Ptosis Ice Pack Test

Purpose: To evaluate a patient with ptosis for myasthenia gravis using the "ice pack test".

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Evaluation

Are you evaluating a patient with ptosis?

Yes

Gap between the eyelids in mm before application of an ice pack

Gap between the eyelids in mm after application of an ice pack for 2 to 3 minutes

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Change in ptosis

Do the results provide evidence to support the diagnosis of myasthenia?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Clinical Diagnosis, Including Family History For Genetics
- Myasthenia Gravis | Clinical Distinction from Lambert-Eaton Myasthenic Syndrome
- Clinical Classification of Myasthenia Gravis
Laboratory Tests
- Myasthenia Gravis | Clinical Distinction from Lambert-Eaton Myasthenic Syndrome
- Clinical Classification of Myasthenia Gravis
Severity, Prognosis, Stage
Complications
- Myasthenia Gravis Clinical Crisis
Differential Diagnosis And Mimics, Red Flags
- Red Flags for Imminent Myasthenic Crisis
- Myasthenia Gravis | Clinical Distinction from Lambert-Eaton Myasthenic Syndrome

Therapy

Failure Handling And Therapy Escalation
- Myasthenia Gravis Clinical Crisis
Surgery
- Myasthenia Gravis | Predictors of Favorable Response to Thymectomy
- Myasthenia Gravis Following Thymectomy | Prognostic Factors

Monitoring

Response To Therapy
Disease Progression
- Clinical Classification for Myasthenia Gravis
- Myasthenia Gravis | Clinical Score
Complication Detection
- Myasthenia Gravis Clinical Crisis
Comorbid Conditions
- Clinical Classification for Myasthenia Gravis
- Myasthenia Gravis Clinical Crisis

Specialty

Immunology/Rheumatology

Objective

severity
prognosis
stage
response to therapy

ICD-10

H02.4 - Ptosis of eyelid
G70 - Myasthenia gravis and other myoneural disorders

Info

Purpose: To evaluate a patient with ptosis for myasthenia gravis using the "ice pack test".

Specialty: Immunology/Rheumatology

Objective: severity, prognosis, stage, response to therapy

ICD-10: H02.4, G70,

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