Sialolithiasis - Revision history

Rossdonaldson1 at 04:45, 6 January 2022

2022-01-06T04:45:53Z

← Older revision		Revision as of 04:45, 6 January 2022
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	==Background==		==Background==
			[[File:Illu quiz hn 02.jpg\|thumb\|Salivary glands: #1 Parotid gland, #2 Submandibular gland, #3 Sublingual gland.]]
	*Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct		*Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct
	*>80% occur in the submandibular gland		*>80% occur in the submandibular gland

2020-01-07T02:09:57Z

← Older revision		Revision as of 02:09, 7 January 2020
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	==See Also==		==See Also==
	*[[Salivary gland diagnoses]]		*[[Salivary gland diagnoses]]

			==External Links==
			[https://coreem.net/core/sialolithiasis/ Sialolithiasis Core EM]

	==References==		==References==

2019-12-12T23:10:47Z

Management

← Older revision		Revision as of 23:10, 12 December 2019
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	==Management==		==Management==
	*Antibiotics only indicated if concurrent infection		*Antibiotics only indicated if concurrent infection ([[suppurative parotitis]])
	**Reasonable to start with Keflex 500 mg q6h x 5 days with close follow up		**Reasonable to start with Keflex 500 mg q6h x 5 days with close follow up
	**Broaden to [[Augmentin]] or [[Clindamycin]] prn		**Broaden to [[Augmentin]] or [[Clindamycin]] prn

2019-12-12T23:10:16Z

2019-12-12T23:09:57Z

← Older revision		Revision as of 23:09, 12 December 2019
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	**From a posterior to anterior direction		**From a posterior to anterior direction
	*Recommend lemon drops, tart candies, or other sialogogues to promote salivation and stone passage		*Recommend lemon drops, tart candies, or other sialogogues to promote salivation and stone passage

			==Disposition==
			*Outpatient

	==See Also==		==See Also==
	[[Salivary Gland Infections]]		*[[Salivary Gland Infections]]

	==References==		==References==

2019-11-26T19:58:56Z

Management

← Older revision		Revision as of 19:58, 26 November 2019
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	==Management==		==Management==
	*Antibiotics only indicated if concurrent infection		*Antibiotics only indicated if concurrent infection
	**[[Augmentin]] or [[~~clindamycin~~]]		**Reasonable to start with Keflex 500 mg q6h x 5 days with close follow up
			**Broaden to [[Augmentin]] or [[Clindamycin]] prn
	*Palpable stones in the distal duct may be 'milked' out		*Palpable stones in the distal duct may be 'milked' out
	**From a posterior to anterior direction		**From a posterior to anterior direction
	*~~Give~~ lemon drops or other sialogogues		*Recommend lemon drops, tart candies, or other sialogogues to promote salivation and stone passage

	==See Also==		==See Also==

2019-09-30T22:36:42Z

← Older revision		Revision as of 22:36, 30 September 2019
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	==Clinical Features==		==Clinical Features==
	*Pain, swelling, and tenderness may resemble parotitis		*Pain, swelling, and tenderness may resemble [[parotitis]]
	**Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating		**Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating
	*Typically unilateral		*Typically unilateral
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	*80% of submandibular and 60% of parotid able to been seen on XR		*80% of submandibular and 60% of parotid able to been seen on XR
	*CT and MRI		*CT and MRI
	*US visualizes both the gland and the stone		*[[Ultrasound]] visualizes both the gland and the stone
	**High frequency intra-oral probes		**High frequency intra-oral probes
	**Hyperechoic lines with posterior acoustic shadowing		**Hyperechoic lines with posterior acoustic shadowing
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	==Management==		==Management==
	*Antibiotics only indicated if concurrent infection		*Antibiotics only indicated if concurrent infection
	**Augmentin or ~~Clindamycin~~		**[[Augmentin]] or [[clindamycin]]
	*Palpable stones in the distal duct may be 'milked' out		*Palpable stones in the distal duct may be 'milked' out
	**From a posterior to anterior direction		**From a posterior to anterior direction

2017-08-08T14:20:53Z

Management

← Older revision		Revision as of 14:20, 8 August 2017
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	==Management==		==Management==
	*Antibiotics only indicated if concurrent infection		*Antibiotics only indicated if concurrent infection
			**Augmentin or Clindamycin
	*Palpable stones in the distal duct may be 'milked' out		*Palpable stones in the distal duct may be 'milked' out
			**From a posterior to anterior direction
	*Give lemon drops or other sialogogues		*Give lemon drops or other sialogogues

2016-07-28T10:27:58Z

← Older revision		Revision as of 10:27, 28 July 2016
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	{{Facial swelling DDX}}		{{Facial swelling DDX}}

	==~~Diagnosis~~<ref>Gritzmann N. Sonography of the salivary glands. AJR Am J Roentgenol. 1989;153 (1): 161-6.</ref><ref>Jäger L, Menauer F, Holzknecht N et-al. Sialolithiasis: MR sialography of the submandibular duct--an alternative to conventional sialography and US? Radiology. 2000;216 (3): 665-71.</ref>==		==Evaluation<ref>Gritzmann N. Sonography of the salivary glands. AJR Am J Roentgenol. 1989;153 (1): 161-6.</ref><ref>Jäger L, Menauer F, Holzknecht N et-al. Sialolithiasis: MR sialography of the submandibular duct--an alternative to conventional sialography and US? Radiology. 2000;216 (3): 665-71.</ref>==
	''Imaging will likely not change management in the ED setting as treatment involves conservative measures''		''Imaging will likely not change management in the ED setting as treatment involves conservative measures''
	*80% of submandibular and 60% of parotid able to been seen on XR		*80% of submandibular and 60% of parotid able to been seen on XR

2016-07-10T01:27:47Z

Text replacement - "==Treatment==" to "==Management=="

← Older revision		Revision as of 01:27, 10 July 2016
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	**In obstruction, gland enlarged and ducts proximal to stone may be dilated		**In obstruction, gland enlarged and ducts proximal to stone may be dilated

	==~~Treatment~~==		==Management==
	*Antibiotics only indicated if concurrent infection		*Antibiotics only indicated if concurrent infection
	*Palpable stones in the distal duct may be 'milked' out		*Palpable stones in the distal duct may be 'milked' out