Sialoadenitis: Difference between revisions
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*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. | ||
*If infected, consider [[Amoxicillin/Clavulanate]] or [[Clindamycin]] | |||
==Also See== | ==Also See== | ||
Revision as of 01:28, 17 September 2015
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
Treatment
- Pass spontaneously
- Start on sialogogues (e.g., sour lozenges), 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
Also See
Sources
Knoop The Atlas of Emergency Medicine, pg 124