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Mr. Budi, based on the completed tele-examination, my diagnostic conclusion is an idiopathic peripheral seventh nerve palsy. The clinical findings are consistent with a classic lower motor neuron (LMN) pattern, which involves the entire hemiface. This LMN presentation is the critical differentiator that effectively rules out a central etiology, such as a cerebrovascular accident (CVA) or another intracranial lesion, which would typically present with forehead sparing. The standard of care, supported by clinical guidelines, is the prompt initiation of a short course of high-dose oral glucocorticoids to manage the inflammation of the nerve

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Map: The Telemedicine Dilemma (1084)
Node: 20473
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