Neurological
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each of the black spaces below before clicking
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Help!
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| What is an acute, complete or partial paralysis of the peripheral facial nerve | Bells Palsy
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| What are some proposed etiologies for Bells Palsy? | 1. Metabolic
2. Genetic
3. Autoimmune
4. Vascular
5. Entrapment
6. Infections
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| 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
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| 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
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| Name some diagnostic considerations for Bells Palsy. | Labs including CBC, Sed Rate, TH, electrolytes, glucose.
Lyme titer
MRI
Nerve Conduction Study
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| What are some differential diagnoses for Bells Palsy? | CVA
Trauma
Infection - OM, mastoiditis
Herpes Zoster
Neoplasms
HIV
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| 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.
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