Dysphagia Exam 2
1. video image of upper aerodigestive tract while swallowing; typically a
consideration when problems extend beyond oral cavity (e.g.,
pharyngeal concerns, possibility of aspiration): modified barium
swallow
2. reasons we may not use mbs: not dysphagia, patient unable to
participate/co- operate, does not alter overall treatment plan
3. diagnostic purposes of mbs:
signs and symptoms of
cause of problem
differences related to food/liquid
whether breakdown is :
aspiration swallowing
consistenci
es
symmetrica
l
4. clinical purpose of mbs: evaluation of safe strategies, document
benefit of their use
5. equipment for mbs: table, fluoroscopic tube, monitor, clinician
protection, con- fined area
6. supplies for mbs: radiopaque materials, gloves, pen light,
drinking/feeding uten- sils
7. radiopaque materials
barium: changes in volume/consistencies (thin, mildly
thick/nectar, moderately thick/honey)
barium : to emulate a puree or pudding-like consistency
: to masticate
barium : typically with water to visualize movement
other common options: foods that require less mastication and
consistencies to tax the system: liquid
past
e
solid
pill
soft, mixed
8. procedures of mbs:
start with amounts
--> (consistencies):
small liquids, solids
1/8
, Dysphagia Exam 2
9. for mbs, view is emphasized, view is used to determine
symme- try: lateral, AP
10.AP view limiation: structures overlap
11.lateral view limiation: one side/both sides? left side/right side? we don'
know
2/8
1. video image of upper aerodigestive tract while swallowing; typically a
consideration when problems extend beyond oral cavity (e.g.,
pharyngeal concerns, possibility of aspiration): modified barium
swallow
2. reasons we may not use mbs: not dysphagia, patient unable to
participate/co- operate, does not alter overall treatment plan
3. diagnostic purposes of mbs:
signs and symptoms of
cause of problem
differences related to food/liquid
whether breakdown is :
aspiration swallowing
consistenci
es
symmetrica
l
4. clinical purpose of mbs: evaluation of safe strategies, document
benefit of their use
5. equipment for mbs: table, fluoroscopic tube, monitor, clinician
protection, con- fined area
6. supplies for mbs: radiopaque materials, gloves, pen light,
drinking/feeding uten- sils
7. radiopaque materials
barium: changes in volume/consistencies (thin, mildly
thick/nectar, moderately thick/honey)
barium : to emulate a puree or pudding-like consistency
: to masticate
barium : typically with water to visualize movement
other common options: foods that require less mastication and
consistencies to tax the system: liquid
past
e
solid
pill
soft, mixed
8. procedures of mbs:
start with amounts
--> (consistencies):
small liquids, solids
1/8
, Dysphagia Exam 2
9. for mbs, view is emphasized, view is used to determine
symme- try: lateral, AP
10.AP view limiation: structures overlap
11.lateral view limiation: one side/both sides? left side/right side? we don'
know
2/8
