Medical pearl 07 All about Myasthenia Gravis(rule of D&P)....... 💊Day end fatigue. 💊Diplopia. 💊Dysarthria. 💊Dysphonia. 💊Dysphagia. 💊Dyspnoea. 💊Do spirometry test for FVC. 💊antiboDies to AChR. 💉Proximal myopathy. 💉Ptosis(bilateral). 💉PA chest xray, CT for thymoma. 💉Pyridostigmine. 💉Plasmapheresis or iv Ig. 💉Prednisolone for relapses. Don’t forget Single fibre Electromyography (EMG) is the most sensitive test for Myasthenia Gravis. 💉💉Electromyography (EMG) findings ➡ 💊In Myasthenia gravis - Diminished response with repitative Stimulations. 💊In Lambert Eaton - Enhanced response with repitative Stimulations.