5th May 2024

A 45-year-old woman with a history of myasthenia gravis (MG) presents with worsening muscle weakness, particularly in her ocular and bulbar muscles, over the past week.

A 45-year-old woman with a history of myasthenia gravis (MG) presents with worsening muscle weakness, particularly in her ocular and bulbar muscles, over the past week. She has been on pyridostigmine with some relief in the past. She denies any respiratory distress or difficulty in swallowing. Which is the next best step in her management?