sudden appearance of s/o facial palsy of left side since morning C/o fever cough, cold since 3 days vomit yday during spasmodic cough bouts...no projectile vx relatively what r other diagnostic criteria to finalise the disorder

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POST VIRAL FACIAL PALSY BELL S PALSY The cause of Bell's palsy is not fully understood, but it may be caused by pressure or swelling of the nerve as it leaves the skull. Pressure may be caused by trauma (e.g. a bang to the head), ear infections, infection of the skull bone close to the ear (mastoiditis) or infection of the parotid (salivary) gland.  TREATMENT Almost all children (more than 95 children in every 100) with Bell's palsy recover fully without treatment. Children tend to recover better than adults. A few children may have mild, ongoing weakness.  In a very small number of children, the nerve does not recover and they have life-long weakness. ACYCLOVIR AND PREDNISONE

INVESTIGATIONS TO RULE OUT CEREBRAL INJURIES AND RISE OF INTRACRANIAL PRESSURE MRI BRAIN ADVICE X RAY MASTOID REGION
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The facial palsy with vomintings means there may be cerebro vascular emergency . * in cerebrovascular emergency by emboli thrombosis r c heamorrage . * this may be due to cerebral emboli * may be aneurysm of cerebral vessels . * u may ask if any cerebrovascular emergency the limbs also will effect . * this may be inflammation of mandibular nerve below the skull level if it compress by oedema then there will be chances of only bells palsy . *,but here projective vominting may be due to Glyoma ( tumor ) in the brain . * so CT scan for brain is very much needed . After scanning report only we can assess . Exposure to chilled weather , cold , while sitting in a bus r train at the window side In winter due to cold wind flow may cause Bells palsy . Here vomiting r there so the may be tumour in brain r emboli r thrombus plaque may pressurise the certain centres in the brain

Clinical criteria Post viral bells palsy. Oral steroids with tapering. May add acyclovir

Acute unilateral facial nerve palsy.. Trauma ,infective cause has to be determined Ear infection has be ruled out like otitis media, mastoiditis..,cholaesteoma so ENT examination adviced Viral infection Fundoscopy adviced to rule out raised iop Based on INV And cause... broad spectrum antibiotics Prednisolone...

Left sided Bell's palsy due to ?herpes virus that attacks the facial nerve. To r/o cerebral causes advise imaging scans. Electromyography (EMG).An EMG measures the electrical activity of a muscle in response to stimulation and the nature and speed of the conduction of electrical impulses along a nerve By excluding other related infections in and around ENT will confirm the diagnosis. 1.Facial exercises. 2.Oral corticosteroid in tapering doses. 3.Orally antiviral. .Acyclovir

Dx : BELLS PALSY. RX : TAPERING STEROIDS ACYCLOVIR THERAPY TO BE GIVEN. PHYSIOTHERAPY BY CHEWING GUM. MONITOR BLOOD SUGAR LEVELS. MONITOR B.P. EVALUATION OF EAR.

Left facial palsy.

Bells palsy, mostely recovers with in 10dys, cortisone in tapping dose&acylovir, But if vomiting persist then mri brain may be considered to rule out tumour

Bell's Palsy Rt upper and lower face paralysis Widen Rt paper all fissure Numbness on affected side Food collect or affected side On eye closer eyeball turns upwards on affect ed side No hyperactivity

Left facial palsy ...viral fever, csom with meningitis,acute cold exposure of mastoid region

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