id author title date pages extension mime words sentences flesch summary cache txt cord-327611-g2ssh0fk Ishkanian, Amy Clinical Conundrum: Dysphagia in a Patient with COVID-19 and Progressive Muscle Weakness 2020-10-31 .txt text/plain 757 51 46 On the initial Speech-Language Pathology (SLP) evaluation, she was found to have hoarse and wet vocal quality, a report of recent vomiting and overt signs of aspiration with PO (per os) trials. Based on repeated SLP assessments over the course of 2 weeks, the patient continued to have severe pharyngeal dysphagia with an inability to trigger a swallow or manage her secretions. The patient continued to present with persistent pharyngeal dysphagia, however, showed some improvement in secretion management. The patient participated in dysphagia therapy including use of incentive spirometry, swallowing exercises, therapeutic PO trials, and training of oral care. Once the patient's COVID-19 test returned negative and she showed improvement in secretion management, a Modified Barium Swallow Study (MBSS) was performed 6 weeks post-admission. Despite the patient's initial diagnosis of COVID-19, her respiratory difficulties were not severe and did not explain the extent of her dysphagia. ./cache/cord-327611-g2ssh0fk.txt ./txt/cord-327611-g2ssh0fk.txt