Sandbox:DDx HEENT

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  • 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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