salivary glands Flashcards
1
Q
history and exam
A
dry mouth, eyes, lumps, swellings. secretions palpate for stones nodes?
2
Q
what are the main causes acute bilateral symptoms
A
MUMPS. also- staphs, TB, HIV, ALL
3
Q
main causes acute unilateral
A
mumps, acute parotitis
4
Q
what causes recurrent unilateral
A
stones- submandibular 80%, pain and swelling worse on eating, gland may be red swollen tender
5
Q
what causes chronic bilat symptoms
A
assoc with dry eyes and mouth - sjogrens. prolonged treatment with oxytetracycline
6
Q
what can be fixed swellings
A
malignant, idiopathic, sarcoidosis
7
Q
what % tumours are in parotid gland
A
80%. 10% in submandibular.
8
Q
management salivary gland swelling if present for >1m
A
remove any salivary gland swelling
9
Q
treat stones
A
remove distal stones excise the gland if contains the stone
