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Bells Palsy

Neurological

QuestionAnswer
What is an acute, complete or partial paralysis of the peripheral facial nerve Bells Palsy
What are some proposed etiologies for Bells Palsy? 1. Metabolic 2. Genetic 3. Autoimmune 4. Vascular 5. Entrapment 6. Infections
Name some symptoms of Bells Palsy. 1. facial weakness of upper and lower facial musculature (usually unilateral) 2. subjective facial numbness 3. postauricular pain 4. abnormal lacrimination
Name some clinical findings of Bells Palsy. 1. smooth forehead(loss of wrinkles) 2. flattened nasolabial fold 3. asymmetric smile 4. paresis=progressive 7-10 days 5. diminished corneal reflex 6. weakness of the orbicularis oris and orbicularis oculi 7. remainder of neurologic exam is normal
Name some diagnostic considerations for Bells Palsy. Labs including CBC, Sed Rate, TH, electrolytes, glucose. Lyme titer MRI Nerve Conduction Study
What are some differential diagnoses for Bells Palsy? CVA Trauma Infection - OM, mastoiditis Herpes Zoster Neoplasms HIV
What is the treatment for Bells Palsy? Anti-virals: acyclovir Corticosteroids Supportive care Reassurance - most patients recover within 6-12 weeks follow closely for first few weeks.
Created by: MissyGirl3971