Facial Droop and Weakness in a 69-year-old Woman

Patient has avoided medical consult despite left arm pain and weakness because she did not note any alarming facial change.


A 69-year-old woman is seen in the ED for L-side arm pain, persistent weakness of 1 month’s duration; describes poor balance, confusion, heightened emotion. Denies tingling , facial droop. PMH: HTN, depression. Social HX: tobacco use; recent death of family member. Video interview sheds light.


What's your diagnosis?

A. Cerebral vascular accident (CVA)
B. Mass lesion
C. Infection (mastoiditis)
D. Anxiety
E. Bell's palsy
F. Depression with conversion disorder
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