I keep a little, ever-expanding note on my phone where I jot down little morsels of goodness that I pick up while listening to or reading one of the many excellent sites/podcasts in the useful resource section.
I’ll try and transfer them here for your enlightenment.
From the wonderful UMEM emergency medicine pearls.
In Bell’s Palsy
- the presence of mastoid pain in a VII nerve palsy can be a clue to the diagnosis – I’ve seen this once. Though I only realise its usefulness in retrospect!
- hyperacusis or sound sensitivity – due to the malfunction of stapedius (innervated by the VII; anyone know the other muscle in the ear that dampens sound?).
- If facial paralysis is bilateral, consider Lyme disease as a possible etiology.