oral & glandular d/o

Question 1

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

Answer 1

parotitis/mumps

Question 2

how is parotitis spread

Answer 2

airborne droplets

Question 3

incubation time of parotitis? sx duration?

Answer 3

2-3 wks
7-10 days

Question 4

sx of parotitis

Answer 4

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

Question 5

how is parotitis tx

Answer 5

support

Question 6

how to prevent parotitis

Answer 6

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

Question 7

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

Answer 7

sialadenitis

Question 8

most common infectious cause of sialadenitis

Answer 8

virus ex. mumps

Question 9

most common causes of bacterial sialadenitis

Answer 9

1 staph

strep viridians
s. pneumoniae
h. influ
anaerobes

Question 10

serous saliva is associated with what type of sialadenitis

Answer 10

baterial

Question 11

how is bacterial sialadenitis tx?

Answer 11

hydration & abx
surgical drainage if unresponsive

Question 12

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

Answer 12

acute suppurative sialadenitis

Question 13

diff between acute suppurate sialadenitis and mumps

Answer 13

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

Question 14

WBC for acute suppurative sialadenitits

Answer 14

leukocytosis w/ neutrophilia

Question 15

radiation sialadenitis

Answer 15

xerostomia
I-131

Question 16

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

Answer 16

sialolithiasis

Question 17

2 possible etiologies of sialolithiasis

Answer 17

chronic sialadentitis
local injury/inflammation

Question 18

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

Answer 18

sialolithiasis

Question 19

pathophys of sialolithiasis

Answer 19

stasis of salivary flow

Question 20

3 ways to diagnose sialolithiasis

Answer 20

intraoral inspection or bimanual palpation of calculi
sialogram
CT

Question 21

tx of sialolithiasis

Answer 21

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)