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    Parotitis Ale

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    Kamal
    Parotitis most commonly occurs in an older man with poor oral hygiene and poor oral intake, with an associated decrease in saliva production.

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    Parotitis Ale

    Uploaded by

    Kamal
    2 views1 page
    Parotitis most commonly occurs in an older man with poor oral hygiene and poor oral intake, with an associated decrease in saliva production.

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    © © All Rights Reserved

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    DOC, PDF, TXT or read online from Scribd

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    Parotitis most commonly occurs in an older man with poor oral hygiene and poor oral intake, with an associated decrease in saliva production.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    2 views1 page

    Parotitis Ale

    Uploaded by

    Kamal
    Parotitis most commonly occurs in an older man with poor oral hygiene and poor oral intake, with an associated decrease in saliva production.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 1

    Parotitismostcommonlyoccursinanoldermanwithpoororalhygieneandpoororal

    intake,withanassociateddecreaseinsalivaproduction.epathophysiologyinvolves
    obstructionofthesalivaryductsoraninfectioninadiabeticorimmunocompromised
    patient.epatientisnotedtohavesignicantedemaandfocaltendernesssurroundingthe
    parotidgland,whicheventuallyprogressestoinvolveedemaoftheoorofthemouth.If
    leftundiagnosedanduntreated,theparotitiscancauselifethreateningsepsis.Intheworst
    casescenario,theinfectioncandissectintothemediastinumandcausestridorfrom
    partialairwayobstruction.Patientswithadvancedparotitiswillhavedysphagiaandsome
    respiratoryocclusion.Ifthediagnosisofparotitisisbeingentertained,thepatient
    receivesIV,highdose,broadspectrumantibioticswithgoodcoverageof
    Staphylococcus,themostcommonagentculturedfromthisdisease.Inthepresenceofa
    uctuantarea,incisionplusdrainageisindicated,withcaretakentoavoidthefacialnerve.
    Rarely,advanceddiseasemayevenrequireemergencytracheostomy.Mostpatientswith
    parotitiswillhavetheconditionarise4to12daysafteraninitialoperation.Becauseof
    therapidprogressionofthisdisease,onemustbeawareofthediagnosisand,when
    present,instituteimmediatetherapy,includingoccasionalemergencysurgeryforpatients
    withanobviousuctuantarea.

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