Facial Palsy (Bell's Palsy)

Acute Idiopathic Facial Palsy Information for health care professionals click on brain to return to index page Neuroland Search site Neuro Med Neuro Note Texas Dr Practice hint Relax page PubMed CNS staff CNS Dr password required Office web YSL Acute Idiopathic Facial Palsy (Bell's Palsy) Overview Acute peripheral paralysis of the face produced by a viral immune-mediated disease. Possible pathogenesis: After a primary infection, herpes simplex virus became latent in the cranial and spinal sensory ganglia. Reactivation of the virus leads to replication of virus within the ganglion cells. Virus travels up and down the axons, induces an inflammatory response. Results in segmental demyelination presented as nerve paralysis. Incidence: between 15 - 40 / 100,000 population per year No evidence of racial predilection Incidence of Bell's palsy increases with age. Sexual predilection: Age 10 - 19 years, twice as common in women Age 40, 1.5 times more common in men. Pregnant women have 3.3 times more risk than nonpregnant women in the same age group. Diabetic patients: 4.5 times more likely to develop Bell's palsy. In 10% of the patients, a positive family history of Bell's palsy is present. Clinical features Sudden onset Full extent of the paralysis is usually reached in 1 to 14 days. Early phase: retroauricular pain, facial numbness, epiphora, parageusia, decreased tearing, and hyperacusis. Physical findings: Peripheral Facial paresis Hypoesthesia or dysesthesia of cranial nerves V and IX Motor paresis of cranial nerves IX and X Papillitis of the tongue. When severe retroauricular pain is present, Ramsay Hunt syndrome has to be considered. Differential diagnosis of VII weakness Bells' palsy, usually unilateral, 10% bilateral Differential of Unilateral Facial weakness Sarcoid Lyme's disease Neoplasm or mass Otitis media Trauma: skull fracture, facial injury Differential for bilateral VII palsy Melkersson-Rosenthal syndrome Recurrent facial palsy with facial edema, Unilateral or bilateral Lingua plicata (Scrotal tongue) Mbius syndrome: Facial paresis with ophthalmoplegia Guillain-Barr Syndrome Myasthenia gravis Motor neuron disease Prognosis Complete recovery in 60 to 80% Prognostic factors: Age: younger patient has better prognosis. Incomplete paralysis tends to recover completely. If recovery begins between days 10 and 21, a satisfactory result is obtained. Presence of systemic diseases, such as diabetes, increases chance of unsatisfactory recovery. Treatment Acyclovir and prednisone produce better results than prednisone and placebo. Steroid: There is debate about the efficacy of steroids Seems to have strong support in the literature for the use of steroid. Steroids relieve pain and reduce denervation. Dosage: Prednisone is 1 mg/ kg of body weight daily for 15 days, tapering to 0 during the next 5 days. Acyclovir (Zovirax): Reduces pain and degree of denervation. Dosage: 200 mg five times per day for 10 days. Not FDA approved for this indication. Eye Care: artificial tears five times per day and to tape the eye closed during sleep. Surgical Decompression: probably not beneficial. Neuromuscular Retraining: Visual feedback (mirror feedback), using a mirror to change the motor facial pattern and to reinforce proper responses Biofeedback or surface electromyography feedback Further reading Facial paralysis - anatomy, differential - Baylor Anatomy, Clinical, Differential, bilateral Bell's - Washington Univ Voluntary control of facial nerves - Univ of Utah Facial nerve paralysis after surgery - Harvard Ocular management in complete facial paralysis - Harvard Patient information - Medicine Net Return to index page

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soaprope on Nightstar .

Soap on a Rope Select a Spot! Soap on a Rope Sore Thumbs Striptease Suburban Jungle Superosity Todd and Penguin Two Lumps Wandering Ones Winger You Damn Kid Zap! Zebra Girl Zortic *Keenspot Classic* Abby's Agency Adventurers! Akaelae Alice! Alien Dice AntiHero for Hire Banished! BoxJam's Doodle Bruno the Bandit CRFH!!! Candi Clan of the Cats Count Your Sheep Devil's Panties Down to Earth Eat the Roses El Goonish Shive Everything Jake Friendly Hostility Funny Farm GPF Gaming Guardians Geebas on Parade Gene Catlow God Mode Help Desk Inside the Box KEENTOONS L&F Investigations Landis Newshounds No Room For Magic Nukees Penny and Aggie Queen of Wands Road Waffles S.S.D.D. Sex and Violence Shin Kage Shivae Studios Sinfest Jan 26, 2006: (Scroll down and post in the ShoutBox! ) STORYLINE BROWSER! Learn to Draw! Long Trip Silver Assault on Battery Crash College Graduate From Hell!!! Infirneau Hospital-ity Into Thin Hair Larry, Moe and Hemp Third Washroom Along Ready, Aim, Fired The Sexiest? Man Alive! Gothamorrah Volkswagenless Golf Camping Tonight on the Old Tentground Moving Day Gentlemen's Club Women and Beer Nun but the Brave Catatonic The Generation X-Men King of the World, Ma Hannah Barbera The Gadget Truth, Justice, and the Amway Spam and the Can The Melonhead Mauler TERWJCBCHPSFOD Lost at Sea++ The Perils of Max Slacker I Got Brainwiped, Babe There Is No Cabal Fred's Two Feet/Witless Scipio The Annie Look Circe's Laboratory Arms Merchant-Ivory Chest Eatwell The Appalachian Trial Mystery Jesus Theater Nos. 12 and 35 Steve! You won't believe this! A Long Afternoon for the Kids Catatonic 2: Judgement Day/Being Tiffany Bang la Desh Slowly Bunsen Burner Overdrive Contusions Can Be Fun The X-Men in the Gray Flannel Suits Here's to Another Crappy Millennium You Tell 'Em, Ferret Face REDRUM Dairy of a Madman Greasy Sliders The King Biscuit Flashback Hour Bikini Able Married to the Steve Witless II The Grisham Title The Dessert Planet A Piece of the Accton Blue Gender Apocalypse Meow Baby Got Back in the USSR Jive, Turkey, Jive On Your Mystery Meat Do Androids Dream of Electrolux? Upshot-Knothead A Silliness at Appomattox Hitler on the Roof Reality Blows The Generation Old-Men The Doofus Affair The Watery Part of the World The Jello-y Part of the World You Da Man Title Missing Bavarians At The Gate The Tracks of My Beers Our Boring House Battle Beyond the Network Stars In A Groove The Loneliness of the Long Distance Wiener I Will Fart No More Forever An Affair to Dismember Girls Gone Mild Magnificent Desecration Uncool Tournament 2003 Infant Aside Packin' Woods Maximum Maxdrive Married to the Basement Mr. Bigsomethingorother The Book of Job and Shove It Hot Fresh Delicious The League of Extraordinary Women Voters In Your Dreams, Pal The International Toilets of the World Rocket Men Non-Military Strongman Disguise In Love With You First Contact of the Third Kind Hose Annie In The Highest It's a Mad Mad Mad Mad Max Weekends Are For the Weak So Mice They Named it Twice Auto Erotic Asphyxiation Could Use a Chin Strap Rock the Shazbaz Four and Twenty Stoners Baked in a Pie Hobo Humpin' Slobo Milosevic Toupee and Pay Again Monster AfterMASH The Savage Shower Curtain This Is Panick Attac Stu's Throatwarbler Mangrove Queen Latifah's Revenge Dorkness at Noon We Got Brainwiped, Babe Porn on the Fourth of July Electile Dysfunction Back to the Whatever Max Goes to the Mayor The SOAR ShoutBox. Post! Recent SOAR strips: DEC January 2006 1 2 3 4 5 6 7 W 8 9 10 11 12 13 14 W 15 16 17 18 19 20 21 W 22 23 24 25 26 27 28 W 29 30 31 1 2 3 4 W 5 6 7 8 9 10 11 W WEEK Who's the most annoying? TheHumans TheAliens TheCartoonist CurrentResults Get SOAR by email! It ain't gonna kill you. And even if it does ...hey, no skin off my nose! Or send me an instant message . I'm available just about everywhere, so you people really have no excuse for ignoring me: My AOL Instant Messenger ID is bobroberds . My Yahoo Messenger ID is bobroberds . My Jabber ID is bobroberds . My MSN Messenger ID is . My ICQ number is 161363470 . And there's the IRC channel #soaprope on Nightstar . So get the lead out and drop me a line already! August 14 2005: The Forum is working again, so you guys can not post there to your hearts' content! August 5 2005: Enjoy the flashback encore rerun presentation. The gang returns Thursday, August 11. BE THERE. Aloha. November 26 2004: Sneak preview of animated fun to come: Insignificant! June 5 2004: BoxJam's Doodle is BACK! For the time being he's updating once a week. Sure, that may not SOUND like much, but if you think about it, it's still about 100 times more often than you have sex. Privacy Policy

Foot Scrub Recipe Get

Holiday Cooling Foot Scrub Recipe ADVERTISEMENT - Remove ads with Recipezaar Premium You are Here: Home > Holiday Cooling Foot Scrub Recipe Get our free newsletter Eater's Digest : | Sign in Home Recipes My Stuff Community Tools Marketplace Help Search: All Recipes Only My Cookbook by Ingredient by Recipe ID # Kitchen Dictionary Member Names for advanced... Organize your recipes online Recipezaar Premium only $24.95 — Take the Tour recipe by Rita L my other recipes e-mail me Rate/Review This Print customize options Font: Times Arial Text Size: Small Medium Large Include: Nutritional Facts Reviews Photo Above options require Premium Membership . Use "Print" link above for normal printing . Save to My Cookbook Tip: Use the "Save" link to keep track of recipes you are planning to make. Shopping List with these ingredients Schedule on my meal plan E-mail This More Like This? United States Simple No Cook Winter Food Gifts Bath/Beauty What to Serve With This Recipe? Find: Appetizer Beverage Soup Salad Main Dish Vegetable Side Dish Pasta Side Dish Rice Side Dish Potato Side Dish Dessert ADVERTISEMENT Remove ads with Recipezaar Premium Your Ad Here Holiday Cooling Foot Scrub Recipe #148975 This is scented with pepperminy to cool your hot tired feet and scented with Balsam Fir needle oil for that Holiday touch! Great for after a day of Holiday Shopping! Use 100 percent essential oils. 32 ounces sweet almond oil or jojoba oil 32-40 drops peppermint oil 32-40 drops balsam fir needle pine oil 2 lbs coarse salt 88ounce jars Change size or US/metric Change to: 8ounce jars US Metric 15 minutes 15 mins prep ADVERTISEMENT - Remove ads with Recipezaar Premium Fill 8-8 ounce jars with salt top with oil and 4-6 drops of each oil in each jar. Using a knife to cut through the salt so the oil goes throughtout. Question? Ask the Chef or Ask the Community Find error or typo? Rate & Review This Recipe Discuss the taste, how difficult it was to make, any adaptations you made or menu suggestions.If you did not like it, please explain why or provide constructive criticism. Do not post questions here — ask questions here high low No Rating (just comments) Recipe posted: Dec 21, 2005 Larger Version | Add your photo 2 Photos Other Recipes with Photos photo by Rita L my other photos | e-mail me My Notes ONLY YOU see your private notes, and they print with the recipe. Nutrition Facts Calculated for 1 8ounce jars (226g) Recipe makes 8 8ounce jars Nutrition Facts for some measurements or ingredients are not included in data below: peppermint oil pine oil Calories 1002 Calories from Fat 1020 (101%) Amount Per Serving %DV Total Fat 113.4g 174% Saturated Fat 9.3g 46% Polyunsat. Fat 19.7g Monounsat. Fat 79.3g Cholesterol 0mg 0% Sodium 43990mg 1832% Potassium 9mg 0% Total Carbohydrate 0.0g 0% Dietary Fiber 0.0g 0% Protein 0.0g 0% Vitamin A 0mcg 0% Vitamin B 6 0.0mg 0% Vitamin B 12 0.0mcg 0% Vitamin C 0mg 0% Vitamin E 44mcg 148% Calcium 27mg 2% Magnesium 1mg 0% Iron 0mg 2% detailed view... | how is this calculated? ADVERTISEMENT Remove ads with Recipezaar Premium ADVERTISEMENT - Remove ads with Recipezaar Premium Back to Top | E-mail this Page You are Here: Home > Holiday Cooling Foot Scrub Recipe Your Account My Stuff My Cookbook My Shopping List Edit My Profile Premium Membership Logout Recipes Browse Categories Browse Cookbooks Search Request a Recipe Post Your Recipe Recipes A-Z Explore Community Forums Marketplace Site News A Random Recipe Recent Searches Help F.A.Q. Support Forum Cooking Q & A Forum Kitchen Dictionary Measurements Convertor Contact Us Fine Print Terms of Service Privacy Policy About Us Jobs Add Recipes to Your Site Advertise Here © 1999-2006 Recipezaar 10.0.0.5 Page generated in 0.23 seconds 0.00,0.00,0.00,0.00,0.00,0.01,0.00,0.02,0.00,0.19,

acne cream. Conceal it:

Skincare guide to deal with spots and blemishes Banish the blemish Don't panic! Little skin flare-ups can be prevented, cured and concealed following this easy-to-follow advice for a variety of common pimple problems. There's lots of good over-the-counter help and other safe solutions to try. Consult our guide for the best ways to keep your complexion clean and clear. Whitehead Blackhead Red/inflamed blemish Erupting spot Small spot Feel-it-coming blemish Whitehead Cure it: Whiteheads are closed comedones (the official word for blackheads) and should be extracted only by an experienced beautician or dermatologist. If you try it yourself, you may risk infection, making the situation worse and even causing scarring. As an alternative, try applying a gel or cream containing salicylic acid, which may help you to unplug the pores. Conceal it: Using a cotton bud or small, pointed concealer brush, apply a dot of thick concealer to the centre of the blemish, then lightly spread it to cover. Brush over with translucent powder. Prevent it: Regular facials can help prevent whiteheads because they will keep your pores clean. Dermatologists often prescribe a topical drug, either antibiotic creams or retinoids (like Retinova, Retin-A or Differin) to prevent whiteheads. You may also keep them at bay by washing with a mild cleanser that contains benzoyl peroxide or salicylic and glycolic acids. Blackhead Cure it: You may try using Pond's or Bioré Pore Strips to lift some blackheads. If you attempt to extract them yourself, be really careful. First, apply a hot (but not too hot) compress to soften the pores. With a tissue around your two fingers, gently squeeze the pore. If the oil plug isn't released, stop squeezing. Never squeeze facial skin hard enough to leave an imprint. Conceal it: Use a liquid spot-touch concealer. Dot the concealer on the area and blend with your fingers. If your skin is shiny, dust the area with powder. Prevent it: It's almost impossible to prevent blackheads. Once a week, steam your face to soften the oils that clog the pores and cleanse skin deep down using a mask. Use products that include salicylic or glycolic acids to keep pores clean. You might want to consider getting a facial every month to deep-clean pores. What's on next page? Red/inflamed blemish Cure it: Squeezing is a definite no-no. You can apply a good, topical benzoyl peroxide from Oxy or Neutrogena. A clay mask or drying lotion will also help draw out any impurities. Conceal it: It's difficult to cover an inflamed blemish, so you need a concealer that stays put. Dermablend is a good one to try because it has a thick consistency and is packed with pigment so it covers well. Always start with the smallest amount of concealer, and then build. Dab the concealer to the blemish with a small concealer brush or cotton bud, then gently cover. Clean the brush well after use to avoid re-infection. Prevent it: If red and inflamed pimples plague you it's time to see a dermatologist for a course of oral and topical treatments to prevent the condition. Once your acne is under control you can often prevent recurrences using over-the-counter products containing benzoyl peroxide, salicylic or glycolic acids. But a doctor can help you get to that point. Erupting spot Cure it: Cystic acne has the potential to leave deep scars and should never be squeezed. If it's an open pimple, apply an acne drying gel or lotion and let it run its course. If you have frequent outbreaks, visit a dermatologist for appropriate treatment. Conceal it: Sorry, you must not touch an erupting spot. Keep it clean with an astringent, but leave it alone until it dries out. If it is dry, apply a dab of a heavy concealer to the blemish with a cotton bud or a small acrylic-tipped brush. Prevent it: An occasional eruption can't be avoided. Dermatologists advise you to let it drain, keeping it covered with a benzoyl peroxide cream (or antibiotic like Neosporin). Never, never squeeze it. It will not make it go away or prevent future outbreaks. If you squeeze you are likely to break the swollen pore under the skin, causing a worse eruption. If they are common occurrences for you, you may have cystic acne; so make an appointment with a doctor. A dermatologist can prescribe antibiotics or give you other ways in which to control it. What's on next page? Small spot Cure it: Don't touch it. Wash the area gently and try a homeopathic acne cream. Conceal it: Cover the blemish with a dab of liquid foundation using a small concealer brush. Brush lightly with translucent powder to hold. Prevent it: It's bound to happen once in a while no matter what you do. Keep your skin clean and use non-comedogenic moisturisers and sunscreen (this means that they are tested to ensure they will not clog the pores). Make sure all your make-up is oil-free. Wash make-up brushes frequently and keep your hands away from your face. Feel-it-coming blemish Cure it: Ask your GP if an over-the-counter anti-inflammatory drug might help ease the swelling. Sometimes applying ice to the area, whenever you feel like touching it, helps. Other than that, keep your hands off. Conceal it: Cover with a lightweight concealer cream or liquid foundation. Dab the cream on the area, and blend with finger. Prevent it: Use cleansers and moisturisers designed to prevent acne. And always remember to keep your hands away from your face. If what you feel coming is a large deep blemish that occurs frequently, it's time to see a dermatologist. These kinds of pimples can leave a scar. A dermatologist will recommend drugs that keep infections that cause acne from happening.