ICE PACK TEST: A CLINICAL CLUE FOR MYASTHENIA GRAVIS
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Abstract
A previously healthy 30-year-old female presented to the consult with a six-month history of right palpebral ptosis, blurry vision, limb weakness and subsequent development of dysphagia. A Myasthenic Generalized Syndrome is considered as a possible diagnosis. The Ice Pack Test is performed, a cheap, reliable and fast bedside test that increases the probability of Myasthenia Gravis (MG) with a high evidence level. The exam was positive (LR+ 24,0). MG was confirmed with antibodies assays and neurophysiological studies.
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