Communication Sciences and Disorders 4411A/B Study Guide - Final Guide: Dietitian, Athletic Training, Vallecula
19 Sep 2016
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Document Summary
Nerve damage may reduce or eliminate the swallowing reflex, reduce, impair or eliminate the cough reflex, with the result that ingested material may enter the lower respiratory tract. Smoking may play a role, increasing the risk of chest infection. The patient did not receive fool following admission, suggesting the health-care workers suspect the patient may have feeding or swallowing problems. A stroke involving the right middle cerebral artery distribution may affect the primary motor cortex where the face/mouth/pharynx are represented and controlled. The homunculus places the face and mouth at the lateral aspect of the pre-central (motor) and post-central (sensory) gyri these may be impacted by the stroke. The primary motor cortex controlling movements of the face, mouth and pharynx are located in close proximity. Chronic obstructive pulmonary disease (copd) may exacerbate any swallowing problem by making it difficult for the patient to coordinate breathing and swallowing.
