Pre PACES Podcast

#26 Myasthenia Gravis

16 snips
Jan 16, 2022
Dr. Anna Francis, a neurology specialist registrar, dives into the complexities of Myasthenia Gravis, focusing on its history, examination techniques, and management strategies. She explains the significance of fatigable weakness and the common presentations in exams, such as droopy eyelids and diplopia. Discover the triggers for exacerbations, differential diagnoses, and the importance of timely intervention, especially in myasthenic crises. The conversation wraps up with a fun quiz segment, showing Anna's lighter side!
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ANECDOTE

Calm Before PACES

  • Dr Anna Francis remembered needing beta blockers before her PACES and realising the examiners mostly observe.
  • She advises being calm, confident and well practised rather than overpreparing with drugs.
ADVICE

Appear Competent And Present Clearly

  • Appear competent by knowing your kit and practising examinations frequently.
  • Start presentations with a one- or two-sentence punchy summary to reassure examiners.
INSIGHT

Localise First, Then Use A Simple Sieve

  • Isolate the lesion location first (CNS vs PNS vs neuromuscular junction vs muscle).
  • Use a simple surgical sieve to prioritise common etiologies once location is identified.
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