Parotid gland

Question 1

Differential diagnosis for parotid mass

Answer 1

Infective - TB, cat scratch dz, bacterial abscess, paramyxovirus mumps
Inflammatory - kim kimura dz
Cystic - sialocele
Obstructive - stone/foreign body/ductal stenosis
Neoplasm
- benign - pleomorphic adenoma, Warthins tumor, oncocytoma
- malignant - MEC, Acinic cell adenoca, adenoid cystic ca.

Question 2

Diffuse parotid mass

Answer 2

Infective
Inflammatory
Neoplasm involving whole gland

Question 3

Localized parotid mass

Answer 3

Benign neoplasm
Stones
Abscess
Granulomatous

Question 4

Intermittent swelling & pain

Answer 4

Obstructive - stone, stenosis, foreign body

Question 5

Mealtime syndrome

Answer 5

A collection of symptoms & signs caused by overproduction of saliva when salivary gland is stimulated (i.e. during meal/ increase apetite) where there is blockage in the salivary flow causing swelling and distension of the parotid glnd capsule.
Signs and symptoms resolve completely after meal

Question 6

Clinical presentation of mealtime syndrome

Answer 6

Acute pain on parotid/submandibular region with swelling that subsides after meal