Which three of the following historical items at the time of referral are suggestive of an elevated likelihood of clinically significant dysphagia in a 70 year old adult?
1) the patient had pneumonia as a child and then again 10 years ago
2) the patient has a history of stroke or other neurological disease
3) the patient has been losing weight since recovering from anterior cervical spine fusion
4) the patient was cured of pharyngeal cancer with radiation therapy 30 years ago
5) the patient was intubated for surgery and routinely extubated postoperatively 24 hours before the SLP consult
6) the patient has a history of spasmodic dysphonia and underwent botox injection 10 years ago