Neurology Book

Approach

Otolaryngology

Motor Disorders

Cognitive Disorders

Ophthalmology

Cardiovascular Medicine

Headache Disorders

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Cerebrospinal Fluid Disorders

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Dysphagia Evaluation

Aka: Dysphagia Evaluation, Swallowing Exam, Dysphagia after Cerebrovascular Accident, Swallowing Evaluation after Stroke
  1. See Also
    1. Dysphagia
    2. Dysphagia Diet
  2. Implications
    1. Dysphagia may occur in 55% of patients after CVA
    2. Silent aspiration occurs 40-70% of Dysphagia patients
    3. Risk of Aspiration Pneumonia and other complications
  3. Predictors of Aspiration Risk after CVA
    1. Criteria
      1. Dysphonia
      2. Dysarthria
      3. Abnormal Gag Reflex
      4. Abnormal volitional cough (weak cough on command)
      5. Cough within 1 minute of water ingestion (5,10,20 cc)
      6. Voice changes after swallowing (5, 10, 20 cc)
    2. Interpretation
      1. One or less criteria: Mild or no Dysphagia
      2. Two or more criteria: Moderate to severe Dysphagia
  4. Management for moderate to severe Dysphagia
    1. See Dysphagia Diet
  5. References
    1. Daniels (2000) Arch Phys Med Rehabil 81:1031 [PubMed]

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