Swallowing Disorders (Chart PPT)

Question 1

Can’t hold food in mouth

Answer 1

ORAL
CS- Oral spillage
FR- Oral spillage
DO- decreased lip closure/strength

Question 2

Can’t chew with mouth closed

Answer 2

ORAL
CS- Open mastication
FR- Open mastication
DO- Mouth breather/ nasal insufficiency

Question 3

Can’t chew (avoids food types)

Answer 3

ORAL
CS- Bolus stays on tongue; falls into sulci
FR- Bolus stays on tongue; falls into sulci
DO- Tongue immobility/ decreased strength; decreased buccal/labial tension/strength

Question 4

Material goes all over mouth

Answer 4

ORAL
CS- Bolus spreads in oral cavity
FR- Loss of bolus control (A-P view)
DO- decreased tongue coordination/mvmt/strength; decreased oral sensation

Question 5

Can’t “line up” teeth

Answer 5

ORAL
CS- Mandible doesn’t align
FR- Mandible doesn’t align (A-P view)
DO- Inability to align dentition

Question 6

Coughs, chokes BEFORE swallow

Answer 6

ORAL
CS- Coughing, choking BEFORE swallow
FR- Pre-spillage into valleculae or airway
DO- Decreased tongue coordination/strengthen to hold

Question 7

Slow eating (FR-tongue pumping)

Answer 7

ORAL
CS- delayed oral transit
FR- delayed oral transit/tongue pumping/rolling
DO- swallow apraxia (incoordination)

Question 8

Slow eating (FR-mid tongue residues)

Answer 8

ORAL
CS- delayed oral transit
FR- delayed oral transit; mid-tongue residues
DO- decreased tongue coordination/strength; scarring

Question 9

Slow eating, worse with solids

Answer 9

ORAL
CS- delayed oral transit
FR- delayed oral transit; decreased tongue elevation; hard palate residues
DO- decreased tongue movement

Question 10

Food sticks on top of mouth

Answer 10

ORAL
CS-residues on hard palate
FR- residues on hard palate
DO- decreased tongue elevation/strength

Question 11

Food & drink comes out of nose

Answer 11

ORAL
CS-Early nasal regurgitation
FR-Nasal regurgitation before swallow is complete
DO-Decreased VP closure

Question 12

Catches in lower throat; pain in lower throat

Answer 12

ESOPHAGEAL
CS-Points to lower throat
FR- Prominent CP; CP bar
DO- CP dysfunction

Question 13

Catches in upper chest; pain in upper chest

Answer 13

ESOPHAGEAL
CS-points to upper chest; “beats” upper chest during/after swallow
FR-Esophageal residues; prominent LES
DO-Decreased esophageal peristalsis; LES dysfunction

Question 14

Food comes back up; cough/chokes (FR-pocketing)

Answer 14

ESOPHAGEAL
CS-Regurgitation; cough/chokes AFTER swallow
FR-esophageal retention/pocketing; backflow
DO-Esophageal diverticulum; Zenker’s diverticulum

Question 15

Food comes back up; cough/chokes (FR-aspiration)

Answer 15

ESOPHAGEAL
CS-Regurgitation; cough/chokes AFTER swallow
FR-Aspiration AFTER swallow
DO-Esophageal obstruction; reflux

Question 16

Cough/chokes (laryngectomy with TEP); material leaks out of stoma

Answer 16

ESOPHAGEAL
CS-cough/chokes after swallow/stoma leaks
FR-esophagus > trachea leakage; stoma leakage
DO-TEP fistula; misfit