The Curbsiders Internal Medicine Podcast #461: Facial Nerve Follies: Understanding Bell's Palsy
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Nov 11, 2024 Dr. Jordan Amar, an Assistant Professor of Clinical Neurology at USC Keck School of Medicine, dives into the complexities of Bell's palsy. He shares captivating anecdotes and key tips for differentiating Bell's palsy from strokes and other conditions. Listeners learn about the importance of meticulous history-taking and physical exams. The discussion covers treatment options, including corticosteroids and antivirals, while addressing patient support and emotional impact. A memorable mnemonic adds a fun twist to complex medical insights!
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History Taking in Facial Palsy
- Ask about forehead involvement and changes in hearing, taste, and vision, especially blurry or double vision.
- Ask about recent infections, tick exposure, trauma, and if they have received Botox.
Bell's Palsy vs. Stroke Onset
- Bell's palsy reaches maximum severity within 48-72 hours, showing gradual progression.
- Stroke symptoms present with maximum intensity at onset, remaining constant.
Don't Miss the Obvious
- Jordan Amar shared an anecdote about a patient with a seventh nerve lesion whose brother-in-law had hit him with a baseball bat.
- This highlights the importance of thorough history taking.