REASON
CHIEF COMPLAINT: Vocal cords.
BLANKLINE
Patient has history of having had a squamous cell carcinoma of the posterior third of his tongue treated on the right side, treated with radiation and chemotherapy. He has had hoarseness since that time. He has also had a swallowing problem and a PEG tube in place. His swallowing has gradually gotten better with swallowing therapy by the speech therapist. He is seen to evaluate his vocal cords.
PHYSICAL EXAMINATION
When talking, he is very hoarse. He does not have any breathy sounds. Ears are normal. Nose is normal with a straight septum and no enlarged turbinates. Neck: There are no palpable nodes. Oral cavity is normal except for palpation of the posterior third of the tongue.
CHIEF COMPLAINT: Vocal cords.
BLANKLINE
Patient has history of having had a squamous cell carcinoma of the posterior third of his tongue treated on the right side, treated with radiation and chemotherapy. He has had hoarseness since that time. He has also had a swallowing problem and a PEG tube in place. His swallowing has gradually gotten better with swallowing therapy by the speech therapist. He is seen to evaluate his vocal cords.
PHYSICAL EXAMINATION
When talking, he is very hoarse. He does not have any breathy sounds. Ears are normal. Nose is normal with a straight septum and no enlarged turbinates. Neck: There are no palpable nodes. Oral cavity is normal except for palpation of the posterior third of the tongue.