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Mr Kipling is a 32 year old bus driver who has booked an emergency appointment to see a doctor as he thinks ‘half his face is paralysed’. Mr Kipling explained that after getting home from work last night he thought his face looked a bit odd but ignored it, as it wasn’t significant and he was well in himself. He has since noticed he cannot fully close his left eye and noticed the left side of his mouth is drooping. Mr Kipling has recurrent episodes of Herpes Simplex Virus (last episode two months ago), but otherwise he is fit and well. He is a non-smoker and does not drink alcohol or take recreational drugs. On examination, there is a facial droop on the left side with weakness of the left sided facial muscles. You attempt but are unable to completely close Mr Kipling’s left eye.

What is the most appropriate management?

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