Q. A 35-year-old man complains of inability to close his right - TopicsExpress

Q. A 35-year-old man complains of inability to close his right eye. Examination shows facial nerve weakness of the upper and lower halves of the face. T here are no other cranial nerve abnormalities, and the rest of the neurological examination is normal. T he patient is afebrile. Examinations of the heart, chest, abdomen, and skin show no additional abnormalities. T here is no lymphadenopathy. About 1 month ago the patient was seen by a dermatologist for a bull’s-eye skin rash 2 weeks after returning from a camping trip in upstate New York. Which of the following is the most likely diagnosis? A. Sarcoidosis B. Idiopathic Bell palsy C. Lyme disease D. Syphilis E. Lacunar infarct

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