Facial weakness - Bell's palsy

Question 1

bell’s palsy - management

Answer 1

60mg prednisolone if <72h - for 5d then reduce
eye drops in day, ointment at night
microporous tape lids shut at night
check BP - may be HTive infarct of facial nerve

consider plastics referral if residual weakness at 6mo

Question 2

bell’s palsy - features

Answer 2

loss of frown
weakness of forced eye closure
blunted nasolabial fold
drooping angle of mouth