4. Your patient is a 56 year old male professional voice use…
4. Your patient is a 56 year old male professional voice user referred for behavioral voice therapy by his ENT. The patient has been diagnosed with vocal nodules and is eager to begin therapy. His social history is significant for 4-6 cups of coffee per day, 3-4 cups of water per day, non-smoking (no history of smoking). Other relevant medical history includes reflux (well-managed). b). The patient identifies hoarseness as his most bothersome symptom, but is also troubled by the reduction in his pitch range. What two symptomatic voice therapy techniques would you use for this patient given these complaints? (2 points)
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Video Case 2. A 59 year old male (RL) who 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. d) 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
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