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Swallowing and Dysphagia - Coggle Diagram

- - - - Intrinsic vs Extrinsic
      - Phase (oral, pharyngeal, esophageal),
        
        Oral
        
        Diffulty with: Manipulating bolus, containing bolus, lengthy chewing time, pocketing food, oral residue, drooling
        
        Etiology: Infalmmation/enfection (Tonsillitis, xerostomia), Neoplasm (SCC), Degenerative (neurological condition), Ageing (dentition, xerostomia)
        
        Pharyngeal
        
        Involuntary control: Coughing, choking, repeated attempts to swallow, wet gurgly voice, wet breath sounds
        
        Etiology: Infection/Infalmmation, Neoplasm (SCC), Degenerative (Neurocognitive, neurosmuscular (Stroke/MS), Zenker's Diverticulum (Pouch that pushes into cricopharyngeus
        
        Zenkers Diverticulum
        
        Esophagus
        
        Etiology: Infection/Infalmmation (Candida), Neoplasm (Esophagus, Extrinsic: Thyroid (large, aortic aneurysm)), Degenerative (Stricture, Achalasia)
      - Neuromuscular or obstruction
    - - Coughing while eating or after eating
        Choking on food
        Drooling or losing food from muht
        Pocketing food in mouth
        Slow,effortful chewing and swallowing
        Difficulty swallowing pills
        Avoiding certain foods or liquids
        COmplains of food sticking in throat
        Length meal times
        Reflex/Heart Burn
    - - Penetration: Entry of food or liquid to level of vocal cords
      - Aspiration: Entry of food or liquid to below the vocal cords
    - - Passive
        
        Texture (Viscosity and cosnistency), Poisitioning (sitting upright), Presentation (Rate, amount (1/2 tsp or tsp), alternating liquid and solid, Restrictions (bread, mixed consistencies, dry particulates, straws), Environment (Distractors, talkign while eating)
      - Active
        
        Head Positioning (Chin tuck, head tilt/turn), Specific Maneuvers (Supraglottic, super-supraglottic, effortful, mendelsohn)