Throat: oral HSV, Sialadenitis, Sialolithiasis Flashcards
Define/cause of oral HSV?
Aka cold sores
Occurs due to herpes simplex virus.
Presentation of oral HSV?
Prodrome x6-48hrs
- pain
- burning
- tingling
- pruritus
- paraesthesia
Painful blisters
Fever
Malaise
Sore throat
Diagnosis/IVx of oral HSV?
Clinical diagnosis
Can swab for HSV PCR (if uncertain)
Management of oral HSV?
Topical antiviral OTC
Oral antiviral (primary infection, severe, recurrent, immunocompromised)
Minimise transmission risk
- avoid kissing or oral sex until healed
- don’t share items that come in contact with lesions
- avoid touching lesions
- wash hands with soap and water
Define/causes of sialadenitis?
Inflammation of the salivary glands.
Due to viral or bacterial infections.
Presentation of sialadenitis?
Swollen, tender gland/affected area
Can have pus from duct
Fever
Decreased salivary secretion
Pain
Erythema
Diagnosis/IVx of sialadenitis?
Clinical diagnosis
CT or US
Lab tests
- culture of saliva or pus (identify organism)
Management of sialadenitis?
Abx (if bacterial)
Oral hygiene
Heat/cold compresses with massage
Aggressive hydration
Lemon drops or citrus juice to promote salivary flow.
Analgesia
Incision and drainage if there is an associated abscess
Define/causes of sialolithiasis?
Calculi or stones that can form in the major salivary glands and their ducts.
Leads to obstruction of salivary outflow, typically with pain and swelling at mealtimes.
Obstruction of a salivary gland can lead to inflammation and swelling of the gland.
Presentation of sialolithiasis?
Post-prandial swelling and pain
Can have palpable calculin in gland
Diagnosis/IVx of sialolithiasis?
CT or MRI (assess size and location of tumour)
Sialogram
Biopsy
Management of sialolithiasis?
Hydration and analgesia
Duct massage
Surgical stone removal
