A 38-year-old music salesman presented to the clinic with pa…
A 38-year-old music salesman presented to the clinic with pain in the the laryngeal area following a bout of bronchitis and extensive coughing and throat clearing. He reported occasionally coughing up small amounts of blood. He said he lifts weights but reported the healthy strategy of exhaling while flexing. He does not smoke and he reports minimal water intake. Vocal quality was normal in pitch and quality. He coughed and throat-cleared throughout the assessment. The salesman was overheard chastising an employee on his cell phone using hard glottal attack. He said he was recently prescribed anti-reflux medication by his physician. The patient’s F0 for a sustained /a/ revealed 161Hz with a RAP of .236% and shimmer of 1.56%. Transglottal airflow was 138ml/s.
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