The Bedside Ice Pack Test for Myasthenia Gravis

A 33-year-old man presented to the emergency department (ED) with a 6-week history of intermittent migratory upper and lower extremity weakness. The ED visit was prompted by a fall caused by severe lower extremity weakness. Further evaluation revealed that the patient had been having significant difficulty with activities of daily living, including bathing, dressing, and eating during the past month, and his symptoms were exacerbated after warm showers. The physical examination revealed right-sided ptosis (Figure  1) with intact extraocular movements.
Source: The Journal of Emergency Medicine - Category: Emergency Medicine Authors: Tags: Visual Diagnosis in Emergency Medicine Source Type: research