Mumps physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
The characteristic presentation of mumps is tender, swollen [[Parotid gland|parotid glands]]. Inflammation of [[Submandibular gland|submandibular]] and [[Sublingual gland|sublingual salivary glands]] is palpable in 10% of patients. [[Sialoadenitis|Sialoadenitits]] is usually preceded by a low-grade [[fever]]. The jawbone is often not palpable and swelling pushes the angle of the ear out and up. 25% of patients present with unilateral swelling. [[Stensen's duct]] orifice may be inflamed and erythematous. [[Lymph node]] swelling can be differentiated by the well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle. | |||
==Physical Examination== | ==Physical Examination== | ||
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===HEENT=== | ===HEENT=== | ||
*Tender, edematous salivary glands | *Tender, edematous [[Salivary gland|salivary glands]] | ||
:*Swollen parotid | :*Swollen [[Parotid gland|parotid glands]] (90% of patients) | ||
:*Swollen submandibular and sublingual glands (10% of patients) | :*Swollen [[Submandibular gland|submandibular]] and [[Sublingual gland|sublingual glands]] (10% of patients) | ||
*Swelling pushes angle of ear up and out | *Swelling pushes angle of ear up and out | ||
*Jawbone below ear often not visible or palpable at peak inflammation | *Jawbone below ear often not visible or palpable at peak inflammation | ||
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:*One parotid may swell before other | :*One parotid may swell before other | ||
:*25% of patients only have unilateral swelling | :*25% of patients only have unilateral swelling | ||
*[[Stensen's duct]] orifice may be inflamed and erythematous | |||
= | *[[Lymph node]] swelling can be differentiated by well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle<ref name="CDCMumps">Mumps. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/index.html Accessed March 09, 2016.</ref> | ||
==Gallery== | ==Gallery== | ||
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[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Dermatology]] | [[Category:Dermatology]] | ||
Latest revision as of 18:07, 18 September 2017
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Mumps Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Mumps physical examination On the Web |
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American Roentgen Ray Society Images of Mumps physical examination |
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Risk calculators and risk factors for Mumps physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: ; Nate Michalak, B.A.
Overview
The characteristic presentation of mumps is tender, swollen parotid glands. Inflammation of submandibular and sublingual salivary glands is palpable in 10% of patients. Sialoadenitits is usually preceded by a low-grade fever. The jawbone is often not palpable and swelling pushes the angle of the ear out and up. 25% of patients present with unilateral swelling. Stensen's duct orifice may be inflamed and erythematous. Lymph node swelling can be differentiated by the well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle.
Physical Examination
Vital Signs
- Low-grade fever
HEENT
- Tender, edematous salivary glands
- Swollen parotid glands (90% of patients)
- Swollen submandibular and sublingual glands (10% of patients)
- Swelling pushes angle of ear up and out
- Jawbone below ear often not visible or palpable at peak inflammation
- Patients may present with unilateral parotitis
- One parotid may swell before other
- 25% of patients only have unilateral swelling
- Stensen's duct orifice may be inflamed and erythematous
- Lymph node swelling can be differentiated by well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle[1]
Gallery
-
![Child with parotitis. Adapted from the CDC.[2]](/images/7/77/Mumps_Source_CDC.jpg)
Child with parotitis. Adapted from the CDC.[2]
![Child with parotitis. Adapted from the CDC.[2]](/index.php/File:Mumps_Source_CDC.jpg)
References
- ↑ Mumps. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/index.html Accessed March 09, 2016.
- ↑ "Centers for Disease Control and Prevention".