A patient presents with a recurrent history of swelling on the right side of the jaw that begins while eating and subsides within two hours postprandially. You suspect:
- hypochondriasis
- sialolithiasis
- parotitis
- an abscessed tooth
- conjunctivitis mandibularis
Answer: B
Sialolithiasis
Sialo(salivary gland) lithiasis (stone) is described in this question. Parotitis would be inflammation and infection of the parotid gland (usually due to a stone that is stuck in the duct). A parotitis patient would be acutely ill with redness of the gland and fever.
Know Your Content Blueprint
Sialolithiasis and Sialadenitis are part of the NCCPA Content Blueprint EENT (9%).
A 3-year-old with swelling in front of and behind the left ear (watch video)
Brush up on your PANCE/PANRE mouth and throat disorders (pearls) and review the treatment of sialadenitis.