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Videо Cаse 1. Pleаse аnswer the fоllоwing questions based on the audio sample from Case 1. A 65 year-old female (JG) with probable ALS presents to your outpatient clinic for evaluation of speech-language and swallowing function as part of her multi-disciplinary neurological visit. According to the patient’s son, symptoms began 1 year ago, and her speech and swallowing function has progressively declined since then. Regarding speech function, she reports that she sounds “slurred, nasally, and slow.” In terms of swallowing function, she reports occasionally coughing during and after mealtimes, and eating more slowly (approximately 45 minutes to finish a meal). The patient crushes or cuts her pills in half in order to swallow them, and cuts her food into smaller pieces and takes smaller bites of food to compensate. She denies reflux or any pneumonia. f). Based on the MBS, please select any of the following signs/symptoms of dysphagia that you observe. (2 points) Pharyngeal Phase (Word bank): Inadequate epiglottic inversion Vallecular residue (Specify: mild, moderate, severe) Pyriform sinus residue (Specify: mild, moderate, severe) ”Penetration (Specify: intermittent or consistent and to where) Aspiration (Specify: intermittent or consistent and whether silent or not) Inadequate peristalsis Pharyngeal transit (Specify: Slow or fast)
Videо Cаse 2. A 59 yeаr оld mаle (RL) whо carries a medical diagnosis of multiple system atrophy-cerebellar (MSA-C) presents to your outpatient clinic for progressive changes to speech and swallowing function. More specifically, he reports “slurred” speech and a “raspy/breathy” vocal quality. He notes that listeners frequently have difficulty understanding him, especially on the telephone. He and his wife note occasional coughing/choking during meals. e) Based on the MBS, please select any of the following signs/symptoms of dysphagia that you observe. (2 points) Pharyngeal Phase (Word bank): Inadequate epiglottic inversion Vallecular residue (Specify: mild, moderate, severe) Pyriform sinus residue (Specify: mild, moderate, severe) ”Penetration (Specify: intermittent or consistent and to where) Aspiration (Specify: intermittent or consistent and whether silent or not) Inadequate peristalsis Pharyngeal transit (Specify: Slow or fast)
Videо Cаse 1. Pleаse аnswer the fоllоwing questions based on the audio sample from Case 1. A 65 year-old female (JG) with probable ALS presents to your outpatient clinic for evaluation of speech-language and swallowing function as part of her multi-disciplinary neurological visit. According to the patient’s son, symptoms began 1 year ago, and her speech and swallowing function has progressively declined since then. Regarding speech function, she reports that she sounds “slurred, nasally, and slow.” In terms of swallowing function, she reports occasionally coughing during and after mealtimes, and eating more slowly (approximately 45 minutes to finish a meal). The patient crushes or cuts her pills in half in order to swallow them, and cuts her food into smaller pieces and takes smaller bites of food to compensate. She denies reflux or any pneumonia. e) Based on the MBS, please select any of the following signs/symptoms of dysphagia that you observe. (2 points) Oral Phase (Word Bank): ” Pre-swallow spill (Specify to the: valleculae or pyriform) ” Delayed initiation of bolus transit ” ” Difficulty with bolus formation ” ” Slow oral transit ” Fast oral transit ” Oral residue