Question of the day – suspected Bells Palsy?
January 5th, 2012
A 37 year old intravenous drug user is referred by his GP for a suspected Bells Palsy. On examining his inner ear there are a number of vesicles visible on his ear drum. His cranial nerve examination reveals a weakness of the whole of the left side of his face.
The most likely diagnosis is:
a. Steven Johnson Syndrome
b. HIV
c. Stroke
d. Ramsay Hunt Syndrome
e. Bells Palsy
Leave your answer as a comment below – answer in a few days!
Stroke
d. RHS
– anatomical pedantism: presume you mean inside the ear rather than examining the ‘inner ear’
B HIV
Cheers pablos, always on the ball!
Ramsy Hunt Syndrome
presents the same as herps zoster but with vesicles on the inner ear
D. An isolated VIIth Nerve Palsy associated with vesicles noted inside the ear is indicative of Ramsey Hunt Syndrome.
d. ramsay hunt syndrome
D RHS
ramsay hunt syndrome
d rhs
Ramsay hunt syndrome.
HIV
And the answer is…
d. Ramsay Hunt Syndrome
Find out why here:
http://medicaleducator.co.uk/answer-to-question-of-the-day-suspected-bells-palsy.html
since eruption is present withinthe left side of ear as the side not specified,as per condition then diagnosis goesto ramsay hunt syndrome vr invovlement of inner ear with viral infection may lead to above condition
D
Ramsay Hunt patients can be cured?
d.RHS