Random Fact(s) Friday – Vol. 1

Posted byspeechpathfactsPosted inUncategorized

*Each week I hope to post a few quick pieces of information that I learned throughout the week. The topics are related to clinic, discussions with my supervisors or residents, and/or from articles/texts I read throughout the week. 

*This week: 

  • A CP bar, which occurs when the cricopharyngeus muscle fails to fully relax during the swallow, can be the primary causal factor of dysphagia among pts with Inclusion Body Myositis (IBM). 
  • A few patients in a row received scores of 1/2 for esophageal impairment on the MBSImP- esophageal retention/retention w/ retrograde flow below the PES. When I looked at the radiology notes, the resident described   “proximal escape”. I did some digging and found a useful site- radiologykey – which described proximal escape as occurring at the point in the superior esophagus where the tissue changes from striated to smooth muscle (near the aortic arch). When the contraction of the esophagus in this region does not adequately clear the bolus, remnants can be retained or flow back into the upper (proximal) esophagus = proximal escape. 
  • A colleague mentioned a patient had Cutaneous T-cell lymphoma (CTCL) which I did not know much about. A brief google search garnered the following: CTCL is a type of non-Hodgkin’s lymphoma. T-cells are a type of lymphocyte, or white blood cell, which either assist other lymphocytes in removing antigens or directly destroy antigens. CTCL occurs when malignant t-cells proliferate and accumulate in the skin. 

*Sources: 

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