Sialoadenitis: Difference between revisions
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==Management== | ==Management== | ||
*Pass spontaneously | *Pass spontaneously | ||
*Start on sialogogues (e.g., sour lozenges), which stimulate salivary secretions and help expel the stone | *Start on sialogogues (e.g., sour lozenges, lemon juice), which stimulate salivary secretions and help expel the stone | ||
*Palpable stones may also be “milked” from the duct | *Palpable stones may also be “milked” from the duct | ||
**Stroking in a posterior to anterior direction. | **Stroking in a posterior to anterior direction. | ||
Latest revision as of 04:31, 5 December 2016
Background
- Occurs from outflow obstruction by a stone or calculus in the salivary gland or duct
- Submandibular location most commonly
- More viscous secretions and runs an uphill course
Clinical Features
- Xerostomia (dry mouth) along
- Increasing swelling and pain during mealtime
Differential Diagnosis
Facial Swelling
- Buccal space infections
- Dental problems
- Canine space infection
- Facial cellulitis
- Herpes zoster
- Masticator space infections
- Maxillofacial trauma
- Neoplasm
- Parapharyngeal space infection
- Salivary gland diagnoses
- Parotitis
- Ranula
- Sialoadenitis
- Sialolithiasis
- Superior vena cava syndrome
Evaluation
Management
- Pass spontaneously
- Start on sialogogues (e.g., sour lozenges, lemon juice), which stimulate salivary secretions and help expel the stone
- Palpable stones may also be “milked” from the duct
- Stroking in a posterior to anterior direction.
- If infected, consider Amoxicillin/Clavulanate or Clindamycin
Disposition
- Outpatient
Also See
References
- Knoop The Atlas of Emergency Medicine, pg 124