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Is it acute or gradual onset? If it is acute onset, Bell's palsy, diabetic neuropathy, and cerebral vascular accident must be considered. If it is gradual onset, one must consider an acoustic neuroma, advancing petrositis, or a brain tumor or ... DIAGNOSTIC WORKUP
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Differentiate supranuclear facial palsy from peripheral (nuclear) facial palsy. Supranuclear palsy involves predominantly the lower part of the face. Emotional responses may be intact (e.g., the patient may not be able to show you his teeth but will smile in response to a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Acute and chronic drooling (sialorrhea) must be differentiated. Sudden severe drooling in a septic-appearing child may indicate severe pharyngeal edema and airway compromise. Chronic drooling may be physiologic in a young child, secondary to nasal... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Although Bell palsy is the most frequent etiology, it is a diagnosis of exclusion; one must thoroughly rule out infections, congenital, developmental, and other causes. Serial electrical testing provides objective monitoring of nerve function and may provide some... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... A facial palsy is usually considered to be Bell palsy and it frequently is. Nevertheless, the clinician who begins treatment without ruling out other possibilities will eventually get burned. Anatomy is the key to recalling these possibilities before
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... Drooling — the flow of saliva from the mouth — results from a failure to swallow or retain saliva or from excess salivation. It may stem from facial muscle paralysis or weakness that prevents mouth closure, from neuromuscular disorders or local pain that... History and physical examination ... Medical causes ... Special considerations
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... Bell’s palsy is a disease of the seventh cranial nerve (facial) that produces unilateral or bilateral facial weakness or paralysis. (See Recognizing unilateral Bell’s palsy.) Onset is rapid. In 80% to 90% of patients, Bell’s palsy subsides spontaneously,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Drooling—the flow of saliva from the mouth—results from a failure to swallow or retain saliva or from excess salivation. It may stem from facial muscle paralysis or weakness that prevents mouth closure, from neuromuscular disorders or local pain that causes dysphagia... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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... Bell’s palsy is a neurologic disorder that affects the seventh cranial (facial) nerve, producing unilateral facial weakness or paralysis. Onset is rapid. Although it affects all age-groups, it’s most common in persons younger than age 60. In 80% to 90% of patients, it... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Drooling—the flow of saliva from the mouth—results from a failure to swallow or retain saliva or from excess salivation. It may stem from facial muscle paralysis or weakness that prevents mouth closure, from neuromuscular disorders or local pain that causes... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching
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A facial palsy is usually considered to be Bell palsy and it frequently
is. Nevertheless, the clinician who begins treatment without ruling out
other possibilities will eventually get burned. Anatomy is the key to
recalling these possibilities before the... Pictures
... READ EXCERPTS »
... Stephen J. Falchek, MD Bell Palsy - BASICS Bell Palsy - description This paralysis may involve all of the modalities affected by the 7th cranial nerve:Mimetic ... Bell Palsy - DIAGNOSIS ... Bell Palsy - TREATMENT ... Bell Palsy - FOLLOW UP ... Bell Palsy - bibliography ... Bell Palsy - CODES ... Bell Palsy - FAQ
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