Clinical Swallow assessment Flashcards
1
Q
Clinical swallow assessment components
A
- signs and symptoms of dysphagia
- suspected etiology
- cranial nerves originating in/near lesion
- muscle groups impaired in motor and/or sensory function
- contextual factors
- recommendations
2
Q
Manometry
A
A thin catheter that measures pressure of swallow and of esophageal muscles
3
Q
scintography
A
Tracks bolus and its residue throughout swallow
4
Q
FEES Benefits
A
- live video of swallow
- bedside
- view of pharyns and mucosa
- no radiation exposure or barium
- sensory testing can be done
5
Q
FEES limitations
A
- inserted through nose- can be irritating
- no visualization of oral or esophageal phases
- white out during pharyngeal swallow
6
Q
Clinical swallow assessment limitations
A
- Can’t assess larn or pharynx
- can’t determine if penetration or aspiration occur
- can’t define larygeal or esophageal pathology
7
Q
Best single predictor for aspiration pnemonia
A
dependency during feeding
