Welcome to episode 543 of the divine intervention podcasts in this

podcast I'm gonna call this the facial muscle weakness podcast

facial muscle weakness podcast. This is gonna be a pretty short podcast but it's actually

pretty high yield for step one, step two, and step three, and obviously complex level one, two, and three.

So what if they give you a question about the 35-year-old male and he tells you that man since he woke up this morning he has been

having trouble closing his right eye and whenever he tries to see notice that

notices that when he smiles his feels looks weird that he has never had his face look like that before

What should you be thinking about? I would really hope you're seeing this guy probably has bells pausing

That guy probably has bells pausing but not that I've kind of given you the vignette, let's go into some little things here and there that are very important for the exams.

This should be one of my shorter podcasts, but the thing is on your exams when you see

facial muscle weakness we should think of two things you should think of either

bell's palsy or should think of some kind of stroke bell's palsy or some kind of stroke. Bell spousie or some kind of stroke and the stroke that will usually cause it is it

depends it depends. In fact let me maybe give a more refined cause of facial muscle weakness. You can get facial muscle weakness because

you have upper motor neuron problems or you can get facial muscle weakness because you have

lower motor neuron problems. And the classic thing many

people learn as they study for their exams is that, oh, if you have an upper motor neuron

cause of facial muscle weakness, it's going to be the contralateral lower face that is weak and that's it and that's accurate

But if you have a low-modo-neuron facial muscle weakness

You're going to get that from, you're going to get

uh, ipse lateral, upper, lower, and lower facial weakness. You can get

epsilateral, upper, and lower facial weakness. So, it's gonna tease, and that's right as well. That's kind of tease apart like why is that the case?

I think to understand that it is really helpful. It's really helpful to understand how your

...