HSC Section 3 - Trauma, Critical Care and Sleep Medicine

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Abbreviations: * Bell Palsy medical therapy; ANA, antinuclear antibody; ANCA, antineutrophil cytoplasmic antibodies; BID, twice a day; BP, Bell palsy; CDC, Centers for Disease Control and Prevention; CN, cranial nerve; CSF, cerebrospinal fluid; CT, computed tomography; CVA, cerebrovascular accident; EMG, electromyography; ENoG, electroneurography; FFP, flaccid FP; FP, facial paralysis; HIV, human immunodeficiency virus; Ig, immunoglobulin; IV, intravenous; IVIG, intravenous immu- noglobulin; MPO, myeloperoxidase; MRA, magnetic resonance angiography; MRSA, methicillin-resistant Staphylococcus aureus ; OM, otitis media; PO, per os; PR3, proteinase 3; PT, physical therapy; SSA, Sjo¨ gren’s-syndrome-related antigen A.

Diagnosis Category Diagnosis Clinical Signs/Symptoms Etiology Diagnostics Acute Management Vascular Brainstem cerebrovascular accident (CVA) FP, vertigo, hearing loss Occlusion of vessel, ischemia to tissues or hemorrhage MRI/CT/angio MRI diffusion Neurology consult Interventional radiology (IR) Consider thrombolytics or thrombectomy Supportive medical management Central CVA Unilateral weakness,

Hemispheric stroke MRI/CT/angio Neurology consult Interventional radiology (IR) Consider thrombolytics or thrombectomy

Supportive medical management Glucose, HgA1c Treat hyperglycemia lifestyle - diet, exercise Hypertension Small vessel vasculitis or thrombosis Physical examination, vitals factors for acute FP Diabetes mellitus Glucose metabolism small vessel vasculitis

Treat hypertension high-dose steroids (may exacerbate hypertension)

*NB: In all acute FP, consider meticulous eye care and Bell Palsy medical management.

multiple cranial nerves

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Table 1

Other risk

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