Case 4: At a family reunion, you see an uncle with a history…
Case 4: At a family reunion, you see an uncle with a history of COPD, GERD, and a L MCA CVA 4 years ago who is reporting difficulty swallowing. He reports coughing and choking with solids and liquids, a globus sensation at the level of the throat, and waking in the morning with a sour taste in his mouth. As the family’s resident ‘swallow-ologist’ he comes to you for advice. b). He tells you that he is scheduled for a modified barium swallowing evaluation with a SLP this coming week. What would you recommend be included in the evaluation? What would you expect to see during the assessment to confirm your suspicions from question (a).
Read DetailsCase 1: A 65 year-old male with a 15 year history of Parkins…
Case 1: A 65 year-old male with a 15 year history of Parkinson’s disease presents to your clinic with complaints of gradually progressive swallowing difficulty for the past 5 years. b). What are two compensations that you may attempt during the swallowing evaluation to augment airway compromise?
Read DetailsCase 2: Your patient is a 36 year old female who works as a…
Case 2: Your patient is a 36 year old female who works as a banker and has 3 school-aged children. She smokes about three packs of cigarettes per week, occasionally drinks alcohol, and has a mild (managed) history of heart burn (reflux). About 2 weeks ago she began to notice a change in her vocal quality and more recently has developed pain in her ear when she swallows. The patient presents to an ENT and finds out that she has T3N1M1 laryngeal cancer. d). During your evaluation you find that the patient has experienced unintentional weight loss, a globus sensation within the throat, a respiratory stridor, and frequent coughing/choking during meals. What do these symptoms tell you about the location/impact of the tumor? (1 point). Is this patient a candidate for a PEG tube? Why or why not? (2 points)
Read Details