CSD493 Voice quiz 3 Assessment

Other name for chronic cough

Irritable Larynx Syndrome

Chronic cough lasts for how long? (for adults)

> 8 weeks

Chronic cough lasts for how long? (for children)

> 4 weeks

Impact of chronic cough

Lower quality of life(social isolation, emotional impact, economic impact), musculoskeletal pain, urinary & fecal incontinence

Common symptoms of chronic cough

Globus sensation, fatigue, cough x productive, dysphonia, dysphagia, pain and discomfort, incontinence (leakage), emesis (throw up), sensitivity, laryngospasm

Irritable larynx syndrome treatment

Retraining laryngeal sensitization to lower level through

1) Neuromodulating drug

2) SLN nerve block (SLN provides all sensory info to larynx)

ILO same terms

paradoxical vocal fold motion (PVFM)

Vocal cord dysfunction (VCD)

Exercise induced laryngeal obstruction (EILO)

ILO sign & symptom

mimics asthma / inspiratory stridor / exertional dyspnea / throat tightness / chest pain / “breathing attacks” / sensation that throat is closing up

factors triggering ILO

Physical exertion, irritants, GERD, stress

ILO breathing pattern

Paradoxical - act of inspiration causes expiration / VF adducted when inhaling

ILO vs EILO vs Asthma : airway noise

ILO - inhalation stridor

EILO - inhalation stridor

Asthma - Exhalation wheezing

ILO vs EILO vs Asthma : Origin of noise

ILO : Larynx

EILO : Larynx

Asthma : Lower Airway

ILO vs EILO vs Asthma : Symptoms

ILO : Episodic throat tightness / sometimes hoarseness

EILO : Throat tightness / sometimes hoarseness

Asthma : Chest tightness / no hoarseness

ILO vs EILO vs Asthma : Triggers

ILO : Exposure to irritants / GERD

EILO : Physical exertion

Asthma : Air pollution, allergens, temp change, smells, chemicals

ILO vs EILO vs Asthma : SLP role

ILO : Yes

EILO : Yes

Asthma : No

ILO vs EILO vs Asthma : B-agonist response

ILO : No

EILO : No

Asthma : Yes

Pulmonology assessment - ILO vs Asthma

ILO : inspiration flat

Asthma : expiration flat