PANCE Blueprint EENT (7%)

Inflammation of lacrimal (tear-producing) glands usually caused by bacteria or a virus that initiates the inflammation

• s/sx: unilateral severe pain, swelling, redness, tearing, drainage (supratemporal)
• Common causes include mumps, Epstein-Barr virus, staphylococcus, and gonococcus

DX: usually clinical; CT orbits if chronic

TX: If the cause of dacryoadenitis is a viral condition such as mumps, simple rest and warm compresses may be all that is needed

• For other causes, the treatment is specific to the causative disease

Dacryocystitis

• Infectious obstruction of nasolacrimal duct (inferomedial region)

Tx: systemic antibiotics: Clindamycin + 3rd gen. cephalosporin