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19 Cards in this Set
- Front
- Back
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Sialadenitis
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Inflammation of the salivary glands
Salivary Acini are being destroyed and are being replaced by fibrous tissue, therefore they can no longer function |
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Parotidis
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Inflammation of the Parotid gland specifically
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How can you distinguish between a salivary gland enlargement and a lymph node enlargement?
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Through bimanual palpation. You're not going to palpate a lymph node this way
When you palpate the tissue from the outside, that's when you pick up lymph nodes |
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Sialolith
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Incremental calcareous concretion or calculus in the salivary ducts or glands, usually the submaxillary gland and its duct
Causes blockage of duct leading to backup of salivary flow Causes salivary gland enlargement during eating then decreases during rest |
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Sjogren's Syndrome
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Autoimmune disease affecting salivary and lacrimal glands
Can cause bilateral salivary gland enlargement Results in Sicca Syndrome (dry eyes and mouth - Xerophthalmia, Xerostomia) Lymphocytes replace salivary gland For diagnosis, run antibody lab test to view elevated immunoglobulin levels |
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Sarcoidosis
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Causes bilateral salivary gland enlargement
Replaces salivary gland with inflammtory tissue |
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Mumps
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Causes bilateral salivary gland enlargement
Doesn't usually affect the minor glands Very fast onset and painful |
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Bilateral salivary gland enlargement due to Malnutrition
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There's an increase in salivary gland acini size (Salivary gland acini hypertrophy)
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Alcoholic Sialadenosis
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Causes bilateral salivary gland enlargement due to asymptomatic parotid hypertrophy
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HIV associated salivary gland disease
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Causes bilateral salivary gland enlargement
Use needle biopsy for diagnosis Gland is replaced with lymphocytes Multiple cysts seen in the glands |
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Adenoma
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Benign salivary gland tumors of glandular tissue
Lesions with unlimited growth potential |
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Adenocarcinoma
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Malignant salivary gland tumors of glandular epithelial tissue
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Which salivary gland accounts for most of the diagnoses salivary gland tumors?
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parotid gland (but only 15% are malignant)
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Which salivary gland accounts for most of the diagnosed MALIGNANT gland tumors?
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Sublingual gland (Only 0.3% of salivary tumors found here, but 86% of them are malignant)
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What is the most common intra-oral location for salivary gland tumors?
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Cluster of salivary glands at junction of hard and soft palate
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Which minor salivary gland site has the highest risk of developing tumors?
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Palate > Lips (Upper > Lower) > Buccal mucosa
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Xerostomia
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Patient's complaint of dry mouth
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Hyposalivation
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Measured, confirmed low salivary flow
Measure stimulated and unstimulated salivary flow to determine if low Unstimulated Severe produce <0.1ml/min Moderate produce <0.2ml/min Stimulated Low 0.7ml/min Normal 10ml/min+ |
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Why oral findings might you find in cases of dry mouth?
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Dry, chapped lips
Dental caries (cervical or incisal/occlusal caries) Fungal infections Dessicated/ulcerated mucosal membrane Change in tongue papilla |
