Some complications of dysphagia
Aspiration Pneumonia
Pocketing of food in mouth
Dehydration
Malnutrition
Wet, gurgly voice
Airway obstruction
Increased congestion
Sitophobia is
pain on swallowing
fear of eating
fear of aspiration
fear of food becoming stuck
The swallow interrupts the _____________ phase of respiration
inpiratory
expiratory
As bolus viscosity increases.....
Pressure of oral tongue decreases
pressure of tongue base increases
pressure of oral tongue increases
pressure of pharyngeal wall decreases
decreased muscle activity
pressure of pharyngeal wall increases
An oral motor exam looks at
Range of motion
Size
Rate
Strength
Coordination
Types of impaired epiglottis function
Rigid or absent epiglottic movement
Complete inversion of epiglottis
Omega shaped epiglottis
Incomplete lowering of epiglottis
prolonged inversion of epiglottis
base of tongue approximation to epiglottis
No epiglottis
Screening defines anatomy or physiology of oropharynx
Recurrent pneumonia is a warning sign of dysphagia
The food substance dictates how you swallow
It is not important to differentiate between symptoms and anatomic dysfunctions
Parts of the bedside exam
Preparatory exam
Initial swallow evaluation
Modified Barium swallow
FEES Exam
Items used in a swallowing exam
tongue depressor
gauze
band-aid
spoon
stethoscope
size 0 or 00 Laryngeal mirror
cookie
cotton tip swab
syringe
Barium
