HISTORY:
Facial on the for
Onset:
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Head:
Ears: -R: , -L:
Neck:
Heart: ,
Lungs: ,
Neurologic:
- Mental status: , oriented in , speech
- Cranial nerves:
- Strength: upper extremities -R /5 , -L /5
lower extremities -R /5 , -L /5
- Sensation: upper extremities -R , -L ,
lower extremities -R , -L
- Reflexes: triceps -R , -L , biceps -R , -L , brachioradialis -R , -L
patellar -R , -L , achilles -R , -L , plantar -R , -L
- Cerebellar function: , finger-nose , rapid alternating movements , heel-knee , Romberg , Dix-Hallpike ,
- Gait: , tandem walking , heel and toe walking
ASSESSMENT:
DDx:
PLAN:
- Blood work: , , , , , ,
- CT scan of the brain
- MRI of the brain
- Advise that there is no signs of stroke, that condition is benign, and that most cases resolve spontaneously within a few months
-
-
- Eye care: artificial tears during the day, ointment at night, eye patch at night
- Facial exercises
- Referral to ENT specialist within 10 days
- Referral to neurologist if central cause not ruled out
- Follow-up in
- Return if symptoms worsen, if new symptoms develop such as vision changes or severe headache, or if symptoms do not improve with treatment
- Go to ER if difficulty swallowing, difficulty breathing, or severe headache occurs