A client with trigeminal neuralgia usually complains of excruciating pain. Which of the following activities may trigger an acute pain attack? Select all that may apply
A) Brushing the teeth with lukewarm water
B) Working in the office that has an air duct located directly overhead
C) One's significant other lightly stroking their face
D) Applying lipstick
E) Walking outside on a windy day
Ans: B, C, E
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Trigeminal neuralgia is manifested by facial tics or spasms and characterized by paroxysmal attacks of stabbing pain that usually are limited to the unilateral sensory distribution of one or more branches of the trigeminal cranial nerve (CN V). Although intermittent, the pain often is excruciating and may be triggered by light touch, movement, drafts (like an air duct overhead), and eating. Brushing ones teeth and applying lipstick should not increase the pain.
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