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Patient case: Sialadenitis- inflamed salivary glands.

Discussion

A 52-year-old male presents to the clinic with a painful swelling on the left side of his face, just below the ear. The pain has been worsening over the past 3 days, and he reports difficulty opening his mouth and chewing. The patient also mentions experiencing dry mouth and mild fever. On physical examination, there is tenderness and swelling in the region of the left parotid gland, with slight redness of the overlying skin. No pus is noted from the salivary ducts, but palpation suggests blockage. A history of reduced fluid intake and recent upper respiratory infection is noted. The patient is diagnosed with acute bacterial sialadenitis, likely secondary to ductal obstruction, and treatment with antibiotics and warm compresses is initiated.

 

Questions
1. What is the most likely diagnosis for the patient's symptoms?

A) Acute bacterial sialadenitis

B) Mumps

C) Oral candidiasis

D) Sjögren’s syndrome

2. Which of the following factors most likely contributed to the development of sialadenitis in this patient?

A) Recent dental procedure

B) Decreased fluid intake and upper respiratory infection

C) Recent use of antibiotics

D) Trauma to the parotid gland

3. Which of the following is the first-line treatment for acute bacterial sialadenitis?

A) Oral analgesics and anti-inflammatory medications

B) Antibiotics and warm compresses

C) Surgical drainage of the gland

D) Corticosteroids

4. What is the typical clinical finding in the physical exam of a patient with sialadenitis?

A) Tenderness and swelling over the affected salivary gland

B) Oral lesions and gum bleeding

C) Excessive salivation

D) Swelling of the lymph nodes only

Reveal answers

Answers

1. A) Acute bacterial sialadenitis

2. B) Decreased fluid intake and upper respiratory infection

3. B) Antibiotics and warm compresses

4. A) Tenderness and swelling over the affected salivary gland