Associated MSDs (equal and excess stress)

Extra credit (5 points) What speech diagnosis would you give clip A? Briefly justify your answer. 

Case studies Below are your two case study options. You must choose ONE to complete. Please indicate which case study you are doing, so that we know how to grade you!  The text entry box for your writeup will appear below the case options. 

Nanocases Below, you will see a list of three symptoms. Indicate ALL possible diagnoses based on that set of symptoms. 

Write two goals for this person, using the format discussed in class (SMART + Cueing). Justify your choice of therapeutic target and goal

BONUS CASE STUDY (20 points) This is “Cindy”, age 54. Watch her evaluation video.  Then, write a clinical note for this patient, including:  Patient background (name, age) and history, including mechanism of injury (5 points) Description of patient’s speech. Include sufficient detail that you could use your description to pick this video out from ANY video you have seen in class this semester with this information alone (5 points) Speech diagnosis and justification. Remember to both rule IN your diagnosis, as well as rule OUT other diagnoses. (5 points) Therapy recommendation and justification (5 points)  This case DOES NOT COUNT towards your EC cap. It will supplement any lost points in the final or quizzes. 

Equal and excess stress Description:

List all subsystems that are noted as affected in this patient. Include at least one symptom for each subsystem that you note is affected.

Exam overview There are four sections in this exam:  Etiologies and confirmatory signs Speech symptoms and neural circuits Nanocases Case study (choose ONE)   

Case study option 2 Watch the following video, then do a case study writeup where you answer the following questions:  1. Describe this person’s speech in precise clinical terms, and referencing specific examples. Use sufficient detail that another clinician could recognize their speech from another recording. Pay particular attention to PHONATION, ARTICULATION, and RESONANCE (10 points).  2. Provide your diagnostic hypothesis (choose from control circuit dysarthrias only). Be specific–in particular, remember that there are many kinds of hyperkinetic dysarthrias. (5 points)  3. Justify your hypothesis above. Make sure to follow our class rules for case studies! Consider the whole person; explain all symptoms; keep it simple. (10 points) 4. This person mentions an injection of botulism toxin. Do you think this could help for their condition? Explain your answer, making reference to both the diagnosis and the mechanism of action of botox. (10 points) BONUS QUESTION (up to 2 points): Another SLP suggests that you coach them to whisper in order to alleviate symptoms. Do you agree that whispering would help this person’s symptoms? Why or why not?