Assignment Task: A 65-year-old male presents to the neurology clinic.
CC- " My head hurts and my face seems to droop "
You examine him- frontal headache with some right facial palsy. You notice an enlarging circular lesion on his thigh ( 5cm in diameter) that came about 8 days later.
PE- pain from his headache- on scale a 7 as noted; photophobic, nuchal rigidity and facial palsy.
Question 1: what nerve will cause the palsy and why?
Question 2: what question would you ask after noticing the lesion?
Question 3: what do you think the diagnosis would be?