Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
40 Cards in this Set
- Front
- Back
|
what is dysphagia?
|
difficulty swallowing
|
|
|
what is acalasia?
|
disorder where the esophogus is unable to get food into the stomach
|
|
|
neurons in what plexus control peristalsis?
|
myenteric
|
|
|
what cranial nerves are involved in oral phase of swallowing?
|
5,7,and 12
|
|
|
what are the steps to the oral phase of swallowing?
|
1. the tongue pumps the bollus backwards
2. bollus passes the tonsilar pillars to enter the orpharnyx. |
|
|
what are the 3 phases of swallowing?
|
oral
paryngeal esophogeal |
|
|
what cranial nerves are involved in pharngeal phase of swallowing?
|
5,10,11,12
|
|
|
what are the steps to the pharyngeal phase of swallowing?
|
1. the larynx rises and vocal cords close
2. the epiglottis protects the airway 3. bolus passes the UES 4. passes down |
|
|
what are the steps to the esophogeal phase of swallowing?
|
1. passes through the pharyngoesophogeal sphincted (PES) to enter the esophogus.
2. persitatic motion propels the bolus to the stomach. passes thorugh the LES |
|
|
what is presbyphagia?
|
change in swallow in a normal healthy adult
|
|
|
does secondary peristasis change with age?
|
yes
|
|
|
can dysphagia cause depression or mental problems?
|
yes. can lead to isolation and or depression
|
|
|
what is orophayngeal disphagia?
|
neuromuscular problems with the tongue, pharynyx, and or the UES
|
|
|
what is esophogeal dysphagia?
|
problems with the esophogus itself
|
|
|
what is a common problem in people who have had a stroke? (51%)
|
dysphagia
|
|
|
what is one technique you can tell a pt to do in order to inprove swallowing in a stroke pt?
|
tell them to turn their head to left or right then down and then swallow
|
|
|
If a pts has had a stroke and a feeding tube due to aspiration, what test should you run?
|
finiofloroscopy
KNOW!!!!!!!! |
|
|
What are some dysphagia problems with people with MG
|
1. tongue atrophy
2. bulbar muscle weakness |
|
|
does dysphagia develop in parkinsonism pts?
|
yes. 50% of them
|
|
|
what can cause dysphasia in a parkinson pt?
|
tremors of the tongue, damage to the CNS and ENS
|
|
|
what can cause dysphagia in a MS pt?
|
bulbar involvment.
|
|
|
what two diseases has bulbar involvment as a rounte of dysphagia?
|
MS and MG
|
|
|
what is idiopathis UES dysfuction?
|
cricopharnygeal dysfunction. the muscle do not function in sequence with each other.
|
|
|
what are some local lesions that can cause dysphagia?
|
Head and neck tumors.
Abscess, congenital web, prior surgical resection Enlarged thyroid gland Cervical hypertrophic osteoarthropathy and cervical osteoarthritis (seen with increased kyphosis) |
|
|
what is zenkers diverticulumn?
|
outpouching of the pos phayngeal wall above the UES.
|
|
|
who is zenker diverticulumn more common in (M or F)
|
male
|
|
|
if you feel a gurgle on palpation what disease should you think of?
What is this sign called? |
zenker diverticulumn
Boyce's sign |
|
|
what structure can cause vascular dysphagia?
|
the aortic arch
|
|
|
what condition is vascular dysphagia
|
aortic annurysm
|
|
|
what test should you run if you suspect a vascular dysphagia?
|
barrium swallow
|
|
|
if you see a pulsotic stenosis on a barium swallow what should you think?
|
vascular dysphagia
|
|
|
what factors are related to pill induced esophogitis?
|
ER, large, not enough water, position at which the pt is laying in when taking the pill
|
|
|
what is beers criteria list?
|
the list of meds an elder should not be on.
|
|
|
if the dysphagia is with both solids and liquids then what is the defect?
|
motor defect
|
|
|
if the problem is whith solids only then what is the defect?
|
structural defect
|
|
|
What causes peptic stricture?
|
unresolved GERD
|
|
|
what is peptic stricture?
|
stricture of the lower esophagus with associated acid reflux.
|
|
|
what is the most common Sx of dysphagia?
|
choking
|
|
|
if someone complains of increased choking, clear throat often, mucous, trouble in initiating swallow, what should you be thinking?
|
dysphagia
|
|
|
if someone has weight loss without further explination what should you be thinking?
|
dysphagia
|
