Mumps physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: ; Nate Michalak, B.A.

Physical Examination

Vital Signs

• Low-grade fever

HEENT

• Tender, edematous salivary glands

• Swollen parotid gland (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

• 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

Gallery

• 

  Child with parotitis. Adapted from the CDC.

References

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