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- W2289079069 abstract "other than a simple Bell’s palsy. However, the patient with facial nerve palsy usually presents early because of the disfiguring nature of the condition and so follow up is mandatory to assess progression. Marked otalgia is not common in Bell’s palsy and is suspicious of aural causes of facial palsy, e.g. Ramsay–Hunt syndrome, cholesteatoma or acute suppurative otitis media. The patient should be asked about any recent history of fevers, rashes and arthralgia as the tick-borne disease Lyme disease is a cause of facial nerve palsy in endemic areas. Diabetes mellitus is present in more than 10% of patients with Bell’s palsy and given that corticosteroids may be prescribed it is sensible to ask specifically about this condition. Recent immunization and history of neurological infection can result in mononeuropathies or polyneuropathies and so are also relevant points in the history. In the emergency department, a history of significant head trauma is relevant as there may be an underlying temporal bone fracture." @default.
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- W2289079069 date "2008-01-01" @default.
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- W2289079069 title "Gynaecological ultrasound M38" @default.
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