PANCE Blueprint EENT (7%)

Salivary disorders (PEARLS)

Sialadenitis Sialadenitis is a bacterial infection of a salivary gland usually caused by sialolithiasis which is an obstructing stone in the salivary gland

  • Acute swelling of the cheek which worsens with meals
  • etiology: S. aureus
  • Affects the parotid or submandibular gland, occurs with dehydration or chronic illness (Sjogren syndrome), ductal obstruction
  • Diagnose with CT, ultrasonography, or MRI


  • IV antibiotics: Nafcillin
  • Hydration, warm compresses, sialagogues (lemon drops), massage gland
  • Oral antibiotics for less severe cases - Dicloxacillin, 1st gen cephalosporin, or clindamycin
  • Resolves in 2-3 Wks
Parotitis (ReelDx) Mumps is caused by paramyxovirus. Likely in a child without a complete vaccination series

  • Typically, it begins with a few days of fever, headache, myalgia, fatigue, and anorexia, followed by parotitis; the illness is usually self-limited
  • In adult males look for an associated orchitis
  • Viral infections associated with parotitis include influenza A virus, parainfluenza, adenovirus, coxsackievirus, Epstein-Barr virus (EBV), cytomegalovirus, herpes simplex virus, human immunodeficiency virus (HIV), and lymphocytic choriomeningitis virus

TX: Self-limiting treat with hydration and rest

  • Vaccination is effective for prevention
Acute pharyngitis (ReelDx + Lecture) (Prev Lesson)
(Next Lesson) Sialadenitis (Lecture)
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