Sandbox:DDx HEENT: Difference between revisions

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* Bilateral painful parotid swelling among children
* 5-9 days duration
* Low grade fever, anorexia, and malaise
* Unilateral/bilateral ear pain
* May have meningitis or orchitis symptoms




* Localized bilateral parotid tenderness
* Elderly postoperative patients
* Sever local unilateral parotid pain
* May have high fever, chills, trismus, and dysphagia
* History of dehydration or intubation


* Elevated WBC count


* Increased serum amylase
* Sudden onset of firm, tender, unilateral parotid swelling
* Hypoechogenic lesion surrounded by an irregular echogenic rim on U/S indicates abscess collection




* Parotid enlargement on CT
* Staphylococcus aureus (most commonly isolated pathogen)
* Increased in homogeneous parenchymal density
* Polymicrobial
* Mild overlying subcutaneous smudging
 
* Not applicable
* Not applicable

Revision as of 22:16, 3 November 2015


  • Elderly postoperative patients
  • Sever local unilateral parotid pain
  • May have high fever, chills, trismus, and dysphagia
  • History of dehydration or intubation
  • Elevated WBC count
  • Sudden onset of firm, tender, unilateral parotid swelling
  • Hypoechogenic lesion surrounded by an irregular echogenic rim on U/S indicates abscess collection


  • Staphylococcus aureus (most commonly isolated pathogen)
  • Polymicrobial
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