How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

363 results for

bell's palsy guideline

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

341. Dementia

. Eventually, someone with NFA-PPA only uses one-syllable words or may become totally mute. (PSP) is a form of FTD that is characterized by problems with eye movements. Generally the problems begin with difficulty moving the eyes up or down (vertical gaze palsy). Since difficulty moving the eyes upward can sometimes happen in normal aging, problems with downward eye movements are the key in PSP. Other key symptoms of PSP include falling backwards, balance problems, slow movements, rigid muscles

2012 Wikipedia

342. Diabetic neuropathy

Diabetic neuropathy Diabetic neuropathy - Wikipedia Diabetic neuropathy From Wikipedia, the free encyclopedia Diabetic neuropathy Diabetic neuropathies are disorders associated with . These conditions are thought to result from a diabetic involving small that supply nerves ( ) in addition to macrovascular conditions that can accumulate in diabetic neuropathy. Relatively common conditions which may be associated with diabetic neuropathy include or cranial nerve palsy ; ; mononeuropathy multiplex (...) [ ] When are affected, neuropathies of the (cranial nerve #3) are most common. The controls all the muscles that move the except for the and . It also serves to constrict the and open the eyelid. The onset of a diabetic third nerve palsy is usually abrupt, beginning with frontal or periorbital pain and then . All the oculomotor muscles innervated by the third nerve may be affected, but those that control pupil size are usually well-preserved early on. This is because the nerve fibers within CNIII

2012 Wikipedia

343. Seasonal Flu Vaccine in Adult Transplant Recipients

, demyelination, Bell's palsy), all other non-solicited AEs, which are routinely collected including onset of chronic diseases. Eligibility Criteria Go to Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Layout (...) (H1N1) - like strain A/Perth/16/2009 (H3N2) - like strain B/Brisbane/60/2008- like strain MF59 adjuvant 9.75µg ai 0.5ml Outcome Measures Go to Primary Outcome Measures : Seroconversion and Seroprotection after 21 days [ Time Frame: 21 days ] The observed percentage of seroconversion and seroprotection, as well as the observed GMR (measured by HI) in transplanted patients at day 21 will be compared with the thresholds from the guideline for adults aged over 60 (as outlined above). This study

2010 Clinical Trials

344. The prevention and management of herpes zoster (Full text)

such as clothing). , Although usually self-limiting, pain may persist beyond the resolution of the rash — PHN, defined as pain persisting for 90 or more days after the onset of pain or rash, can last months and even years. , Zoster ophthalmicus (ranging from keratitis to the more severe iritis) is a relatively common complication of HZ, affecting 10%–20% of patients. , , Rarer complications include motor neurone and peripheral nerve palsies (eg, Bell’s palsy and Ramsay Hunt syndrome), as well as meningitis (...) –acellular pertussis vaccines. Use in immunosuppression Live vaccines are usually contraindicated in immunosuppressed people. Clinicians should refer to the Australian immunisation handbook for guidelines on administering live virus vaccines to this patient group. In patients for whom HZ vaccination is contraindicated, the priority should be early diagnosis of HZ and prompt treatment with antiviral agents. The effectiveness of a “killed” vaccine for use in immunosuppressed individuals is currently being

2008 MJA Clinical Guidelines PubMed abstract

345. 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

346. 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.

347. High Dose Influenza in Immunosuppressed Subjects

or cardiac tamponade, or Bell's palsy. Has an acute illness including an oral temperature greater than or equal to 100.0 degrees Fahrenheit, within one week prior to vaccination. Has a known history of human immunodeficiency virus (HIV) or Hepatitis B or Hepatitis C. Screening for HIV will not be performed for this study. Has a positive urine pregnancy test prior to vaccination (if female of childbearing potential), is breast-feeding, or has the intention to become pregnant within 3 months of receipt (...) [(other than Hepatitis B or C and human immunodeficiency virus (HIV)]; any bacterial, mycobacterial or invasive fungal infections that are on maintenance antimicrobial therapy are eligible. Antimicrobial therapy includes: any antiviral, antibacterial or antifungal therapy use under the standard guidelines for treatment or maintenance treatment of viral, bacterial or invasive fungal infections. Women of childbearing potential (not surgically sterile or postmenopausal for greater than or equal to 1 year

2008 Clinical Trials

348. 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

349. 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

350. 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

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. 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

353. Hemifacial Spasm (Full text)

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 PubMed abstract

354. 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

355. 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

356. 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

357. 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

358. 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

359. 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

360. 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

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>