Week 3 Case Study
Chief Complaint: Facial weakness
History of Present Illness
A 38 year-old female presents to the emergency department stating that over the past 36 hours, she has developed right sided facial weakness (Links to an external site.)Links to an external site. and drooping, an associated right sided ear and jaw ache and inability to close her right eye. She is unable to move both the upper and lower side of her face. She does report a history of an upper respiratory infection about 10 days ago.
Past Medical History
Hypothyroidism
Current Meds
Synthroid 75mcg once daily
Family History
Father, Hypertension and Hyperlipidemia
Mother, Hypothyroidism
Brother, Hypertension
Review of Symptoms
Denies any chest pain, shortness of breath, dizziness or headache. All other systems reviewed and found negative except as stated in HPI.
Physical Examination
Vital Signs; T 98.8, BP 136/74, RR 18, HR 76, O2 98% RA
General: Well developed and well appearing
Case Study Discussion – Part I:
Answer the following and post your response in the Case Study Part I by creating your own initial thread.
Identify three conditions that you would consider in your differential diagnosis, with the most likely condition listed first. Provide rationale for each differential with supporting evidence from the case study.
What further history, further examination, and diagnostic studies should be considered in order to explore your differential diagnosis and confirm your suspicions?
As per case study in detail review I would like provide scenario based explanation for each differential diagnosis
Work up
3. Infection: As its mentioned in HPI past had upper respiratory tract infection 10 days ago, many of the cases with respiratory illness with adenovirus may appear these kind of clinical features facial weakness droop ear jaw pain
Work up
Most of above 3 DDX its more over patient clinical features are supporting for bell’s palsy is due to thyroiditis
Week 3 Case Study Chief Complaint: Facial weakness History of Present Illness A 38 year-old female...
Chief Complaint: Facial weakness History of Present Illness A 38 year-old female presents to the emergency department stating that over the past 36 hours, she has developed right sided facial weakness (Links to an external site.)Links to an external site. and drooping, an associated right sided ear and jaw ache and inability to close her right eye. She is unable to move both the upper and lower side of her face. She does report a history of an upper respiratory...
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