module 4 disease of salivary gland

Question 1

diseases of salivary gland categories

Answer 1

neoplastic
- benign
- malignant
Nonneoplastic
- infectious
- noninfectious

Question 2

Salivary gland cancer risk factors

Answer 2

Parotid glands most affected
- radiation to head and neck
- work-related exposure
– silica, nickel, asbestos, rubber manufacturing, woodworking
- diet low in veggies, high in animal fat

Question 3

noninfectious salivary gland disorders

Answer 3

• recurrent parotitis
• sialolithiasis
• branchial cleft anomalies
• Sjogren syndrome
• xerostomia
• ptyalism
• sialosis
• benign lymphoepithelial lesion of Godwin

Question 4

Sialectasis

Answer 4

dilation of a salivary duct
- can lead to recurrent parotitis
- can be produced by stone formation or structures

Question 5

sialolithiasis

Answer 5

salivary gland stones
- higher mucin content of saliva
- antigravity flow of saliva
- stagnant saliva in gland

Question 6

Sjogren syndrome

Answer 6

autoimmune disorder that affects the salivary glands
Lymphocytic infiltrate with:
- acinar atrophy
- ductal epithelial hyperplasia
- metaplasia

Question 7

benign lymphoepithelial lesion of Godwin

Answer 7

inflammatory condition found in assoc. with HIV

Question 8

xerostomia

Answer 8

dry mouth
- diseases
- radiotherapy
- drug therapy
Unilateral or bilateral swelling of salivary gland

Question 9

ptyalism

Answer 9

excess saliva
- Rx: atropine
Assoc. conditions:
- epilepsy
- cerebral palsy
- rabies
- stomatitis

Question 10

sialosis

Answer 10

refers to bilaterally recurring salivary gland edema
- acinar cell hypertrophy
- interstitial edema
- striated duct atrophy

Question 11

Causes of sialosis

Answer 11

Alcoholism
metabolic disorders
vitamin deficiencies
obesity
malnutrition
Rx: cholinergic effects
- phenothiazines
- heavy metals
- thiourea
- iodide

Question 12

infectious diseases of salivary glands

Answer 12

mumps parotitis
syphilis
HIV
granulomatous diseases
- TB
- sarcoidosis
- cat-scratch disease
- uveoparotid fever
- actinomycosis

Question 13

sialolithiasis clinical presentation

Answer 13

painful edema of affect gland
- inc. s/s with meal times
- hx recurrent acute suppurative sialadenitis

Question 14

Sjogren syndrome clinical presentation

Answer 14

women 40-60
xerostomia
abnml taste
keratoconjunctivitis sicca
dry tongue
intermittent swelling of salivary gland
Assoc. with:
- RA
- polyarteritis nodosa
- lupus

Question 15

Benign lymphoepithelial lesion of godwin clinical presentation

Answer 15

bilateral salivary gland cysts

Question 16

infectious diseases of salivary glands clinical presentation

Answer 16

rapid onset of colicky pain with meals
edema/inflammation
induration of the affect gland
malaise
chills
tender, swollen gland
tender lymphadenopathy

Question 17

sialolithiasis physical exam

Answer 17

• stone may be palpated in submandibular duct
• parotid stones may be notied at the orfice of Stensen duct

Question 18

viral infections clinical manifestation

Answer 18

bilaterally and painfully enlarged gland
difficulty opening the jaws (trismus)

Question 19

Management of non-infectious salivary gland disorders

Answer 19

pain management
hydration

Question 20

Sialolithiasis management

Answer 20

warm compresses
analgesics
fluid and electrolytes
surgical removal
sialagogues
- stimulate production and flow of saliva
–lemon balls, chewing gum

Question 21

sjogren syndrome management

Answer 21

treated symptomatically
- local and systemic therapy

Question 22

viral infection of salivary gland management

Answer 22

conservative therapy
- hydration
- rest

Question 23

complications of salivary gland diseases

Answer 23

recurrent bouts of gland swelling
pain
stone formation
xerostomia -> dental caries
Infectious -> sepsis

Question 24

Mumps complications

Answer 24

encephalitis
orchitis
meningitis
cochleitis