Muscles of Articulation (CN V, VII, IX, X, XII)

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Is the patient's speech hoarse, slurred, quiet, breathy, nasal, low or high pitched, and otherwise unusual? It is often important to ask if the patient's speech has changed from baseline. Note that dysarthria (see KCC 12.8 in Neuroanatomy through Clinical Cases 3e), which means abnormal pronunciation of speech (“slurred speech”), should be distinguished from aphasia, which is an abnormality in language production or comprehension.

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