Facial Nerve Palsy

Palsy of the facial nerve (VII), aka Bell’s Palsy, named after Charles Bell (19th Century Scottish Surgeon). Epidemiology and Aetiology Incidence: 30 per 100 000 per year Accounts for 80% of cases facial nerve paralysis....

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Facial Pain

Sinusitis Clinical features Dull constant aching pain over the maxillary sinus Tenderness over underlying skin Postnasal drip Ethmoid/sphenoid a pain felt deep in the midline at the root of the nose Pain is worse...

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Faecal Incontinence

Introduction Occurs in 15% aged >65Y, increasing incidence with age in men only. Causes include: Sphincter weakness (following childbirth/surgery); Anal/rectal pathology e.g. fistulae, Crohn’s, proctitis; Neurological disease (chorda equine, pudendal nerve); Dementia and unconsciousness; Diarrhoea...

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Falls

Introduction Falls are an incredibly common presentation. You will see them as GP referrals, A+E presentations, and countless times on the ward. Exactly how you examine and manage the patient will depend on the...

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Fear Disordes – Panic, Phobia and PTSD

Introduction It is often hard to distinguish what is ‘normal’ fear, and what classifies as a psychiatric diagnosis. In practice, often these patients have symptoms of anxiety and fear, and diagnosis from GAD may...

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Febrile Convulsion

Introduction A seizure is a neurological event where there is a synchronous discharge of many neurons. Each individual has a ‘threshold’ at which their neurons will begin to do this. It is thought that...

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Febrile Neutropenia

Introduction Definition: Febrile neutropenia is the presence of a fever > 38oC and with an absolute neutrophil count of <1.0×109/L [1] Note that in many hospital policies, patients may be considered to have febrile neutropenia if...

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Fibroids

Introduction Fibroids are also known as leiomyomata. They are benign tumours of the myometrium and are very common, apparently in 1 in 25 women! Risk factors include a family history, Afro-Caribbean ethnicity and women...

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Fibromyalgia

Introudction Fibromyalgia is a non-specific muscular disorder of unknown origin. It primarily affects insertions of tendons and associated soft tissues and presents with dull aching pains. It is much more common in women. Epidemiology...

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Fifth Disease

Introudction Fifth Disease – so called as it was the fifth of the six common childhood skin rashes when it was first classified back in the 18th and 19th centuries. Formally known as Erythema Infectiosum and also colloquially called...

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