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ENT > 2: Disease of Salivary Glands > Flashcards

2: Disease of Salivary Glands Flashcards

1
Q

What are the 3 largest salivary glands

A

Parotid gland
Submandibular gland
Sublingual gland

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2
Q

If salivary glands swell bilaterally

A

Sialodenosis

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3
Q

What gland due sialadenosis and sialdenitis effect

A

Parotid gland

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4
Q

What gland does sialolithiasis affect and why

A

Submandibular gland - due to the ascending salivary duct

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5
Q

What is sialodenosis

A

Bilateral swelling of salivary glands

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6
Q

What are the 3 categories of causes of sialodenosis

A
  • Endocrine
  • Dystrophic
  • Meds
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7
Q

What endocrine disease may cause sialodenosis

A

DM

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8
Q

What dystrophic conditions may lead to sialodenosis

A

Malnutrition
Alcohol
Anorexia

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9
Q

What medications may lead to sialodenosis

A

Clonidine

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10
Q

How does sialodenosis present

A

Bilateral swelling of parotid gland

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11
Q

What is sialdenitis

A

Inflammation salivary gland

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12
Q

What causes sialdenitis

A

Staphylococcus aureus

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13
Q

How does sialdenitis present

A

Unilateral, tender salivary gland with purulent discharge

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14
Q

What indicates parotid involvement

A

Raised serum amylase

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15
Q

What is sialolithiasis

A

Formation of stones in salivary glands

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16
Q

Where do 80% of sialolithiasis occur

A

Submandibular gland

17
Q

How does sialolithiasis present clinically

A

Unilateral facial pain and swelling following eating

18
Q

Why is pain in sialolithiasis worse following eating

A

Due to secretion of saliva

19
Q

What are two investigations for sialolithiasis

A

US

X-Ray

20
Q

What is conservative management of sialolithiasis

A

Analgesia
Hydration
Massage gland
Sialagogues - lemon juice

21
Q

What is medical management of sialolithiasis

A

Antibiotics

22
Q

When is surgery indicated for salivary stones

A

Recurrent or persistent

23
Q

How are distal salivary stones managed surgically

A

Trans-oral surgery

24
Q

How are proximal salivary stones managed surgically

A

Trans-cervical surgery

25
Q

What are problems with salivary gland stones

A

Abscess
Pain
Recurrent infection

26
Q

Explain relationship between sjogrens and salivary glands

A

Sjogrens causes inflammation of the salivary glands which decreases saliva excretion causing xerostomia, dysphagia, dental infection and parotitis

ENT (16 decks)

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