: What gives doc? Why do you order AchR binding, blocking AND modulating antibodies for #myastheniagravis? Can’t you just choose one?
A: We just like more data. Just kidding. If you have to choose one, take the AchR binding antibodies - they are the most sensitive - positive in 70 percent of generalized #myastheniagravis and 50 percent of ocular. Other 2 Ab are useful if present when the AchR binding Ab ain’t
