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Dysphagia Exam 1 > Deck 6/7 > Flashcards

Flashcards in Deck 6/7 Deck (21)
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1

examples of non-imaging techniques

-EMG
-EGG
-cervical auscultuation
-bedside swallow eval

2

examples of imaging techniques

-videofluoroscopy/MBS
-FEES (fiberoptic endoscopic evaluation of swallowing)
-scintigraphy

3

what is a cervical auscultation

utilizes the sound of swallowing by placing a microphone or stethoscope to the neck area

4

what do you listen for in a cervical auscultation?

listen for the "click" of the opening of the eustacian tube & clunk associated with CP opening for timing of the swallow

5

bedside swallow provides info on...

-oral anatomy
-respiratory functions and its relationship to swallow
-labial control
-lingual control
-palatal function
-pharyngeal wall contraction*
-laryngeal control
-general ability to follow directions
-reactions/symptoms during attempts to swallow

6

diagnoses at risk for dysphagia

-neurological events/accidents
-neurological diseases
-H&N cancer

7

in a bedside swallow eval, we are looking for medical, oral, pharyngeal, and esophageal ___ ____

red flags

8

name some medical red flags

-diagnosis
-signs/symptoms
-weight loss
-age

9

oral red flags

-leakage of material out of mouth
-pocketing
-drooling
-labial/lingual weakness

10

pharyngeal red flags

-coughing
-throat clearing
-wet/gurgly voice quality
-drop in O2 sats

11

esophageal red flags

-globus sensation
-belching
-heartburn
-coughing AFTER eating/drinking

12

what does FEES stand for

fiberoptic endoscopic evaluation of swallowing

13

what are pros and cons of a FEES

-no radiation exposure
-portability
-flexibility with regards to positioning
-time/length of exam
CONS:
-does not view the oral stage of swallowing
-"white out period"
-invasive
-aspiration during the swallow can only be inferred b/c of white out period

14

what is the white out period?

when the moment of the actual swallow is not viewed due to the pharynx closing around the endoscopic tube & blocking the image

15

when considering where to stand for an MBS, remember the 3 radiation safety guidelines

-barrier- lead apron and thyroid wrap, lead glove
-distance- stand away from direction of radiation
-time- dosimeters (measures amount of radiation (RADs) we get)

16

MBS pros and cons

PROS:
-can be video taped
-variety of consistencies used
-can see all phases of swallow
CONS:
-small amount of radiation

17

barium sulfate is cleared from the lungs within ___ hours if aspirated

72

18

what consistencies does barium come in

-powder to mix with water for various textures
-liquid
-cookie
-tablets

19

consistencies to look at in MBS

-thin/thick liquid
-pureed
-wet soft
-dry soft (bread)
-meat
-dry crumbly (cracker)
-tablet

20

Pain with swallowing

Odynophagia

21

Fear of swallowing

Phagophobia