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Key in the treatment of acute suppurative parotitis (asp) is rehydration (may require intravenous fluids) most cases of asp due to staphylococcal aureus, the first drug of choice should be an initial empirical treatment with an antistaphlylococcal penicillin e.g Later, there is high fever and leukocytosis with swelling and redness in the parotid area. It is limited almost entirely to elderly, dehydrated, debilitated, and malnourished patients with poor oral hygiene.
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An article from the surgery section of gpnotebook Initially in parotitis, there is pain or tenderness at the angle of the jaw Sialadenitis is inflammation of a salivary gland
It may be subdivided temporally into acute, chronic and recurrent forms.
Sialolithiases are calcified stones which deposit in the salivary glands They obstruct salivary outflow and predispose to infection Sialolithiasis may be associated with swelling, pain, and infection of the affected gland the majority of salivary calculi (80% to 95%) occur in the submandibular gland, whereas 5% to 20% are found in the parotid gland sialothiasis rarely affects the sublingual. Acute sialadenitis describes acute inflammation of the salivary glands
Any gland may be affected but most often, it is the parotid The condition is discussed in more depth under parotitis. Parotid calculi are less common than calculi in the submandibular gland because the former is primarily serous The patient presents with swelling and pain, aggravated by eating, but subsiding within the next hour or so after the meal
Palpation of the gland confirms that it is enlarged and should be done on both sides for comparative purposes
Calculi must be differentiated from stenosis of.
