Sialolithiasis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with sialolithiasis usually appear normal. Physical examination of patients with sialolithiasis is usually remarkable for tenderness of the involved gland, palpable hard lump and | Patients with sialolithiasis usually appear normal. Physical examination of patients with sialolithiasis is usually remarkable for [[tenderness]] of the involved gland, palpable hard [[lump]] and [[pus]] discharging from the duct in cases of acute bacterial sialadenitis | ||
==Physical Examination== | ==Physical Examination== | ||
Physical examination of patients with sialolithiasis is usually remarkable for: tenderness of the involved gland, palpable hard lump and pus discharging from the duct in cases of acute bacterial sialadenitis | Physical examination of patients with sialolithiasis is usually remarkable for: [[tenderness]] of the involved gland, [[palpable]] hard [[lump]] and pus discharging from the duct in cases of acute bacterial sialadenitis | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients with sialolithiasis usually appear normal | *Patients with sialolithiasis usually appear normal | ||
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===HEENT=== | ===HEENT=== | ||
Normal salivary gland is spongy. | Normal [[salivary gland]] is spongy. | ||
In sialolithiasis:<ref name=":0">{{cite book | last = Hupp | first = James | title = Contemporary oral and maxillofacial surgery | publisher = Mosby Elsevier | location = St. Louis, Mo | year = 2008 | isbn = 9780323049030 }}</ref><ref>{{cite book | last = Neville | first = Brad | title = Oral & maxillofacial pathology | publisher = W.B. Saunders | location = Philadelphia | year = 2002 | isbn = 0721690033 }}</ref> | In sialolithiasis:<ref name=":0">{{cite book | last = Hupp | first = James | title = Contemporary oral and maxillofacial surgery | publisher = Mosby Elsevier | location = St. Louis, Mo | year = 2008 | isbn = 9780323049030 }}</ref><ref>{{cite book | last = Neville | first = Brad | title = Oral & maxillofacial pathology | publisher = W.B. Saunders | location = Philadelphia | year = 2002 | isbn = 0721690033 }}</ref> | ||
* Tenderness of the involved gland | * [[Tenderness]] of the involved gland | ||
* Palpable hard lump near the end of the involved duct or under the tongue in submandibular duct stone. | * [[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. | ** Stones, sometimes may be felt smooth or irregular. | ||
* In total obstruction, no saliva is coming from the duct. | * 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 | * Stone in the minor salivary glands can be felt as a small [[Nodule (medicine)|nodule]] | ||
* Stones are typically rock hard and small; they may be smooth or irregular. They are most commonly felt within the ductal system. | * Stones are typically rock hard and small; they may be smooth or irregular. They are most commonly felt within the ductal system. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Patients with sialolithiasis usually appear normal. Physical examination of patients with sialolithiasis is usually remarkable for tenderness of the involved gland, palpable hard lump and pus discharging from the duct in cases of acute bacterial sialadenitis
Physical Examination
Physical examination of patients with sialolithiasis is usually remarkable for: tenderness of the involved gland, palpable hard lump and 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.[1]
Skin
- Skin examination of patients with sialolithiasis is usually normal.
HEENT
Normal salivary gland is spongy.
- 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.
- ↑ McKenna JP, Bostock DJ, McMenamin PG (1987). "Sialolithiasis". Am Fam Physician. 36 (5): 119–25. PMID 3318353.
- ↑ Hupp, James (2008). Contemporary oral and maxillofacial surgery. St. Louis, Mo: Mosby Elsevier. ISBN 9780323049030.
- ↑ Neville, Brad (2002). Oral & maxillofacial pathology. Philadelphia: W.B. Saunders. ISBN 0721690033.