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. 2013 Sep;21(3):3.

Severe Idiopathic Dysphagia in an Acute Hospital Setting: Assessment, Management, and Outcome

Inga Simning  1 , Adam Simning  2
Affiliations

Severe Idiopathic Dysphagia in an Acute Hospital Setting: Assessment, Management, and Outcome

Inga Simning et al. J Med Speech Lang Pathol. 2013 Sep.

Abstract

This case describes the course of a patient who was admitted to an acute care hospital with pneumonia and odynophagia and found to have severe, idiopathic oropharyngeal dysphagia. The assessment, treatment, and outcome are reported alongside suggestions for best practice in the treatment of dysphagia in hospital settings. Timely instrumental assessment, interdisciplinary management, and post-discharge follow-up were needed to provide optimum care and to achieve a positive outcome for this patient with life-threatening dysphagia.

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Figures

Figure 1
Figure 1
MBS on hospital day 14 showing (a) a puree bolus swallow with penetration during the swallow and (b) subsequent aspiration of about 30% of the bolus.
Figure 2
Figure 2
MBS on hospital day 27 showing (a) a puree bolus swallow with no penetration during the swallow and (b) diffuse residue after the swallow.
Figure 3
Figure 3
MBS on hospital day 57 showing (a) a puree bolus swallow with no penetration during the swallow and (b) mild vallecular and pyriform residue after the swallow.
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