The Clinical Problem Solvers Episode 193: Neurology VMR – Impairment of Speech
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Aug 11, 2021 Kirtan Patolia, a final-year medical student from B.J. Medical College, and Maria Jimena Aleman, a med student at Universidad Francisco Marroquin, dive into the complex world of speech impairments. They discuss aphasia vs. dysarthria, detailing the neurological roots of these conditions. The duo highlights the challenges of diagnosing strokes, especially in younger patients, and the vital role of thorough clinical evaluations. Their insights on the importance of patient history and symptom examination are both engaging and enlightening.
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Difference Between Aphasia and Dysarthria
- Distinguish between speech (motor) and language (cognitive) problems when evaluating speech impairment.
- Aphasia affects language comprehension or production, while dysarthria affects speech articulation.
Aphasia Types and Tricky Repetition
- Aphasia types include Broca's (non-fluent) and Wernicke's (fluent), with differences in comprehension and fluency.
- Repetition ability helps differentiate transcendental motor and sensory aphasias, and conduction aphasia affects repetition.
OC Pills and Venous Thrombosis Risk
- Oral contraceptives induce a hypercoagulable state increasing risk of venous thrombosis.
- Family history of unusual thromboses suggests inherited thrombophilias, mainly causing venous clots, rarely arterial.
