This is the first book to concentrate on dysphagia in rare conditions – those that occur infrequently or those that may occur more frequently but are only sometimes associated with dysphagia. Covering a wide range of conditions – from progressive supranuclear palsy (PSP), through connective tissue disease, to conditions as diverse as West Nile virus – the editors and expert contributors efficiently synthesize the available information to provide the essentials needed to help clinicians to perform sophisticated assessments, based on their knowledge of both the conditions and the expected swallowing signs and treatments. Each entry covers the neurology of the given condition, including the signs and symptoms, neuropathology, epidemiology and genetics. Thereafter, coverage of swallowing in each condition examines the diagnostic signs and symptoms, etiology, swallowing neuropathology, associated cognitive, linguistic, and communicative signs and symptoms, special diagnostic considerations, treatment, nutrition, hydration, and medications.

This book is a clinical manual that covers the whole spectrum of swallowing and its disorders. It starts with physiology of swallowing, pathophysiology of disordered deglutition, diagnostic methods (clinical and instrumental) and ends with an in-depth’s and up-to-date presentation of current treatment options. The clinically most relevant topics of dysphagia management on the stroke unit and the intensive care unit are dealt with in separate chapters. Also the closely intertwined issue of nutritional management is specifically addressed. Most importantly, the book covers all obligatory topics of the Flexible Endoscopic Evaluation of Swallowing (FEES)-curriculum, an educational initiative that started in Germany in 2014 and is currently being extended to other European and non-European countries. The book is richly illustrated and an online video section provides a number of typical patient cases. FEES is probably the most commonly chosen method for the objective assessment of swallowing and its disorders. It is used in stroke units, intensive care facilities, geriatric wards but also in rehabilitation clinics and within dedicated outpatient services. This book on neurogenic dysphagia therefore addresses a wide range of different medical disciplines, such as neurologists, geriatricians, intensive care physicians, rehabilitation physicians, gastroenterologists, otolaryngologists, phoniatrists and also speech-language pathologists.

Now with videos! Dysphagia Following Stroke, Third Edition is a practical and easy-to-use resource for clinicians treating swallowing disorders in the stroke population. The authors bridge the gap between academic and clinical practice with up-to-date research and clinical case examples throughout. In addition to a thorough overview of dysphagia diagnosis and management, this text focuses heavily on evaluation and management of stroke. Key topics include neural underpinnings of normal and disordered swallowing, swallowing screening, the clinical swallowing examination including cough reflex testing, the expanding array of instrumental swallowing modalities, and the rehabilitation of swallowing including strength training, non-invasive brain stimulation, and skill training. While geared toward practicing clinicians, Dysphagia Following Stroke is also useful for students in professional training programs. New to the Third Edition: A third author, Kristin Gozdzikowska, bring a fresh perspective as a young clinician and researcher with particular expertise in high resolution manometry and various cutting-edge treatment techniquesNew larger 6" x 9" trim sizeUpdated chapters on assessment to include new and emerging instrumental technologies, including high resolution manometry, impedance, and ultrasoundUpdated chapters on management to include the newly described International Dysphagia Diet Standardization InitiativeNew and expanded framework for rehabilitation, with a shift from peripherally focused rehabilitation to neuromodulation of cortical swallowing controlNew and updated research and trends in clinical practice throughoutIncludes videos This thoroughly updated and enhanced edition of Dysphagia Following Stroke is sure to remain a valued resource for clinicians working with stroke patients in all settings. Disclaimer: Please note that ancillary content (such as documents, audio, and video, etc.) may not be included as published in the original print version of this book.

The Adult Dysphagia Pocket Guide: Neuroanatomy to Clinical Practice is a concise, easily portable reference guide designed specifically for the dysphagia clinician. It centers on the clinical application of normal and abnormal swallowing physiology as it relates to cranial nerves, muscles, and innervations. The text merges clinical neurophysiology of the swallow directly to assessment and treatment of dysphagia to provide quick access of key clinical information and solutions for clinicians as they are completing their swallowing assessments. A discussion of laboratory values and medications in chapters three and four and how they can impact dysphagia adds another layer of uniqueness to this guide. Recurring "clinician's note" and "research to practice" boxes are based on the current research and provide practical and useful tips for clinicians. The Adult Dysphagia Pocket Guide is a "quick reference" that answers the need for a practical guide that new clinicians, graduate students, and even seasoned clinicians can carry with them and readily access while they are completing their evaluations. It is a must-have resource for any speech-language pathologist treating dysphagia. KEY FEATURES: Compact, yet portable designSuccinct, yet thorough evidence based informationClinically relevant charts and tables make information easy to find

This clinical handbook is designed to aid with the fast and accurate diagnosis of cardiopulmonary disease. Chapters are structured to support the clinical decision-making process and cover key points such as differential diagnosis, typical and atypical presentation, co-morbidities, and critical steps that should not be missed. The text also outlines time-dependent interventions, overall principles of treatment, and disease course. Abundant images and links to external audio and video resources reinforce understanding. Although the chapters are organized to provide ready access to essential information, the scope of the book is comprehensive and addresses topics including acute coronary syndrome, heart failure, pulmonary embolism, primary and secondary lung diseases, and relevant upper gastrointestinal and neuromuscular diseases. Both adult and pediatric considerations are presented. The book is intended for diagnosticians in emergency medicine, critical care, inte rnal medicine, primary care, and related fields. Medical students, residents, and other medical professionals will appreciate the concise and clear approach.

Currently, there are very few resources that provide guidance for practicing clinicians in the area of neuromuscular diseases. Dysphagia in Neuromuscular Diseases approaches the subject in a unique manner, allowing clinicians to develop insights into diseases, syndromes, and neurological conditions that extend even beyond those specifically addressed in the text. Recognizing there is no universally accepted methodology for classification of neuromuscular diseases, the authors have addressed this dilemma in three ways: (1) outlining the levels of the neuromuscular system, extending from the central nervous system to the muscle, with chapters devoted to diseases that are representative of pathologies at each level; (2) outlining normal respiratory physiology and airway defense mechanisms, with discussion of how these are altered by various neuromuscular disease processes and how this affects risk for secondary medical complications such as pneumonia; and (3) describing the neuromuscular conditions that are associated with the various diseases with discussion of approaches to evaluation, management and treatment that address the nature of the impairment. With over 50 years of combined clinical practice and extensive experience in working with patients diagnosed with various neuromuscular diseases, the authors offer practitioners the best available evidence to support treatment decisions.

Pediatric Dysphagia: Etiologies, Diagnosis, and Management is a comprehensive professional reference on the topic of pediatric feeding and swallowing disorders. Given that these disorders derive from abnormalities in the function and/or structure of the airway and digestive systems, multiple clinical specialists may be involved in the evaluation and management of affected children at any given point in time. Therefore, this text includes significant contributions from a wide range of experts in pediatric dysphagia, including all members of the Interdisciplinary Feeding Team at Cincinnati Children’s Medical Center. These experts present an in-depth description of their roles in the diagnosis and management of dysphagic children, providing the reader with an understanding of why a multidisciplinary model of care is key to the optimization of outcomes. Pediatric Dysphagia is divided into five parts. In Part I, readers are provided with an overview of the embryologic development of aerodigestive structures that relate to swallowing, an introduction to neural organization related to swallowing function and physiologic aspects of swallowing, a synopsis of oral motor development, a discussion of the various etiologic categories of feeding and swallowing disorders, and an overview of genetic disorders associated with feeding and swallowing issues. Part II covers the clinical and instrumental assessment of patients, including the interdisciplinary feeding team infrastructure and function, the roles of individual members of the feeding team, the specific diagnostic tests commonly used in the assessment of feeding and swallowing issues, the classification of neonatal intensive care units, and the assessment and management of feeding and swallowing issues encountered in the neonatal intensive care unit. Part III focuses on the management of pediatric dysphagia, covering a wide range of treatment strategies and interventions for children with various categories of feeding disorders. Part IV includes an introduction to the concept of evidence-based practice and the application of evidence-based strategies in the management of dysphagia. Part V presents a brief overview of the role of ethics in healthcare and ethical considerations in the treatment of dysphagic children. In summary, the overall aim of this comprehensive text is to provide all pediatric professionals involved in the care of dysphagic patients with a basic understanding of the complexity of this disorder, the anatomic, neurologic, and physiologic components involved in this disorder, an overview of the diverse population of children who suffer with this disorder, and with a wide range of management approaches based on patient needs and capabilities. The authors also address clinical problem solving and decision making, inspiring readers to develop multidisciplinary models of care at their own institutions.

Seminars in Dysphagia provides a comprehensive overview of contemporary issues in the field of dysphagia assessment, treatment and management in diverse subject populations. Expert views are shared by international clinical experts from different medical and allied health fields. This book contains an introductory chapter on the anatomical structures and physiology processes that underpin dysphagia and discusses the effects of polypharmacy and ageing on deglutition. Contemporary practices of functional assessment of swallowing and the endoscopic assessment for both oropharyngeal and esophageal dysphagia are reviewed. Both the nutritional support and decision making in oral route are described and the impact of dysphagia on carers and family when managing dysphagia. Several chapters are dedicated to outlining the manifestation and consequences of dysphagia in specific populations, including persons with Parkinsons disease, dystonia, chronic obstructive pulmonary disease and mixed connective tissue disease.