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27 Cards in this Set
- Front
- Back
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pt. with solid food dysphagia, lab studies normal what is best test to order
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barium swallow
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pt. with stroke, placed on tube due to pneuomia, what is the best test to perform
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video fluoroscopy
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how long does it take for food to travel from mouth to stomach
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9 seconds
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CN involved in oral phase of swallowing
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CN V, VII, XII
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three phases of swallowing
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oral phase (bolus formation)
pharyngeal phase (larynx rises and is closed off, bolus passes through UES) esophageal phase (bolus passes through esophagus and LES) |
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CN involved in pharyngeal phase of swallowing
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CN V, X, XI, and XII
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two categories of dysphagia
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oropharyngeal dysphagia
esophageal dysphagia |
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how does a stroke cause dysphagia
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affects swallowing center in brainstem
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how does myasthenia gravis cause dysphagia
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bulbar muscle weakness (swallowing muscles)
atrophy of the tongue |
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how does parkinsons disease cause dysphagia
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tremor of the tongue
dysfunction of pharyngeal phase |
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how does multiple sclerosis cause dysphagia
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bulbar involvement (swallowing center)
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how does idiopathic upper esophageal sphincter dysfunction cause dysphagia
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muscle can't function in synchrony with other swallowing mechanisms
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where do zenker diverticulum occur
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posterior pharyngeal wall above the UES
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gurgle on palpation (Boyce's sign)
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zenkers diverticulum
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dysphagia aortica
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external compression of the esophagus from an aortic aneurism
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pulsatile movement on barium swallow causing partial esophageal obstruction
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dysphagia aortica
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band-like pulsatile compressions seen on endoscopy
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dysphagia aortica
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medication that can cause esophageal injury
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alendronate (osteoporosis medication)
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effect of alendronate on swallowing
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impaired motility and exacerbated GERD
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cause of liquid and solid food dysphagia
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motor disorder
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cause of only solid food dysphagia
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structural disorder
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sx of oropharyngeal dysphagia
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"food gets stuck"
nasal regurgitation |
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sx of esophageal dysphagia
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pt. localize pain to sternum
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pt presents with solid food dysphagia and hx of heartburn
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peptic stricture
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most common sx of dysphagia
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choking
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usually the best first test for dysphagia
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endoscopy
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drugs that can treat dysphagia
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ACE- inhibitors
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