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bell's palsy guideline

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341. Shingles

with more severe or persistent neuralgia should be referred early to a pain clinic before the condition becomes chronic. Complications [ ] General complications Skin complications may occur: scarring, pigmentation, secondary bacterial infection. Ramsay Hunt syndrome: describes a syndrome of lesions in the ear, facial paralysis and associated hearing and vestibular symptoms. Bell's palsy. Rarely, meningitis, encephalitis, myelitis or hemiparesis may occur. Disseminated zoster occurs mainly (...) and European Guidelines. You may find the article more useful, or one of our other . In this article In This Article Shingles and Shingles Vaccination In this article Synonyms: herpes zoster and varicella zoster Shingles is caused by the human herpesvirus-3 (HHV-3). Primary infection usually occurs in childhood, producing chickenpox (varicella) although it can be subclinical. After this the virus lies dormant in the sensory nervous system in the geniculate, trigeminal or dorsal root ganglia. It may lie

2008 Mentor

342. Paediatric Examination

nerve abnormalities in this age group include: Bell's palsy. Eighth cranial nerve impairment (sensorineural deafness). Sixth cranial nerve deficit (convergent squint) with raised intracranial pressure. Toddlers Important aspects of the examination: Toddlers are infants who are walking (usually over 1 year) but under 2 years of age. Again this group consults often. Attendance is likely to be distributed between different settings (for example, hospital, primary care, clinics, walk-in centres). Good (...) and European Guidelines. You may find one of our more useful. In this article In This Article Paediatric Examination In this article See also separate article . Although some of the principles of examining children are similar to adult examination, there are important differences in both outline and detail. Children are not just small adults, and the pattern of disease, the approach to the examination and content of the examination are quite different in children. To complicate things further

2008 Mentor

343. Orbital Swellings

Orbital Swellings Orbital Swellings. Understand Orbital Swellings | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Orbital Swellings Authored by , Reviewed by | Last edited 15 Jul 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You (...) afferent pupillary defect (RAPD). Confrontational visual field - perform an assessment. Palpate the orbital rim, soft tissues, masses (note location, shape and size). Check for a globe pulsation or thrill (with the bell of the stethoscope over the closed eye). Check eye movements. Examine the globe, front to back, as much as your instruments allow you to. The extent of any further periorbital or systemic examination can be guided by your initial findings but consider: Skin around the orbit. Lid

2008 Mentor

344. Multiple Sclerosis

is an acute, sometimes painful, reduction or loss of vision in one eye and is a relatively common presenting symptom of MS. Eye movements: Very common - may cause double vision. The most frequent sign is symmetrical horizontal jerking nystagmus. Also common is lateral rectus weakness. . Facial weakness: Bell's palsy can occur alone or with other indications of brainstem disorder. Other features may include one or more of trigeminal neuralgia, paroxysmal dysarthria and ataxia (with a clumsy arm, disturbed (...) Multiple Sclerosis Multiple Sclerosis (MS). Signs, Causes and Diagnosis | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Multiple Sclerosis Authored by , Reviewed by | Last edited 22 Sep 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines

2008 Mentor

345. Mononeuropathies

the thoracodorsal, dorsal scapular, suprascapular and medial pectoral nerves have been described in bodybuilders. Other mononeuropathies include Bell's palsy, interosseous nerve compression and femoral nerve entrapment. An apparent mononeuropathy may be the presenting feature of a peripheral neuropathy. [ ] Investigations Patients should have a full neurological examination and systemic examination. Investigations for any possible underlying cause may be required. Nerve conduction studies - eg, to assess (...) Mononeuropathies Mononeuropathies. What is Carpel Tunnel Syndrome? | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Mononeuropathies Authored by , Reviewed by | Last edited 24 Jul 2015 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You

2008 Mentor

346. Hemifacial Spasm

disease of bone. Meningitis. Brainstem lesion such as stroke or multiple sclerosis plaque. Secondary to trauma or Bell's palsy. Secondary to with effusion. [ ] Presentation The disorder presents in the fifth or sixth decade of life: It is usually unilateral, although bilateral involvement may occur rarely in severe cases. HFS generally begins with brief clonic movements of the orbicularis oculi and spreads over years to other facial muscles. Closing of the eye and drawing up of the corner of the mouth (...) Hemifacial Spasm Hemifacial Spasm. HFS information | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Hemifacial Spasm Authored by , Reviewed by | Last edited 16 Jun 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find

2008 Mentor

347. Heerfordt's Syndrome

palsy Lower motor neurone CN VII lesion - affects the whole face including the forehead and eyelids. Bell's phenomenon may be seen - upward, outward turning of the eyeball as the patient attempts to close the eyelids. Examine other cranial nerves. as other palsies may be present. If an alternative cranial nerve palsy is found in place of facial nerve paralysis, most would still define the syndrome as Heerfordt's, provided all other classical features of the syndrome are present. Bilateral lower (...) Guidelines. You may find one of our more useful. In this article In This Article Heerfordt's Syndrome In this article Synonyms: Heerfordt syndrome (USA form), Heerfordt's disease, Heerfordt-Mylius syndrome, Heerfordt-Waldenstrom syndrome, Waldenstrom's uveoparotitis, uveoparotid fever, febris uveoparotidae, neuro-uveoparotitis syndrome, uveoparotitic paralysis, uveomeningitic syndrome See also the separate article. Definition [ ] Heerfordt's syndrome is an acute syndromal presentation of sarcoidosis

2008 Mentor

348. Herpes Zoster Oticus (Ramsay Hunt Syndrome)

of the stapedius and tensor tympani. The patient may have associated ipsilateral hearing loss and balance problems. The weakness of the facial nerve will show a lower motor neurone pattern as with Bell's palsy. Ask the patient to give a big grin showing their teeth. Ask them to screw up their eyes. Ask them to raise their eyebrows. The upper motor neurone (UMN) innervation of the forehead is bilateral, so that in an UMN lesion of the face, the muscles of the forehead are spared. Differential diagnosis (...) The unilateral facial weakness is very similar to but neither pain nor a rash occurs with Bell's palsy. A rash is not always present (herpes zoster sine herpete), when the diagnosis can only be confirmed by virological testing. [ ] If vertigo is present, consider or a stroke of the posterior inferior cerebellar artery region. is paroxysmal and tends to be precipitated by a stimulus such as a cold wind or washing the face. Other conditions include: . Persistent idiopathic facial pain. . . Referred pain (eg

2008 Mentor

349. External Eye - Lashes Eyelids and Lacrimal System

is facial nerve paralysis (paralytic lagophthalmos) but it also occurs after trauma or surgery (cicatricial lagophthalmos) or during sleep (nocturnal lagophthalmos). The main cause for paralytic lagophthalmos is Bell's palsy but it may be secondary to trauma, infections, tumours and other conditions. Presentation . The patient may complain of problems associated with exposure keratopathy: discomfort, redness, (compensatory) tearing and, if severe, photophobia and decreased visual acuity. Assessment (...) and based on research evidence, UK and European Guidelines. You may find the article more useful, or one of our other . In this article In This Article Conditions Affecting the External Eye In this article This article gives an overview of conditions affecting the lashes, the lids and the lacrimal system. See separate articles listed below for more detail: . . . . . . . . . . . Lashes Trichiasis [ ] Trichiasis is a lid margin disorder in which the eyelashes are misdirected and in contact with the ocular

2008 Mentor

350. Examination of the Cranial Nerves

motor neurone (LMN) lesion than an upper motor neurone (UMN) lesion. The best way to differentiate between the two is to test the muscles of the forehead. They have bilateral innervation at the upper motor neurone level and so, in a UMN lesion such as a pseudobulbar palsy, they are spared. An LMN lesion such as Bell's palsy will involve the forehead. Vestibulocochlear nerve Testing of the vestibular component with such tests as Hallpike's manoeuvre is described in the separate article on . Formal (...) on research evidence, UK and European Guidelines. You may find one of our more useful. In this article In This Article Examination of the Cranial Nerves In this article There are 12 pairs of cranial nerves although the optic nerve is really an extension of the brain rather than a peripheral nerve. The ability to test them swiftly, efficiently and to interpret the findings should be a core competency for general practice. The separate article includes a description of a brief examination of the cranial

2008 Mentor

351. Dacryocystitis and Canaliculitis

as an alternative to surgery. Canalicular obstruction [ , ] Obstruction of the lacrimal canaliculi may be congenital (see separate ) or acquired. Acquired causes include trauma, scarring, inflammatory conditions, local tumours, Bell's palsy, radiotherapy and certain drugs - eg, docetaxel. Presenting features are excess tearing ± sticky discharge and irritation. Investigations Syringing and probing to identify the site of obstruction. The Jones' fluorescein dye test. Management Treat infection if present (...) evidence, UK and European Guidelines. You may find the article more useful, or one of our other . In this article In This Article Dacryocystitis and Canaliculitis In this article The lacrimal drainage system consists of the puncta (upper and lower within the eyelids) which are the opening to the upper and lower canaliculus. These meet at the common canaliculus and open into the lacrimal (tear) sac. This runs parallel to the nose and is separated from the middle meatus of the nasal cavity by two thin

2008 Mentor

352. Is carotid artery stenting equivalent or superior to carotid endarterectomy for treatment of carotid artery stenosis?

) Well designed multicenter randomized trial. Of the 747 patients enrolled into the study, 406 (54%) patients were only suitable for stenting and were entered into a separate stent registry. The study was prematurely stopped because enrollment slowed due to increasing resistance from clinicians and patients to be randomised to CEA. The secondary endpoints are target vessel revascularization at one year, cranial nerve palsy and complications at the site of vascular access. At one year, stented (...) patients were less likely to have a cranial nerve palsy and to have target vessel revascularization (p= 0.004). Featherstone et al (CAVATAS-2) 2004, UK 1500 symptomatic patients (>40yrs) who are suitable for both stenting and surgery to be randomised to either stenting or surgery. A distal protection device will be used in the stent group whenever it can be safely deployed. > 600 patients recruited so far. Multi-center PRCT The primary outcome is the difference in long term rate of fatal or disabling

2006 BestBETS

353. Erb's Palsy

Erb's Palsy Erb's Palsy | Doctor | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Erb's Palsy Authored by , Reviewed by | Last edited 1 Dec 2014 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research evidence, UK and European Guidelines. You may find one of our more useful (...) . ; Wilhelm Heinrich Erb, M.D. (1840 to 1921): a historical perspective on Erb's palsy. Plast Reconstr Surg. 2007 Jun119(7):2161-6. I was diagnosed with Bell’s Palsy at fifteen. At first, I didn’t really understand the seriousness of the condition until I was left alone in my hospital room. At that time, I was able to see myself... geldyxo Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker. Article Information Last Reviewed 01 December 2014 Next Review 30 November 2019

2008 Mentor

354. Hyperbaric oxygen therapy

, Fournier's gangrene and necrotising arachnidism; actinomycosis; soft tissue radionecrosis; osteomyelitis; osteoradionecrosis; skin graft survival; multiple sclerosis and cerebral palsy; cardiovascular conditions including acute myocardial infarctions, cerebrovascular disease, and peripheral obstructive arterial disease; soft tissue injuries including acute ankle sprains and crush injuries; facial paralysis (Bell's palsy); cluster and migraine headaches; Legg-Calve-Perthes disease (necrosis of the femoral (...) of osteoradionecrosis, skin graft survival, cerebrovascular disease, peripheral obstructive arterial disease, sudden deafness, cancer of the head and neck, cervical cancer, bladder cancer, lymphoma and neuroblastoma, carbon monoxide poisoning, necrotising arachnidism, actinomycosis, soft tissue radionecrosis, cerebral palsy, Crohn's disease, Legg-Calve-Perthes disease and osteoporosis. There was a lack of evidence of any beneficial effect in multiple sclerosis, osteomyelitis, acute myocardial infarction, acute

2000 DARE.

355. Facial Nerve Palsy (Including Bell's Palsy)

evidence, UK and European Guidelines. You may find the article more useful, or one of our other . In this article In This Article Facial Nerve Palsy In this article Synonym: Bell's palsy (lower motor neurone facial palsy); idiopathic facial paralysis (IFP) Damage to the facial nerve - either upper motor neurone (UMN) or lower motor neurone (LMN) - produces weak muscles of facial expression. Neuroanatomy [ ] The VIIth cranial (facial) nerve is largely motor in function (some sensory fibres from external (...) Facial Nerve Palsy (Including Bell's Palsy) Facial Nerve Palsy. Information about Facial Nerve Palsy. Patient | Patient TOPICS Try our Symptom Checker TREATMENT RESOURCES Try our Symptom Checker PROFESSIONAL Upgrade to Patient Pro / / Search Facial Nerve Palsy Authored by , Reviewed by | Last edited 2 Feb 2016 | Certified by This article is for Medical Professionals Professional Reference articles are designed for health professionals to use. They are written by UK doctors and based on research

2008 Mentor

356. Clinical practice guidelines for the management of advanced breast cancer

Clinical practice guidelines for the management of advanced breast cancer i Clinical practice guidelines for the management of advanced breast cancer Clinical practice guidelines for the management of advanced breast cancer Prepared by the iSource National Breast Cancer Centre Advanced Breast Cancer Working Group Endorsed January 2001ii Clinical practice guidelines for the management of advanced breast cancer © Commonwealth of Australia 2001 ISBN Print: 0642455457 Online: 0642455465 This work (...) Clinical practice guidelines for the management of advanced breast cancer has been endorsed without inclusion of a comparative economic analysis of the costs associated with their implementation. It is the understanding of the NHMRC that an up-to-date economic analysis will be included when the Clinical practice guidelines of the management of advanced breast cancer are next updated. This document is sold through AusInfo Government Info Bookshops at a price which covers the cost of printing

2000 Cancer Australia

357. Is there any contraindication to giving the oral contraceptive pill to a patient with a Bell's palsy?

on contraceptive choices for patients with Bell’s Palsy. We checked the PRODIGY guideline on contraception which has a list of medical conditions for which the combined oral contraceptive pill (COC) is contraindicated (see Table 3 in the guideline). Bell’s palsy is not listed. In addition, we checked the World Health Organization’s medical eligibility criteria for low dose combined oral contraceptives and again, did not find Bell’s palsy or facial palsy to be conditions in which COCs are either considered (...) Is there any contraindication to giving the oral contraceptive pill to a patient with a Bell's palsy? Is there any contraindication to giving the oral contraceptive pill to a patient with a Bell's palsy? - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe

2006 TRIP Answers

358. What is the current evidence regarding the effectiveness of prednisolone and antiviral therapy in the treatment of a patient suffering from Bell's palsy for over 72 hours vs no treatment at all.

is the current evidence regarding the effectiveness of prednisolone and antiviral therapy in the treatment of a patient suffering from Bell's palsy for over 72 hours vs no treatment at all. Unfortunately, we cannot answer this question. We searched the NLH Guidelines Finder, TRIP and Medline databases but found no guidelines or studies comparing the effectiveness of combining prednisolone with an antiviral agent versus no treatment initiated three days after onset of Bell’s Palsy. A study by Axelsson et al (...) What is the current evidence regarding the effectiveness of prednisolone and antiviral therapy in the treatment of a patient suffering from Bell's palsy for over 72 hours vs no treatment at all. What is the current evidence regarding the effectiveness of prednisolone and antiviral therapy in the treatment of a patient suffering from Bell's palsy for over 72 hours vs no treatment at all. - Trip Database or use your Google+ account Liberating the literature ALL of these words: Title only Anywhere

2007 TRIP Answers

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