physical examination On physical examination,she had dentures, a normal cardiovascular,pulmonary and abdominal examination. The neurological examination revealed a resting tremor and mild rigor with cogwheel phenomenon. The cranial nerves were intact and she was able to swallow some water without aspiration or regurgitation
physical examination • On physical examination, she had dentures, • a normal cardiovascular, pulmonary and abdominal examination. • The neurological examination revealed a resting tremor and mild rigor with cogwheel phenomenon. • The cranial nerves were intact and she was able to swallow some water without aspiration or regurgitation
The history described The history described above was consistent with bronchopulmonary complications due to dysphagia with microaspiration. An elderly person with Parkinson disease and dentures is certainly at risk for aspiration because of oro-pharyngeal dysphagia.However,the chest discomfort and significant weight loss pointed more at an esophageal etiology
The history described • The history described above was consistent with bronchopulmonary complications due to dysphagia with microaspiration. • An elderly person with Parkinson disease and dentures is certainly at risk for aspiration because of oro-pharyngeal dysphagia. However, the chest discomfort and significant weight loss pointed more at an esophageal etiology