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Bell's Palsy Acoustic Neuroma Stroke Sarcoidosis Diabetes Mellitus

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A 65-year-old male is admitted with a left sided facial droop.

He states that her noticed it when he


woke up this morning. He has no past medical history and takes no regular medicines. On examination
he has a left sided facial droop which spares the forehead muscles.

Blood tests are as follows:

Hb 145 g/l Na+ 136 mmol/l

Platelets 489 * 109/l K+ 3.9 mmol/l

WBC 9.2 * 109/l Urea 6.2 mmol/l

Neuts 6.4 * 109/l Creatinine 42 µmol/l

Lymphs 2.2 * 109/l CRP 10 mg/l

Glucose 11.5 mmol/l

What is the most likely cause?

Bell's palsy

Acoustic neuroma

Stroke

Sarcoidosis

Diabetes mellitus

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