Concluded Case

What will be the initial treatment for bell's palsy for diabetic pt.

A k/c/o DM2 (20 years) H/o CAD (3 years ago), angioplasty NOT DONE, recovered with medication. Now noticed mild symptoms of Bell's palsy, 4 days ago Present condition: BSF--> 211 mg/dl B.P---> 124/74 mmhg E.C.G --> NAD Please note: Present treatment is Tab. Glimepiride 2 + metformine 500 Tab. Tenaligliptine Tab. Ramipril+Atorvastanin+Aspirin Pt. Took 2 doses of prednisolone 20 mg, but did withdrawal due to increase in blood sugar. What will be the required e examinations and prescribed initial treatment? Thanks

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Etiology of Bell's palsy should be ruled out first. Along with medication physiotherapy for facial muscles should be started immediately.
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Give Acyclovir 800 mg 5 times a day for 5 days Deflazacort 6 mg (equivalent to prednisolon 5mg) 5 tabs ( half dose of 1 mg/kg b’cos of DM) in morning in tapering dose reduces 1 tabs after every 5 days. Start insulin before meal as steroids increases sugar post prandially than in fasted state. Physiotherapy Regular checkup of RBS & BP.
Thank you doctor
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Etiology of Bell's palsy should be ruled out first. Along with medication physiotherapy for facial muscles should be started immediately.
Sir, what all can be the beneficial facial exercises for it?
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