75 year old female with C/o unable to close left eye and deviation of mouth towards right side since 15 days

 Biceps        2+           2+

Triceps       2+           2+ 

Supinator   2+           2+ 

Knee          2+           2+

Ankle         2+           2+ 


Pupils: right - reactive, normal size

            Left- non reactive


Investigations 



Diagnosis

Lmn facial nerve palsy (Bell’s palsy)

With ? Marcus Gunn jaw winking syndrome

With s/P cataract surgery (done 35 days back)

Treatment 

1. Wysolone 10mg / po/ bd

2. Lubrex eye drops (2 drops) tid 

Comments

Post a Comment

Popular posts from this blog

Internship

 MY INTERNSHIP JOURNEY IN GENERAL MEDICINE  I'm an intern, posted in general medicine department for 2 months including 2 weeks of psychiatry. First 2 weeks: Posted in Department of Psychiatry: Attended the OPD in department of psychiatry and observed various spectrum of psychiatric disorders in the patients. Studied symptomatology regarding various psychiatric disorder spectrums.  I got to know about the ICD-10 Classification of psychiatry disorders and also DSM Classification of diseases. Done night duties for observation of psychiatry patients of withdrawal syndromes. And learnt how to manage them. Attended the De addiction centre visits and observed the various types of medical, behavioural therapy going on there.  Learnt how to attend rounds for the patients and how to write repeats in the casesheets from post graduates. Typed, studied and submitted the discharge summaries of various patients under department of psychiatry. From this I learnt how to discharge a patient with pr
Read more

15 YEAR OLD MALE WITH ACUTE KIDNEY INJURY

Image
 This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. This E blog also reflects my patient centered online learning portfolio and your valuable inputs on the comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan Presenting complaints : A 15 yr old male ,studying 9 th class came to the casuality with C/O SOB( grade 2 - 3 ) since yesterday ,orthopnea +   HOPI : Pt was apparently asymptomatic 1 month back ,pt complains of
Read more

50 YEARS OLD MALE WITH WEAKNESS OF RIGHT UPPER LIKB AND LOWER LIMB

Image
 This is an online E-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient centered online learning portfolio and your valuable comments on comment box is welcome. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. Presenting complaints: Patient came with the cheif complaints of weakness of right upper and lower limb since yesterday morning (04:00am) slurring of speech and deviation of mouth to lef
Read more