Tasty Morsels of EM 026

3 Nov

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.

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