Sialolithiasis physical examination

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

Overview

Patients with [disease name] usually appear [general appearance]. Physical examination of patients with [disease name] is usually remarkable for [finding 1], [finding 2], and [finding 3].

OR

Common physical examination findings of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

The presence of [finding(s)] on physical examination is diagnostic of [disease name].

OR

The presence of [finding(s)] on physical examination is highly suggestive of [disease name].

Physical Examination

Physical examination of patients with sialolithiasis is usually remarkable for: tenderness of the involved gland, palpable hard lump, pus discharging from the duct in cases of acute bacterial sialadenitis

Appearance of the Patient

• Patients with sialolithiasis usually appear normal

Vital Signs

• Vital signs are usually normal but low grade fever may be seen in sialadenititis as a complication of sialolithiasis.

Skin

• Skin examination of patients with sialolithiasis is usually normal.

HEENT

Normal salivary gland is spongy.

In sialolithiasis:

• Tenderness of the involved gland
• Palpable hard lump near the end of the involved duct or under the tongue in submandibular duct stone.
  • Stones, sometimes may be felt smooth or irregular.
• In total obstruction, no saliva is coming from the duct.
• Erythema of the floor of the mouth in sialadenitis as a complication of sialolithiasis
• Pus discharging from the duct in cases of infection of salivary gland ( acute bacterial sialadenitis)
• Stone in the minor salivary glands can be felt as a small nodule
• Stones are typically rock hard and small; they may be smooth or irregular. They are most commonly felt within the ductal system.

Neck

• Cervical lymphadenitis in cases of infection

Lungs

• Pulmonary examination of patients with sialolithiasis is usually normal.

Heart

• Cardiovascular examination of patients with sialolithiasis is usually normal.

Abdomen

Abdominal examination of patients with sialolithiasis is usually normal.

Back

• Back examination of patients with sialolithiasis is usually normal.

Genitourinary

• Genitourinary examination of patients with sialolithiasis is usually normal.

Neuromuscular

• Neuromuscular examination of patients with sialolithiasis is usually normal.

Extremities

• Extremities examination of patients with sialolithiasis is usually normal.