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14 Cards in this Set
- Front
- Back
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name as many common complaints that pt's present with when experiencing bell's palsy.
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one sided facial paralysis/numbness
crooked smile irritated, dry or tearing eye drooling changes in hearing or taste |
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bell's palsy is often preceded by a __ 1-3 weeks before an episode.
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viral illness
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what other precipitating factors may occur before bell's palsy occurs?
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stress
fever dental extraction cold exposure |
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t/f
bell's palsy does not include paralysis of the forehead |
false; it does include forehead paralysis
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what type of exam should be performed on a pt with suspected bell's?
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complete neuro, focus on 7th cranial nerve, such as wrinkling the forehead, closing the eyes, smile, puff out the cheeks, whistle, etc.
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central or __ lesions result in relative sparing of the forehead.
-peripheral -cerebral -cerebellar -brain stem |
cerebral
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which of the following conditions require emergent ent consult?
-mastoiditis -chr. suppurative middle ear dx -otorrhea -otitis externa -all of the above |
all of them
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bell's palsy come on __.
quickly slowly over days to weeks |
quickly, usually over night-the pt wakes up with it
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if there is a history of head trauma, what should you do?
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get a ct or mri
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what is most accepted cause of a true bell's palsy?
-hpv -hsv -influenza -unknown |
hsv; that is why we treat with acyclovir
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what is the accepted tx regimen for bell's palsy?
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a antiviral along with a steroid as long as there are no contraindications
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what precautions must be taken with the pt's eyes?
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due to the inability to close and/or produce tears, must patch when sleeping and provide lubrication.
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what lab can you test for if the pt has been to a tick infested area?
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lyme titer; can give a 10 day course of tetracycline or doxy
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t/f
70-80% of pts recover completely within a few weeks, but you should tell your pt's that some have permanent facial weakness. |
true
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