noticing the right side of her face was drooping
A 49-year-old female presents to A&E after waking up and noticing the right side of her face was drooping.
“I woke up this morning and got a huge shock when I looked in my bathroom mirror, one half of my face was drooping! I immediately panicked and called an ambulance!”
WHAT QUESTIONS MIGHT BE USEFUL TO ELICIT FURTHER DETAILS SURROUNDING THE PRESENTING COMPLAINT? WHAT OTHER QUESTIONS WOULD YOU WANT TO ASK THE PATIENT?
WHICH SYSTEMS WOULD YOU BE MOST INTERESTED IN ASSESSING?
WHAT IS THE MOST LIKELY DIAGNOSIS GIVEN THE CLINICAL PICTURE? WHERE IS THE LESION LOCATED?
HOW WOULD YOU MANAGE THIS PATIENT? WHAT IS THE PROGNOSIS FOR BELL’S PALSY? WHAT CIRCUMSTANCES MIGHT SUGGEST THE NEED TO REFER THIS PATIENT TO SECONDARY CARE?