Possible Clues:

• Throat's up-and-downer
• Awfully mad appeals �- male, in particular, gets it in the neck
• What can't hold still during lectures?
• Papa freshly presented with medals gives you a lump in your throat
• Engineer appeals about barrier, wobbly thing in pipe below head
• Finding two pence in water brings a lump in one's throat
• Lump in throat
• Laryngeal projection
• Perhaps something moving in speech that led to the first fall? (4'1,5)
• Bump formed by the larynx