NONNEOPLASTIC LESIONS OF SALIVARY GLANDS Flashcards
Mumps is caused by
Paramyxovirus
Mumps is usually seen in
Children
Incubation period of paramyxovirus is
2-3 weeks
Features of Mumps
Fever
Malaise
Parotid swelling
Complications of mumps
Orchitis
Ophtitis
Pancreatitis
Aseptic meningitis
Unilateral Sensorineural hearing loss (sudden)
Thyroiditis
Myocarditis
Nephritis
Arthritis
__________ is rare following mumps
Sterility
Dx of mumps
Usually clinical
Serum and urinary amylase
IgM and IgG x4 rise indicate recent infection
IgG may also mean past exposure or immunity
IgM levels rise by 100% on day _____
5
Tx of mumps
Proper hydration
Rest
Analgesics
Cold or hot compresses on parotid
Cold compresses for orchitis
Prevention of Mumps
MMR at 15 months
Monovalent or MMR in adults
Immunoglobulin is NOT found to be useful
Acute suppurative parotitis is common in
Elder
Dehydrated
Debilitated
Dry mouthed
Causative organism in Acute suppurative organism
S. Aureus enters through Stensen’s duct
Features of Acute suppurative parotitis?
Pain on moving the jaw
Fever
Enlarged gland
Pus from the duct
Toxemic
Dx of Acute Suppurative parotitis
↑ WBCs (PMN)
Culture and sensitivity
Tx of Acute suppurative parotits
Antibiotics
Sialogogues
Analgesics
Oral hygiene
Hydration
Surgical drainage
Chronic recurrent sialadenitis causative organism and dx
Streptococci and staph
Sialography - normal duct system
What is sialectasis?
Findings of sialography?
Causes of sialectasis
Dilatation of ducts - stasis of secretion - infection
Dilated duct on sialography (punctate, globular or cavitary)
Congenital/ Autoimmune/ granulomatous disease
Granulomatous diseases involving salivary glands
TB
Sarcoidosis (Uveoparotid fever)
Actinomycosis
Findings in TB of salivary gland
Nontender swelling
necrosis
Fistula formed
Antituberculer Drugs for treatment
Findings in Sarcoidosis
Uveoparotid fever
Chorioretinitis
Enlargement of parotid and lacrimal glands
CN palsies
Features in Actinomycosis
Acute abscess in the gland
Sinus formation
Sulphur like granules
Penicillin and tetracycline for treatment
90% of stones form in the ____________
submandibular gland
10% of stones form in the __________
parotid gland
Features of stones
Intermittent swelling
Pain
Stone is visible at the duct
Xray for Radiopaque
Sialography for Radiolucent
Treatment of salivary calculi
Excision or remove it intraorally
What is primary Sjogren syndrome?
Which salivary gland is most commonly involved?
It is also known as?
Xerostomia and Xerophthalmia
Parotid
Benign lymphoepithelial lesion or Mikulicz disease
M to F ratio equal
What is secondary Sjogren syndrome?
What test is done?
What are the other investigations?
Keratoconjuctivitis sicca
Xerostomia
Autoimmune diseases like RA or SLE
Test = Schirmer test
Other investigations = Biopsy
RF ANA, ESR or SS-A or SS-B Antibodies
