In assessing a patient with suspected Bell's palsy, what clinical manifestations might be present?
a. Inability to wrinkle forehead and pucker lips
b. Inability to touch nose with finger with eyes closed
c. Symmetric facial expressions
d. Excruciating lightninglike shock in lips
A
Unilateral weakness of the facial muscles usually occurs, resulting in a flaccidity of the affected side of the face with inability to wrinkle the forehead, close the eyelid, pucker the lips, smile, frown, whistle, or retract the mouth on that side. The face appears asymmetric.
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