Bells palasy and it's hom

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Bells palasy and it's hom

  1. 1. PRESENTATION ON BELL’S PALSY
  2. 2. CASE OF BELL’S PALSYNAME-MOHMMD.YUSUFFATHER’S NAME-MOHMMD.IQBAALAGE/SEX-24,MALEMARITAL STATUS-UNMARRIEDEDUCATION -B.TECHADDRESS-6 J.P. COLONY KUKAS,JAIPUR PRESENT COMPLAINTSPARALYSIS OF FACE RIGHT SIDE- 3 DAYSBURNING PAIN ON AFFECTED SIDESTIFFNESS OF MUSCLE OF FACETWITCHING OF FACIAL MUSCLE AFTER COLD EXPOSURE<COLD AIR,COLD APPLICATION,>WARMTH
  3. 3. DIFFICULTY IN CLOSING EYESREDNESS OF EYESDIFFICULTY IN SPEECHDIFFICULTY IN CHEWING FOODHISTORY OF COLD EXPOSURE WHEN RIDING BIKE IN PREVIOUSCOLD NIGHTPATIENT AS A PERSONAPPETITE- 3 TIMES IN A DAY,2-3 CHAPATIES AT A TIMETHIRST- 2-3 LIT./DAY; A GLASS AT A TIMEDESIRE- N/PAVERSION- SWEETSSTOOL-SOFT,SEMI SOLID,REFRESHING ONCE IN A DAYURINE-CLEAR,WATERY,D(2-3) N(0-1)PERSPIRATION- NORMAL,NON OFFENSIVEMANSTRUATION- N/ABATHING HABIT-REGULAR/ WARM WATER IN WINTERSTHERMAL REACTION- CHILLYSLEEP & POSITION DURING SLEEP- 6-8 HRS.REFRESHINGADDICTION- N/PVACCINATION- ALL DONE
  4. 4. MIND- VERY HELPFUL IN NATURE,& ALWAYS SYMPATHETIC FOR OTHERSAD WHEN SEEING SOME BODY IN PROBLEMWANTED TO LIVE IN A GROUPSEXUAL HISTORY- N/POBSTETRIC HISTORY-N/AFAMILY HISTORY: FATHER-HEALTHY,MOTHER-HEALTHY PATERNAL G.F & G.M- DIED MATERNAL G.F. & G.M.- DIEDPHYSICAL EXAMINATION- B.P.- 126/76 mm of Hg. PULSE-78/ minGENERALPALLOR- ABSENTICTERUS- ABSENTCYANOSIS ABSENTOEDEMA- ABSENTCLUBBING- ABSENTLYMPHADENOPATHY- ABSENTTONGUE- MOIST,CLEANSKIN- DRY
  5. 5. ANALYSIS OF THE CASEMENTALS GENERALS-VERY HELPFUL IN NATURE & ALWAYS SYMPATHETIC FOROTHERS.SAD WHEN SEEING SOMEBODY IN PROBLEM.WANTED TO LIVE IN A GROUP.PHYSICAL GENERALS-AVERSION – SWEETSPERTICULARS-PARALYSIS OF FACE ON RIGHT SIDE.BURNING PAIN ON AFFECTED SIDE.TWITCHING OF MUSCLES.DIFFICULTY IN CHEWING FOOD.DIFFICULTY IN SPEECHDIFFICULTY IN CLOSING EYESHISTORY OF RIDING BIKE ON PREVIOUS COLD NIGHT.STIFFNESS OF FACIAL MUSCLES.REDNESS OF EYES
  6. 6. EVALUATION & RUBRICS OF SYMPTOMSVERY HELPFULL IN NATURE & ALWAYS SYMPATHETIC FOROTHER- MIND - SYMPATHETICAVERSION- SWEETS- GENRELS FOOD AND DRINKS-SWEETS-AVERSIONPARALYSIS ON RIGHT SIDE- FACE PARALYSIS-RIGHTBURNING PAIN ON RIGHT SIDE- FACE-PAIN-BURNINGHISTORY OF RIDING BIKE PREVIOUS COLD NIGHT- FACE-PARALYSIS-RIDING IN THE WINDDIFFICULTY IN SPEECH MOUTH-SPEECH-DIFFICULT-PARALYSIS FROMTWITCHING OF FACIAL MUSCLES ON RIGHT SIDE- FACE-TWITCHING-RIGHT
  7. 7. MIASMVERY HELPFULL IN NATURE & ALWAYSSYMPATHETIC FOR OTHER-PSORAAVERSION- SWEETS-PSORAPARALYSIS ON RIGHT SIDE-PSORABURNING PAIN ON RIGHT SIDE-PSORAHISTORY OF RIDING BIKE PREVIOUS COLDNIGHT-PSORATWITCHING OF FACIAL MUSCLES ON RIGHTSIDE-PSORADIFFICULTY IN SPEECH-PSORA MIASM--PSORA
  8. 8. REPERTORISATIONCAUSTICUM-16/7PHOSPHORUS-8/4BELLADONA-7/5GRAPHITIS-6/4AGARICUS-5/2
  9. 9. MANAGEMENTPSYCHOTHEREPY WAS GIVENPHYSIOTHERAPY-ACTIVE & PASSIVEEXERCISES FOR 15 MIN. THRICE IN A DAYHOT APPLICATION ON AFFECTED SIDEEUPHRASIA EYE DROP (WITHOUTALCOHOL) WAS PRESCRIBED FORLUBRICATION OF EYESADVICED WEARING SUN GLASS WHENOUTING
  10. 10. PRESCRIPTIONDATE-26 DEC.2011-CAUSTICUM 30 TDS FOR 7DAYSDATE 3 JAN.2012- 60-70%RELIEF-CAUSTICUM 30 TDSFOR 14 DAYS
  11. 11. DEFINATIONBELL’S PALSY IS AFORM OF FACIALPARALYSISRESULTING FROM A DISFUNCTION OFTHE 7thCRANIALNERVE(FACIALNERVE) THATRESULT IN THEINABILITY TOCONTROL FACIALMUSCLE ONAFFECTD SIDE
  12. 12. CAUSESINFLAMMATORY DISORDRE- SARCOIDOSIS VIRAL INFECTION- HERPES ZOSTER,HERPESSIMPLEX,EPSTEIN BARR VIRUSVASCULAR ISCHEAMIA- COLDSTRESS,EMOTIONAL STRESSLYME DISEASEBRAIN TUMORTRAUMADIABETES MELLITUSHIV INFECTIONHEREDITARYAUTOIMMUNE DISORDERIDIOPATHIC
  13. 13. PATHOLOGYIT IS A MONO-NEUROPATHYAND THERE ISINFRANUCLERLESION OFFACIAL NERVEIS PRESENT
  14. 14. AS A RESULT OFINFLAMMATION OFFACIALNERVE,PRESSURE ISPRODUCE ON THENERVE WHERE IT EXITSTHESKULL(STYLOMASTOIDFORAMEN) WITHIN ITBONY CANAL,BLOCKINGTHE TRANSMISSION OFNEURAL SIGNALS ORDAMAGING THE NERVEIN FEW CASESBILATERAL FACIALPALSY HAS BEENASSOCIATED WITH HIVINFECTION
  15. 15. CLINICAL FEATURESThe face will feel stiff orpulled to one side, andmay look different.Difficulty eating anddrinking; food falls out ofone side of the mouthDrooling due to lack ofcontrol over the musclesof the faceDrooping of the face,such as the eyelid orcorner of the mouthHard to close one eyeProblems smiling,grimacing, or makingfacial expressions
  16. 16. Twitching orweakness of themuscles in thefaceAbsence ofwrinkles onforeheadDry eye or mouthHeadacheLoss of sense oftasteHyperacusisAbsence ofnasolabial fold
  17. 17. INVESTIGATIONBLOOD – CBC,ESR,SUGAR(FASTING,PP)ANTIBODIES TEST TO HIV, LYMEDISEASE ETCX-RAY OF CHESTCT SCAN(FOR TRAUMA)M.R.I. (TRAUMA,ISCHEAMIA ETC)ELECTROMYOGRAPHY
  18. 18. MANAGEMENTGENERAL MANAGEMENT-PSYCHOTHERAPYCARE OF EYE- EYE DROPS,WEARGLASSES WHEN OUTINGMAINTAIN THE SUGAR LAVEL BLOODRELIEVE EAR PAIN BY ANALGESICPHYSIOTHERAPY- ACTIVE & PASSIVEEXERCISES
  19. 19. MEDICAL MANAGEMENTALLOPATHIC-STEROIDS & ANTIVIRALDRUGSHOMOEOPATHIC TREATMENT- BYTAKING FULL HISTORY OF PATIENT.WEMAKE TOTALITY OF SYMPTOMS & AFTERTHAT WE PRESCRIBES A SIMILARMEDICINE ON THE BASIS OF TOTALITY OFSYMPTOMS & ANTI MIASMETIC MEDICINE
  20. 20. HOMOEOPATHIC MEDICINESACONITE-SYMPTOMS COMESSUDDENLY;FACE BECOME RED ANDHOT BECOME DEATHLY PALE;TINGLING & NUMBNESS; LEFT SIDEMOSTLY AFFECTED; MENTALY &PHYSICALLY RESTLESSNESS;<WARMROOM, DRY COLD WIND; >OPEN AIRARNICA- BLUNT TRAUMA; SORENESS& BRUISED FEELING ON AFFECT PART
  21. 21. AGARICUS- FACIAL MUSCLE-STIFF,TWITCHES,NUMBNESS,JERKING;BURNING PAIN AS COLD NEEDLEPIERCING;<COLD AIR,>WARMTHBELLADONA- FACIAL NEURALGIA WITHTWITCHING OF MUSCLES; FLUSHING OFFACE, BRUSTED, HOT,CONGESTION ISMORE MARKED;<TOUCH, WARMTHDULCAMARA- TEARING PAIN WITHCOLDNESS OF PART;THIRSTINCREASED;PATIENT LIVE INDAMP,BASEMENT;<DAMP COLD RAINYWEATHER;>WARMTH
  22. 22. CAUSTICUM-PARALYSIS OF RIGHTSIDE;BURNING, SORENESS, RAWNESS ISMARKED;WEAKNESS OF MUSCLE OFFACE;<DRY COLD WIND,CLEAR FINEWEATHER; >DAMP, WET WEATHER,HEATHYPERICUM-IF ANY NERVE INJURYAFTER PAIN & PARALYSIS; NEURITIS,TINGLING,BURNING,NUMBNESSGELSEMIUM-DULLNESS,DIZINESS,DROWSINESS, TREMLLING;MUSCULARWEAKNESS,LACK OF MUSCULARCORDINATION;THIRSTLESSNESS;PARALYSIS;<DAMP FOGGY WEATHER
  23. 23. GRAPHITIS- FATTY, FLABBY, CHILLY,CONSTIPATED, DELAYED MENSTRUAL;PARALYSIS OF FACIAL MUSCLES;HYPOTHYROIDISMIGNATIA-TWICHING OF MUSCLES OFFACE & LIPS;HEAVY FEELING IN EYES;SOUR TASTE & EASILY BITES INSIDE OFCHEEKS; MOUTH FULL OF SALIVA; GREATCONTRADICTION; ACUTE GRIEF.KALI CHLOR- FACIAL PARALYSIS;PROFUSE SECRETION OF ACRID SALIVA;STOMATITIS; TONGUE SWOLLEN.
  24. 24. RHUS TOX- FACIAL NEURALGIA;FEVER BLISTER AROUND MOUTH &CHIN; TONGUE-TRIANGULAR RED TIP;<COLD AIR,REST, DAMP ; >MASSAGE,WARMTHSENEGA- PARALYSIS OF LEFT SIDE;HEAT IN THE FACE; BURNINGVESICLES ON MOUTH & LIPS; >BENDING HEAD BACKWARD
  25. 25. SURGICALTREATMENT-Nerve decompression relieves pressureon the nerve fibres & thus improves themicrocirculation of the nerve. Vertical & tympanic segments of nerve are decompressed.

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