Mr S. 78 y. o
Chief complaint: difficulty of swallow
Anamnesis: liguid, semisolid , easy to swallow
could'not swallow medicine by water
Picture above: thick, not clean (Stroke?)
CT scan, MRI : non stroke
Feeding habit: every meal served after blend= semisolid
Physical examination:
- oral : gag refleks good
- oromotor : good
- all reflects : good
Solution: I asked him to chew a bite of fruit as exercise, at least an apple a day.
Picture below: a week after --> excellent!
So, use it , or lose it !!!!
1 comment:
Dr Nury, salut untuk cara penyembuhannya yang sederhana tapi tepat sasaran. Andaikan samua dokter seperti dr Nury, pasti malpraktek tidak marak seperti sekarang ini. Bravo ya dokter.
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