NURS 6512 Week 9 Respone 1 PDF

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Response 1 Hi Sophia, I enjoyed reading your discussion post on neurological disorders. I agree with your primary diagnosis of Bell’s Palsy as it classically presents as unilateral upper and lower facial paralysis with poor eyelid closure to the affected side and difficulty tearing, sensory changes to affected side sometimes noted, and a flattened forehead with the inability to create creases when raising eyebrows on the affected side (Taylor, 2016). Bell’s Palsy is an appropriate diagnosis for this patient because of the presenting symptoms of sudden onset of facial paralysis. (Khar & Leonard, 2015). According to Eviston et al (2015), the exact cause of bell’s palsy is unknown; however, it is believed that autoimmunity, nerve compression, and herpes simplex type- 1 may have something to do with it. AN has a history of genital herpes so this could be the connection she has with bell’s palsy. Other potential diagnosis to consider include Mastoiditis a bacterial infection of the temporal bone presenting with the following symptoms; otalgia, otorrhea, swelling, tenderness, and facial palsy is intra-temporal complication (Devan, 2016), Parotid tumor, Guillian-Barre Syndrome, and Tetanus.

References Devan, P. P. (2016). Mastoiditis clinical presentation. Retrieved from http://emedicine.medscape.com/article/2056657-clinical#b3 Eviston, T. J., Croxson, G. R., Kennedy, P. G. E., Hadlock, T., & Krishnan, A. V. (2015). Bell's palsy: Etiology, clinical features and multidisciplinary care. Journal of Neurology, Neurosurgery and Psychiatry, 86(12), 1356. doi: http://dx.doi.org/10.1136/jnnp-2014309563

Khan, A., & Leonard, M. (2015). Bell’s palsy. Retrieved from http://www.healthline.com/health/bells-palsy#Overview1...