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ENT 1 > oral & glandular d/o > Flashcards

oral & glandular d/o Flashcards

1
Q

acute non-suppurative viral infection of salivary gland in kids under 15yo; peaks in spring or tropical env.

A

parotitis/mumps

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2
Q

how is parotitis spread

A

airborne droplets

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3
Q

incubation time of parotitis? sx duration?

A

2-3 wks
7-10 days

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4
Q

sx of parotitis

A

low grade fever, HA, myalgia/arthralgia
anorexia, malaise
BILATERAL parotid swelling with no evidence of erythema or warmth

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5
Q

how is parotitis tx

A

support

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6
Q

how to prevent parotitis

A

get MMR vaccine 12-15mo old & 4-6 yo

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7
Q

inflammatory process of affected gland; can be suppurative or nonsuppurative; caused by less saliva production or flow

A

sialadenitis

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8
Q

most common infectious cause of sialadenitis

A

virus ex. mumps

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9
Q

most common causes of bacterial sialadenitis

A

1 staph

strep viridians
s. pneumoniae
h. influ
anaerobes

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10
Q

serous saliva is associated with what type of sialadenitis

A

baterial

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11
Q

how is bacterial sialadenitis tx?

A

hydration & abx
surgical drainage if unresponsive

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12
Q

rapid onset of pain & swelling over affected salivary gland; complication of chronic dehydration; fever, chills, malaise

A

acute suppurative sialadenitis

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13
Q

diff between acute suppurate sialadenitis and mumps

A

mumps is viral, acute has to do with bacteria
mumps is bilateral
acute has warmth, is suppurative and has dry membranes

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14
Q

WBC for acute suppurative sialadenitits

A

leukocytosis w/ neutrophilia

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15
Q

radiation sialadenitis

A

xerostomia
I-131

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16
Q

formation of stones in salivary glands; mostly submandibular gland (but can affect others)

A

sialolithiasis

17
Q

2 possible etiologies of sialolithiasis

A

chronic sialadentitis
local injury/inflammation

18
Q

pain & swelling of affected gland, intermittent swelling related to meals, production of salivary calculi (calcium, hydroxyapatite)

A

sialolithiasis

19
Q

pathophys of sialolithiasis

A

stasis of salivary flow

20
Q

3 ways to diagnose sialolithiasis

A

intraoral inspection or bimanual palpation of calculi
sialogram
CT

21
Q

tx of sialolithiasis

A

remove calculi
remove gland if stone is w/in gland parenchyma
give lemon drops/sialogogues for stasis reversal, OJ, bimanual massage, etc
abx for 7-10 days (augmentin, dicloxacillin, cephalexin)

ENT 1 (9 decks)

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