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| ==[[Sialolithiasis]]== | | ==[[Sialolithiasis]]== |
| ===Background===
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| *Development of a calcium carbonate and calcium phosphate stone in a stagnant salivary duct
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| *>80% occur in the submandibular gland
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| ===Clinical Features===
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| *Pain, swelling, and tenderness may resemble parotitis
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| **Sialolithiasis is exacerbated by meals and may develop over course of minutes when eating
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| *Typically unilateral
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| *A stone may be palpated within the duct and the gland is firm
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| ===Treatment===
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| *Abx only indicated if concurrent infection
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| *Palpable stones in the distal duct may be 'milked' out
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| *Give lemon drops or other sialogogues
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| ==Source== | | ==Source== |