Myasthenia Gravis Case Study

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A discharge summary report from Neil Shah, MD, dated 10/10/2017, indicated that the claimant has a history of myasthenia gravis. He had an acute onset of nausea, vomiting, and diarrhea on the day of admission on 10/10/2017. It was noted that after the onset of the symptoms, he had some intermittent blurry vision and double vision. His principal hospital diagnoses were transient nausea, vomiting, and diarrhea, transient blurry and double vision, and low TSH with associated diagnoses of myasthenia gravis, vitamin D deficiency, hyperlipidemia, glaucoma, and history of steroid-induced diabetes. He was referred to Neurology.

A consultation report from Cecily Martin, MD, dated 10/10/2017, indicated that the claimant presented with a history of myasthenia gravis. He noted an extended period of nausea, vomiting, and diarrhea with a poor oral intake. The symptoms continued for several more hours before presenting to the hospital for further treatment and evaluation. His TSH was as low as 0.227. The physical examination was unremarkable. He was noted to be physically strong. …show more content…
He was found to have low TSH. BMI was 28.35. He was diagnosed with diplopia, nausea and vomiting, diarrhea, myasthenia gravis, abnormal thyroid function, hyperlipidemia, steroid-induced diabetes, ventricular tachycardia, bilateral open glaucoma, left ventricular hypertrophy, and overweight. A series of laboratory tests were

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