herpes zoster

instructions from my professor:

Pick a Topic from the list of Diseases discussed (I picked Herpes Zoster (Shingles). You are to do a PowerPoint presentation using the following headings below. 

Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose, and treat. 

Pictures and or other visual media are encouraged. You will be graded on professionalism and content. 

Minimum of 15, Maximum of 20 slides and minimum 15 Minutes and maximum 20 minutes presentation. 

Slides must be colorful and professional, use of pictures, charts, graphs, and other enhancements to make the presentation better are encouraged.

(No slide transition animations please) 

All presentations will be submitted into Turn it in, so please make sure that all work is of your own, no recycling past student presentations or copy-paste from the internet should be allowed and it will be considered an academic dishonesty. 

Presentations must include a Slides with the following information.

·       TITLE (slide 1) 

·       DESCRIPTION (Patient information) (slide 2 etc. and so on)

·       EPIDEMIOLOGY

·       ETIOLOGY

·       RISK FACTORS

·       ASSOCIATED CONDITIONS

·       HISTORY

·       PHYSICAL EXAM

·       DIFFERENTIAL DIAGNOSIS

·       TESTS

·       TREATMENT

·       PROGNOSIS

·       REFERENCES

NOTE: please follow my professor instructions exactly as assigment.

            plagiarism is not tolerated.

            I attached these instructions with highlight points and also an example pptx my professor sent as a.                   guide.

            between 15 and 20 slides.

Pick a Topic from the list of Diseases discussed (I picked Herpes Zoster (Shingles). You are to do a PowerPoint presentation using the following headings below.

Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose, and treat.

Pictures and or other visual media are encouraged. You will be graded on professionalism and content.

 

 Minimum of 15, Maximum of 20 slides and minimum 15 Minutes and maximum 20 minutes presentation.

Slides must be colorful and professional, use of pictures, charts, graphs, and other enhancements to make the presentation better are encouraged.

(No slide transition animations please) 

All presentations will be submitted into Turn it in, so please make sure that all work is of your own, no recycling past student presentations or copy-paste from the internet should be allowed and it will be considered an academic dishonesty. 

Presentations must include a Slides with the following information.

 

·       TITLE (slide 1) 

·       DESCRIPTION (Patient information) (slide 2 etc. and so on)

·       EPIDEMIOLOGY

·       ETIOLOGY

·       RISK FACTORS

·       ASSOCIATED CONDITIONS

·       HISTORY

·       PHYSICAL EXAM

·       DIFFERENTIAL DIAGNOSIS

·       TESTS

·       TREATMENT

·       PROGNOSIS

·       REFERENCES

Bell’s Palsy

Jose Camilo Tabraue
Yodany Martinez
Miami Regional College

Description
A 40-year-old male with no serious medical history approached a healthcare provider with complaints of “left facial nerve paralysis, dry eyes, and noise sensitivy” that started a week time earlier with such initial symptoms as slight left jaw pinching at opening the mouth wide that lasted for 2 days. Furthermore, the discussed patient specified that further disorder progression was evident from a mild “left eyelid twitching,” slight left lip numbness that gradually progressed into mild left facial paralysis that affected functionality of the facial muscles from the left side. Further physical examination allowed diagnosing Bell’s palsy without additional tests and imaging studies.

Epidemiology

11 to 40 persons per 1000 worldwide.

40,000 to 60,000 cases in the United States (Callen & Pray, 2019).

23 cases per 100,000 annually (Mestrovic, 2014).

More after age 40 (Patel & Levin, 2015).

More prevalent in women

Diabetics and immunocompromised.

Guillain-Barré syndrome, meningitis, Lyme disease, sarcoidosis, or bilateral neurofibromas.

Etiology and Risk Factors
Inflammation of the facial nerve followed
by compression, ischemia, and demyelination.
Idiopathic.
HSV-1
HZV
Cytomegalovirus.
Epstein-Barr virus.
Adenovirus
Rubella virus.
Mumps
Influenza B
Coxsackie

Associated Conditions

Diabetes.

Hypertension.

Lyme disease.

Myasthenia gravis.

Guillain-Barré syndrome.

Multiple sclerosis.

Sarcoidosis.

Toxic substances.

Otitis media.

Ramsay Hunt syndrome.

Herpes simplex virus

Physical Exam

Tests

CBC.

ESR.

Thyroid function studies.

Serum glucose level

Cerebrospinal fluid.

Electromyography (EMG).

Computed tomography (CT)

Magnetic resonance imaging (MRI).

Differential Diagnosis

Structural damage parotid gland.

Guillain-Barré syndrome.

Lyme disease.

Otitis media.

Ramsay Hunt syndrome.

Sarcoidosis.

Tumors.

Multiple sclerosis.

Stroke

Treatment

Eye patches, eye drops, and lubricants.

Corticosteroids (prednisolone).

Antiviral (acyclovir and valacyclovir).

Surgery.

Physical therapies (tailored facial exercises, acupuncture, massage, thermotherapy and electrical stimulation).

Prognosis

Complete recover within 6 to 18 weeks.

Neurapraxia or local nerve conduction block.

Patients with complete paralysis, reduced taste, increased salivation, increased lacrimation and “pain in the posterior auricular area” can have poor prognosis for full recovery.

Conclusion

Acute, idiopathic, cranial neuropathy associated with unilateral or bilateral facial nerve paralysis.

Etiology: uncertain, infective, immune, and ischemic mechanism.

Diagnosis: physical examination, laboratory tests and imaging studies.

Treatment: Corticosteroid, antiviral, physical therapies.

References
Angulo, M., & Babcock, E. (2015). Bell palsy. Journal of the American Academy of Pas, 28(10), 1. doi: 10.1097/01.JAA.0000470511.20862.36
Callen, E.D., & Pray, W.S. (2019). Bell’s palsy and the pharmacist. U.S. Pharmacist, 1, 26-30. Retrieved from https://bt.e-ditionsbyfry.com/publication/?i=556044#{%22issue_ id%22:556044, %22 page%22:40}
Newadkar, U.R., Chaudhari, L., Khalekar, Y.K. (2016). Facial palsy, a disorder belonging to influential neurological dynasty: Review of literature. North American Journal of Medical Sciences, 8(7), 263-267. doi: 10.4103/1947-2714.187130
Nordqvist, C. (2017, December 4). What are the causes of Bell’s palsy? MedicalNewsToday. Retrieved from https://www.medicalnewstoday.com/articles/158863.php
Patel, D.K. & Levin, K.H. (2015). Bell palsy: Clinical examination and management. Cleveland Clinic Journal of Medicine, 82(7), 419-426. doi:10.3949/ccjm.82a.14101
Somasundara, D., & Sullivan, F. (2017). Management of Bell’s palsy. Australian Prescriber, 40(3), 94– 97. doi:10.18773/austprescr.2017.030
Taylor, D.C. (2019, June 14). Bell palsy. Medscape. Retrieved fromhttps://emedicine.medscape.com /article/1146903-overview#a7