A 36-year-old woman comes to the emergency department due to l | Surgery collections Videos and quizez 2021

A 36-year-old woman comes to the emergency department due to left-sided facial droop. The patient woke up 4 hours ago and noticed that the left side of her face was sagging and that she was drooling from a corner of the mouth. She has had no facial numbness but has noticed an increased sensitivity to noise. The patient has a history of migraines, seasonal allergies, and gestational diabetes. Temperature is 36.5 C (97. 7 F), blood pressure is 120/70 mm Hg, and pulse is 78/min. BMI is 32 kg/m2. The face appears asymmetric with loss of the left nasolabial fold. When the patient is asked to smile, the left side of her face does not move. She is unable to raise her left eyebrow or completely close her left eye. Facial sensation to touch and pain is normal bilaterally. There are no skin or mucous membrane lesions.