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Medicine

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Endocrine

Question
12 out of 18
 

Eye sign is seen only in Grave disease but not in other cases hyperthyroid? (AIIMS Nov 2010)



A Wide starting appearance
B Upper lid retraction

C Decreased blinking
D Diplopia

Ans. D

Diplopia

Ocular

Following Eye signs are seen in all cases of hyperthyroid.

1). Wide staring appearance (Kocher Sign)

2). Upper Lid retraction (Dalrymple sign),

3). lid lag with down gaze (Von Graefe sign).

4). Decreased blinking (Stellwag sign)

(All these features are due to sympathetic over stimulation causing levator palpebrae superioris contraction.)

Following Eye signs are seen only in Grave disease.

1). Chemosis'

2). Exophthalmos

3). Corneal ulceration

4). Ophthalmoplegia

5). Papilledema

6). Diplopia (diplopia results, typically when patient looks up and laterally)

Endocrine Flashcard List

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