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http://projects.csail.mit.edu/courseware/?term=interview-narrative-essay-example interview narrative essay example It must include examination o the oral cavity, head, and neck to look or lymphadenopathy or a mass. Cranial nerves should be examined with particular attention to cn v, vii, ix, x, and xii. Motor examination may show weakness suggesting stroke, ms, or mg. Proximal motor weakness can be seen in dermatomyositis or polymyositis. Masked acies along with cogwheel rigidity may suggest pd. What are the common diagnostic tools xt used or the diagnosis o dysphagia?. Diagnostic methods should be selected depending on the ndings on history and physical examination. Laboratory or imaging studies (apart rom video swallowing evaluation when deemed necessary) are usually not required unless the clinician is suspicious o a certain disease. Laboratory testing may involve testing or mg, ms, or muscle diseases. Most patients with dysphagia related to stroke do not need any additional laboratory test. Swallowing assessment is recommended in all patients with stroke. In patients with mild stroke symptoms without much involvement o the lower cns, bedside swallow assessment by nursing sta is su cient. In other patients, ormal swallowing evaluation by occupational or speech therapist may be necessary. It is rst conducted at bedside by testing the swallowing o oods with di erent consistencies. However, a radiographic swallow assessment is o en necessary to urther characterize the problem and de ne a sa e eeding plan. A barium swallow study consists o ingestion o thick barium while obtaining x-ray lms at di erent times to see its progress. T is test has been mostly replaced by the modi ed barium swallow under video f uoroscopy. T is study is ideal or viewing the elevation o the hyoid and larynx, relaxation o the upper esophageal sphincter, and contraction o the pharynx.2 video f uoroscopy can be used to analyze the movement o pertinent anatomic structures, evaluate pharyngeal muscle activity, and determine exact oral and pharyngeal transit times. It can also identi y abnormal movement o a bolus, and identi y aspiration and pooling in pharyngeal recesses. As with bedside evaluation, di erent ood consistencies should be tested to determine the individual risk o 754 c hapt er 45 aspiration and provide recommendations or a sa e diet.

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http://cs.gmu.edu/~xzhou10/semester/thesis-for-education-students.html thesis for education students Inhaled corticosteroids in children with persistent asthma. Effects on growth. Cochrane database syst rev. 2014 jul 17;7:Cd009471. Doi. 10. 1002/ 14651858. Cd009471. Pub2. 22. Pruteanu ai, chauhan bf, zhang l, prietsch som, ducharme fm. Inhaled corticosteroids in children with persistent asthma. Dose-response effects on growth. Cochrane database syst rev. 2014 jul 17;7:Cd009878. Doi. 10. 1002/14651858. Cd009878. Pub2. 23. Gamble j, stevenson m, mcclean e, et al. The prevalence of non-adherence in difficult asthma. Am j respir crit care med. 2009;180:817–822. 24. Tantisira kg, lasky-su j, harada m. Genomewide association between glcci1 and response to glucocorticoid therapy in asthma. N engl j med. 2011;365:1173–1183. 25. Rodrigo gj, castro-rodrigo ja. Anticholinergics in the treatment of children and adults with acute asthma. A systematic review with meta-analysis.

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