Lecture 3: Evaluation of Swallowing

Question 1

What are some symptoms of valleculae hesitation or pooling? (Base of tongue/epiglottic area)

Answer 1

Pt says something is stuck high in the throat

Question 2

What are some symptoms of pyriforms pooling? (just below larynx)

Answer 2

Pt says something is stuck in the middle of the throat

Question 3

What are some symptoms of UES dysfunction? (2)

Answer 3

• pain in upper chests of inches below larynx

- pt says something is stuck lower in throat or high in chest

Question 4

What are some symptoms of aspiration? (3)

Answer 4

• coughing
• choking
• 50% aspirate without cough (silent)

Question 5

What does a bedside clinical exam provide? (8)

Answer 5

1. medical dx, hx, pt’s perception
2. Pt’s medical status
3. Pt’s oral anatomy
4. Pt’s respiratory function
5. Control/fxn: labial, lingual, palatal, pharyngeal, laryngeal
6. Cognitive status: comprehension and awareness
7. Sensory: taste, temperature, texture
8. S/s during swallowing attempts

Question 6

What materials do you need for a bedside evaluation? (11)

Answer 6

1. laryngeal mirror
2. tongue blades
3. cup
4. spoon
5. straw
6. syringe
7. towel/drape clothe
8. gloves
9. gown
10. eyewear
11. stethoscope

Question 7

What do you do to prep a chart review?

Answer 7

1. Respiratory statuse
2. Dysphagia hx
3. Hx of pneumonia
4. Nutritional status
5. Medications

Question 8

What do you look at in the physical exam?

Answer 8

1. Posture

2. Oral exam