Dysphasia

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Dysphasia

• problems with understanding or producing speech
• Sensory / receptive aphasia - Wernicke's area
• Motor / expressive dysphasia - Broca's area
• differentiate from
  • Dysarthria
  • Dementia

History 

• difficult
• establish handedness

Examination

• Observe
  • evidence of hemiparesis
• Ask
  • "Please would you tell me your name and where you are?"
  • Sensory dysphasia
    • "Please touch your nose"
    • "Stick out your tongue"
    • "Touch your right ear with your left hand"
    • speech often fluent but low content

  • Motor dysphasia

    • "Would you tell me what this is"

If no problem go on to test for Dementia

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