Evaluation And Management Of Dysphagia

This book provides a state-of-the-art overview of dysphagia. The text reviews current evidence behind the diagnosis, evaluation, and management of esophageal disorders that cause dysphagia, including GERD, eosinophilic esophagitis, achalasia, and spastic motor disorders. The book also focuses on the different variants of dysphagia, from oropharyngeal dysphagia to functional dysphagia, highlights advances in testing for dysphagia, and features evidence-based algorithms. Written by experts in the field, Evaluation and Management of Dysphagia: An Evidence-Based Approach is a valuable resource for gastroenterologists, otolaryngologists, and other clinicians and practitioners who treat patients afflicted with dysphagia.

Get a quick, expert overview of the many aspects of the evaluation and management of dysphagia from a team of experts in the field, led by otolaryngologists Drs. Dinesh K. Chhetri at UCLA's David Geffen School of Medicine and Karuna Dewan at Stanford University. This practical resource presents a focused summary of today's current knowledge on anatomy and physiology of swallowing, assessment of swallowing, and treatment of dysphagia. It's an easy-to-read, one-stop resource for staying up to date in this high-demand area. Features up-to-date information on assessment of swallowing, including the physical exam, FEES, TNE, MBSS, Barium Esophagram, and HRM. Offers current coverage of dysphagia treatment, including Neurologic Dysphagia; Chemoradiation-induced Dysphagia; Epiglottic Dysfunction; Cervical Osteophytes; Glottic Insufficiency; Cricopharyngeal Achalasia; Zenker's Diverticulum; Dysphagia After Laryngectomy; Esophageal Dysphagia; Eosinophilic Esophagitis; and Swallowing Therapy. Discusses future directions in dysphagia treatment. Consolidates today's available information on this timely topic into one convenient resource.

This book presents a comprehensive approach to treating dysphagia that has been successfully applied in actual rehabilitation settings. Its main purposes are firstly to equip readers with a strong conceptual understanding of swallowing evaluation and treatment, secondly to provide guidance on the procedure of practical comprehensive dysphagia rehabilitation in real-world settings, and thirdly to update readers on the latest diagnostic and treatment technologies. To do so, it employs the concept of swallowing rehabilitation pioneered at Fujita Health University Rehabilitation. The book is divided into 4 major sections, the first of which introduces readers to the general aspects and the principle of deglutition. In turn, Part II offers clinical approaches to both non-instrumental and instrumental evaluation of swallowing. Part III addresses treatment options in swallowing rehabilitation, especially exercises based on motor learning. Lastly, Part IV highlights three clinical cases demonstrating clinical approaches in dysphagic patients. Readers will find this text useful both as an initial guide and a reference work for assisting clinicians, allowing them to further expand swallowing assessment and treatment, and facilitating the development of swallowing rehabilitation in real-world settings in education and rehabilitation.

This book is a practical guide that will assist ENT doctors in interpreting swallowing videoendoscopies correctly and in choosing complementary instrumental examinations to consolidate or exclude their provisional diagnosis. In addition, it provides speech-language pathologists with valuable hints on how to treat patients with oropharyngeal dysphagia more efficiently. The book is constructed around videoendoscopic features. The relevance of these features to diagnosis and treatment is carefully described with the aid of numerous high-quality illustrations. Beyond this, the relationship of videoendoscopy to two further instrumental examinations – videofluorography and pharyngeal manometry– and to the three treatment paths of texture adaptation, rehabilitation, and surgery is explained. The use of pictograms in this context helps to elucidate the connections, creating in the reader’s mind “clusters of behaviors” of benefit in clinical practice. The book also includes a short summary on swallowing anatomy and physiology, a chapter on medications inducing dysphagia, key take-home messages, and suggestions for further reading.

Develop the understanding and clinical reasoning skills you’ll need to confidently manage dysphagia in professional practice! This logically organized, evidence-based resource reflects the latest advancements in dysphagia in an approachable, student-friendly manner to help you master the clinical evaluation and diagnostic decision-making processes. Realistic case scenarios, detailed review questions, and up-to-date coverage of current testing procedures and issues in pediatric development prepare you for the conditions you’ll face in the clinical setting and provide an unparalleled foundation for professional success. Comprehensive coverage addresses the full spectrum of dysphagia to strengthen your clinical evaluation and diagnostic decision-making skills. Logical, user-friendly organization incorporates chapter outlines, learning objectives, case histories, and chapter summaries to reinforce understanding and create a more efficient learning experience. Clinically relevant case examples and critical thinking questions throughout the text help you prepare for the clinical setting and strengthen your decision-making skills. Companion Evolve Resources website clarifies key diagnostic procedures with detailed video clips.

This book provides a comprehensive and up-to-date description of the diagnosis and management of dysphagia, with particular reference to oral and pharyngeal dysfunction. All aspects of dysphagia are covered, from anatomy and physiology to patient care. Alongside descriptions of a variety of disease entities, signs and symptoms, and treatment approaches, many other relevant topics are addressed, including endoscopic and manometric aspects, malnutrition and dehydration, the psychiatric burden, and features specific to pediatric and geriatric patients. The authors are without exception renowned experts in their field. This book will be of value to all specialists involved in the evaluation and treatment of dysphagia, including ENT surgeons, thoracic surgeons, speech and language pathologists, phoniatricians, gastroenterologists, neurologists, and radiologists.

This book provides teaching scripts for medical educators in internal medicine and coaches them in creating their own teaching scripts. Every year, thousands of attending internists are asked to train the next generation of physicians to master a growing body of knowledge. Formal teaching time has become increasingly limited due to rising clinical workload, medical documentation requirements, duty hour restrictions, and other time pressures. In addition, today’s physicians-in-training expect teaching sessions that deliver focused, evidence-based content that is integrated into clinical workflow. In keeping with both time pressures and trainee expectations, academic internists must be prepared to effectively and efficiently teach important diagnostic and management concepts. A teaching script is a methodical and structured plan that aids in effective teaching. The teaching scripts in this book anticipate learners’ misconceptions, highlight a limited number of teaching points, provide evidence to support the teaching points, use strategies to engage the learners, and provide a cognitive scaffold for teaching the topic that the teacher can refine over time. All divisions of internal medicine (e.g. cardiology, rheumatology, and gastroenterology) are covered and a section on undifferentiated symptom-based presentations (e.g. fatigue, fever, and unintentional weight loss) is included. This book provides well-constructed teaching scripts for commonly encountered clinical scenarios, is authored by experienced academic internists and allows the reader to either implement them directly or modify them for their own use. Each teaching script is designed to be taught in 10-15 minutes, but can be easily adjusted by the reader for longer or shorter talks. Teaching Scripts in Internal Medicine is an ideal tool for internal medicine attending physicians and trainees, as well as physician’s assistants, nurse practitioners, and all others who teach and learn internal medicine.

Get a quick, expert overview of the many aspects of the evaluation and management of dysphagia from a team of experts in the field, led by otolaryngologists Drs. Dinesh K. Chhetri at UCLA’s David Geffen School of Medicine and Karuna Dewan at Stanford University. This practical resource presents a focused summary of today’s current knowledge on anatomy and physiology of swallowing, assessment of swallowing, and treatment of dysphagia. It’s an easy-to-read, one-stop resource for staying up to date in this high-demand area. Features up-to-date information on assessment of swallowing, including the physical exam, FEES, TNE, MBSS, Barium Esophagram, and HRM. Offers current coverage of dysphagia treatment, including Neurologic Dysphagia; Chemoradiation-induced Dysphagia; Epiglottic Dysfunction; Cervical Osteophytes; Glottic Insufficiency; Cricopharyngeal Achalasia; Zenker’s Diverticulum; Dysphagia After Laryngectomy; Esophageal Dysphagia; Eosinophilic Esophagitis; and Swallowing Therapy. Discusses future directions in dysphagia treatment. Consolidates today’s available information on this timely topic into one convenient resource.