Epidemiology
Pathophysiology
Anatomy
Diagnosis
Treatment/Dispo
100

The most common disease of the salivary gland

What is sialolithiasis?

100

This social history is associated with increased risk of sialolithiasis

What is tobacco smoking?

100

Name item #1

What is the parotid gland?

100

The main way that sialolithiasis is diagnosed

What is clinical diagnosis?

100

Emergency providers can attempt to extract a salivary stone if the stone is _______

What is palpable or visible?

200

Up to 80% of sialoliths are found in this location

What is the submandibular gland?

200

Sialolithiasis is the most common cause of this infection

What is sialadenitis?

200
The airway compromising complication of sialolithiasis occurs in this space

What is submandibular space? 

200

Most common symptom of sialolithiasis (>90%)

What is prandial swelling?

What is facial swelling with eating?

200

Either of these exam or imaging findings as a complication warrant admission

What is an abscess or submandibular infection?

300

The second most common location of sialolithiasis

What is the parotid gland?

300

Name 3 medication classes associated with increased risk of sialolithiasis

What are anticholinergics, antidepressants, AEDs, antihistamines, antipsychotics, antiparkinsonism agents, opioid, sympathomimetics, muscle relaxants, CV agents (BB, CCB, ACE-I, diuretics)?

300

Name item #3

What is the sublingual gland?

300

Name this complication of sialolithiasis

What is suppurative parotitis?

300

Oral antibiotic of choice for infected stone (2)

What is augmentin or clindamycin? 

(Per Corependium, start with antistaph coverage- keflex or dicloxacillin)

400

Peak incidence of sialolithiasis occurs in this age range

What is 30-60?

Also acceptable: What is middle aged?

400

Sialoliths are thought to occur from decreased salivary flow due to any of these

What is obstruction or stricture, increased calcium concentration, bacteria, inflammation?

400

Name this duct

What is Wharton's duct?

400

The sensitivity of CT for sialolithiasis

What is >90% (96-98%)?

400

3 things to recommend for at home treatment of sialolithiasis to expel the stone

What is 1) apply a warm compress, 2) sialagogue, and 3) massage the gland?

500

The prevalence of sialolithiasis in the general population is approximately what percentage

What is 1%?

500

Single most common bacterial cause of salivary gland infection

What is staph aureus? 

500

Name this duct

What is Stenson's duct?

500

The gold standard for sialolithiasis diagnosis

What is sialendoscopy? 

500

Stones greater than this size typically require ENT for removal

What is >4mm?

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