...
Is it intermittent? Intermittent dysarthria should make one think of myasthenia gravis, epilepsy, and transient ischemic attacks.
Is there associated ataxia or nystagmus? The findings of nystagmus or ataxia should make one think of a ... DIAGNOSTIC WORKUP
... READ EXCERPTS »
...
Dysarthria implies poor speech articulation, as opposed to aphasia or impoverished intelligence due to mental retardation or dementia. Pain is not a feature of dysarthria, nor is poor education. Speech and reading comprehension are completely... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
...
Pain and/or tenderness on the side of the trunk from the ribs to the ileum is often associated with renal disease; however, nonrenal etiologies are very common. Of course, renal disease should be strongly suspected in the case of costovertebral angle... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ EXCERPTS »
... Besides dysarthria, three other types of speech disorders should be considered here: dysphasia, cerebellar speech, and extrapyramidal speech. In each case, the anatomic location in the nervous system is fairly specific.
... READ EXCERPTS »
... Dysarthria, poorly articulated speech, is characterized by slurring and labored, irregular rhythm. It may be accompanied by a nasal voice tone caused by palate weakness. Whether it occurs abruptly or gradually, dysarthria is usually evident in ordinary conversation. It's confirmed by... History and physical examination ... Medical causes ... Other causes ... Special considerations
... READ EXCERPTS »
... Thrombosis or Vascular Occlusion, or Both
Thrombosis, atherosclerotic
Hypotension in presence of atherosclerotic carotid disease (e.g., hypovolemia, Stokes-Adams attack, myocardial infarction)
Vasculitis
... READ EXCERPTS »
... Signs and Symptoms Depending on area affected, aphasia, hemiparesis, dysphasia, pupillary changes, sensory changes, weakness, confusion, amnesia, slurred speech
Treatment (Tx) tissue plasminogen activator,... Pictures
... READ EXCERPTS »
... Dysarthria, poorly articulated speech, is characterized by slurring and a labored, irregular rhythm. It may be accompanied by a nasal voice tone caused by palate weakness. Whether it occurs abruptly or gradually, dysarthria is usually evident in ordinary conversation. It... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
... READ EXCERPTS »
... Gregory A. Doyle
Cerebrovascular disease is the most common acute neurologic illness in the United States. Stroke is defined as a neurologic deficit involving the cerebral circulation that lasts more than 24 hours (1). Transient... Approach ... History ... Physical examination (PE) ... Testing ... Diagnostic assessment.
... READ EXCERPTS »
... Differential Overview
TIA/Stroke
❑ Middle cerebral artery stroke
❑ Anterior cerebral artery stroke
❑ Posterior cerebral artery stroke ... Diagnostic Approach ... Clinical Findings ... Pictures
... READ EXCERPTS »
... Differential Overview
Aphasia (Central)
❑ Broca
❑ Wernicke
❑ Conduction
❑ Anomic ... Diagnostic Approach ... Clinical Findings ... Pictures
... READ EXCERPTS »
... Stroke is a sudden impairment of cerebral circulation in one or more blood vessels supplying the brain. Stroke interrupts or diminishes oxygen supply and commonly causes serious damage or necrosis in brain tissues.
The sooner circulation... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
... READ EXCERPTS »
... Dysarthria, poorly articulated speech, is characterized by slurring and labored, irregular rhythm. It may be accompanied by nasal voice tone caused by palate weakness. Whether it occurs abruptly or gradually, dysarthria is usually evident in ordinary conversation. It’s confirmed... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
... READ EXCERPTS »
... Dysarthria, poorly articulated speech, is characterized by slurring and labored, irregular rhythm. It may be accompanied by nasal voice tone caused by palate weakness. Dysarthria is occasionally confused with aphasia, loss of the ability to produce or comprehend speech. ... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ EXCERPTS »
... Dysarthria, poorly articulated speech, is characterized by slurring and labored, irregular rhythm. It may be accompanied by a nasal voice tone caused by palate weakness. Whether it occurs abruptly or gradually, dysarthria is usually evident in ordinary... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
Besides dysarthria, three other types of speech disorders should be
considered here: dysphasia, cerebellar speech, and extrapyramidal speech. In
each case, the anatomic location in the nervous system is fairly specific.
Dysarthria.... Pictures
... READ EXCERPTS »
... Peter M. Bingham, MD Stroke - BASICS Stroke - description A neurologic deficit progressing over minutes to hours, due to insufficient perfusion of the brain or spinal cord. Also, otherwise ’asymptomatic,’ remote strokes may... Stroke - DIAGNOSIS ... Stroke - TREATMENT ... Stroke - FOLLOW UP ... Stroke - bibliography ... Stroke - CODES ... Stroke - PATIENT TEACHING-MED ... Stroke - FAQ
... READ EXCERPTS »
Stroke is a devastating condition that often results in serious long-term complications. Among the most common and most challenging are mobility...
If you or someone you know is at risk of stroke, it is crucial to recognize that successful stroke treatment depends on quick action. The sooner you...
After suffering a stroke, many people experience post-stroke spasticity, muscle tightness that not only impairs mobility, but also impacts the life...