MSRA: Bell's Palsy + mimics Flashcards
Bell's Palsy, Lyme Disease
1
Q
What is the management of Bell’s Palsy?
A
Steroids if presents within 72 hours of symptoms onset
Eye care advice
2
Q
What is the presentation of Lyme disease?
A
Erythema migrans
Constitutional symptoms: fever, headache, myalgia
May cause unilateral or bilateral facial palsy
3
Q
What is the management of Lyme disease?
A
Doxycycline for 21 days
(Amoxicillin is an alternative antibiotic)
4
Q
What is the management of asymptomatic patients following tick bite?
A
No role of prophylactic antibiotics to prevent Lyme disease
Observation without treatment
5
Q
What is the management of Ramsay Hunt syndrome?
A
oral steroids and oral Aciclovir
6
Q
What is the first line investigation for suspected Lyme disease?
A
ELISA (Blood serology)
