Short case approach to speech analysis summary
Upcoming SlideShare
Loading in...5
×
 

Short case approach to speech analysis summary

on

  • 1,068 views

 

Statistics

Views

Total Views
1,068
Views on SlideShare
1,068
Embed Views
0

Actions

Likes
0
Downloads
9
Comments
0

0 Embeds 0

No embeds

Accessibility

Categories

Upload Details

Uploaded via as Adobe PDF

Usage Rights

CC Attribution-ShareAlike LicenseCC Attribution-ShareAlike License

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

Short case approach to speech analysis summary Short case approach to speech analysis summary Document Transcript

  • Short Case Approach to Speech Analysis 1) Ask for name, age, occupation, handedness. MMSE 2) Receptive aphasia (superior temporal lobe / Wernicke’s area): a. One step commands – Shut eyes, stick tongue out, touch nose b. Two step commands – touch your left ear with your right hand c. Three step command – eg close eyes, stick out your tongue and raise your right hand. 3) Expressive aphasia (posterior inferior part of dominant frontal lobe / Broca’s area): a. Write something 4) Assess speech for volume – dysphonia 5) Assess speech for dysarthria (slurred speech) a. Ask PT to say ‘Raffles Institution / British constitution/ La la la’ – loud jerky explosive speech in cerebellar lesion.--> test for other cerebellar signs b. Ask Pt to say ‘Ka ka ka’ – CN IX and X lesion assess CN IX, X, XII for bulbar/pseudobulbar palsy c. Ask Pt to say ‘Ba ba ba’ – CN VII Facial nerve palsy d. Nasal speech: bulbar palsy e. Hot potato: pseudobulbar palsy 6) Repeat sentence (conductive dysphasia - lesion of connection between Wernicke’s & Broca’s area) 7) Transcortical dysphasia a. Name objects b. Name parts of objects (eg watch strap, sleeves of shirt) Continue to test for Parietal lobe function 8) Visual neglect: a. Check for neglect with finger movement on both sides of visual field. Test visual field first to exclude visual field defect. b. Line bisection: i. Control: Place string vertically & ask PT to point to center. Should be normal. ii. Hold string horizontally & ask PT to point to center. When string is displaced towards side of neglect, the PT will identify the center of the string wrongly. 9) Test for sensory neglect (superior temporal lobe / Wernicke’s area) 10) Test for Parietal dysfunction with Optokinetic nystagmus – OKN is lost when moving tape towards side of lesion. 11) Test other dominant hemisphere functions a. Right-left dissociation (use R hand to touch L shoulder) b. Finger identification (finger agnosia) c. Calculation d. Dysgraphia e. Dysphasia ♦ Isolated loss of dominant hemisphere function = Gerstmann’s syndrome) 12) Test for non-dominant hemisphere functions a. Awareness of body and space – Visual, sensory and auditory neglect b. Drawing ability c. Construction apraxia – copy double pentagon d. Dressing apraxia e. Facial recognition f. Motor persistence g. Topographic ability 13) Test UL & LL for signs of Middle Cerebral Artery infarction. 14) Exam CVS looking for cause of stroke – AF, murmurs, carotid bruits Digitally signed by DR WANA HLA SHWE DN: cn=DR WANA HLA SHWE, c=MY, o=UCSI University, School of Medicine, KT-Campus, Terengganu, ou=Internal Medicine Group, email=wunna.hlashwe@gmail.com Reason: This document is for UCSI year 4 students. Date: 2009.02.24 14:15:04 +0800