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 

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