Items in AFP with MESH term: Evidence-Based Medicine

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Physical Training for Patients with Asthma - Cochrane for Clinicians


Screening for Hepatocellular Carcinoma in Patients with Hepatitis C Virus Infection - FPIN's Clinical Inquiries


Dietary Fat Modification and the Risk of Future Cardiovascular Events and Mortality - Cochrane for Clinicians


Cardiovascular Risk of Combined Oral Contraceptive Use - FPIN's Clinical Inquiries


Should the Target A1C Level Be Less Than 7 Percent? Yes: This Should Be the Target for Most Patients - Editorials


Interventions for Lower-Extremity Lymphedema - FPIN's Clinical Inquiries


Pharmacologic Therapy for Eustachian Tube Dysfunction - FPIN's Clinical Inquiries


Behavioral Counseling Interventions to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults - Putting Prevention into Practice


Minocycline for Acne Vulgaris - Cochrane for Clinicians


Common Questions About Bell Palsy - Article

ABSTRACT: Bell palsy is an acute affliction of the facial nerve, resulting in sudden paralysis or weakness of the muscles on one side of the face. Testing patients with unilateral facial paralysis for diabetes mellitus or Lyme disease is not routinely recommended. Patients with Lyme disease typically present with additional manifestations, such as arthritis, rash, or facial swelling. Diabetes may be a comorbidity of Bell palsy, but testing is not needed in the absence of other indications, such as hypertension. In patients with atypical symptoms, magnetic resonance imaging with contrast enhancement can be used to rule out cranial mass effect and to add prognostic value. Steroids improve resolution of symptoms in patients with Bell palsy and remain the preferred treatment. Antiviral agents have a limited role, and may improve outcomes when combined with steroids in patients with severe symptoms. When facial paralysis is prolonged, surgery may be indicated to prevent ocular desiccation secondary to incomplete eyelid closure. Facial nerve decompression is rarely indicated or performed. Physical therapy modalities, including electrostimulation, exercise, and massage, are neither beneficial nor harmful.


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