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Part of mouth between soft palate and hyoid bone |
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Sound caused by phonation |
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Vibration of the vocal chord |
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Only free floating bone in the body Suspends and holds up the Larynx |
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Space at the base of the tongue where the epiglottis emanates; items can collect here |
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Pull on/opens the vocal cords |
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True vs. false vocal cords |
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Know that they are different White=True vocal chords In between white (Closer to center of picture)= False True are for talking false more for singing |
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Specialized mechanism that opens and closes air passage Last barrier to protect from aspiration |
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4 Phases of normal swallowing |
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Anticipatoy/Oral Prep Oral Pharyngeal Esophageal |
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Bedside Swallow Evaluation Includes Pharyngeal and Esophageal Trials |
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Swallow and breath sounds, RR, coughing, throat clearing, regurgitation, pharyngeal residue |
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Belching, hiccups, delayed cough/throat clearing |
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Penetration vs. aspiration |
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Penetration is above the vocal chords Aspiration is below the vocal chords |
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Difficulty or discomfort in swallowing, as a symptom of disease |
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FEES Fiberoptic Endoscopic Evaluation |
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Viewed actual airway to see excess secretions and/or swollen airways |
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MBS Modified Barium Swallow |
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Using a fluorescent camera to see swallowing section looks like an x-ray |
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ACL/PCL How can ACL be torn |
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Anterior Cruciate Ligament vs. Posterior Cruciate Ligament Help keep knee together form an X inside knee Hyperextension, Direct Blow, Pivoting/Twisting Hear a popping sound, see swelling or pain, knee gives out |
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Kinematics = Description of motion: Type, Location, Direction, Quantity Kinetics = Forces Producing Motion |
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Synarthroses vs Diarthroses |
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Synarthroses = Joints that don't usually move like those found in the skull Diarthroses = Bones that are free to move |
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Synovial Joints= Bones covered by connective capsule allowing for broader movement |
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Arthrokinematics vs. Osteokinematics |
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Arthrokinematics = Refers to movement of joints on one another. Microscopic view Osteokinematics = Movement of the actual bones broader view of movements |
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0-5 0/5 = No contraction 1/5 = Trace muscles grade = No movement but contraction 2/5 = Poor muscle grade = Partial movement 3/5 = Fair muscle grade = Full range but tolerates no resistance 4/5 = Good muscle grade = Held against strong to moderate resistance 5/5 = Strong muscle grade = Cannot be broken |
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Connective Tissue Ligaments Tendons Meniscus Bursa Disks Cartilage Labrum Fat Pads Bone Joint Capsule Fascia |
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Ligaments = Connects two bones Tendons = Connects muscle to bone Meniscus = Thin cartilage that adds more cushioning and shock absorption Bursa = Thin sac that provides cushioning Disks = Provides stability but also allows for movement Cartilage = Connective tissue lining surface of joints Labrum = Similar to meniscus but is for hip and shoulder joints Fat Pads = Cushioning where there is space between tendon and bone Bone = Rigid connective tissue Joint Capsule = Envelope that surrounds and protects synovial joints Fascia = Connective tissue that makes up rest of framework of body |
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Reason - allows the patient to speak Procedure - deflate the cuff on the trach then insert |
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Binding of two myofilaments causes a muscle contraction |
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