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==Overview==
==Overview==
The characteristic presentation of mumps is tender, swollen parotid glands. Inflammation of submandibular and sublingual salivary glands is palpable in 10% of patients. Sialadenitits is usually preceded by a low-grade [[fever]]. The jawbone is often not palpable and swelling pushes the angle of the ear out and up. 25% of patients present with unilateral swelling. Stensen's duct orifice may be inflamed and erythematous. Lymph node swelling can be differentiated by the well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle.
The characteristic presentation of mumps is tender, swollen [[Parotid gland|parotid glands]]. Inflammation of [[Submandibular gland|submandibular]] and [[Sublingual gland|sublingual salivary glands]] is palpable in 10% of patients. [[Sialoadenitis|Sialoadenitits]] is usually preceded by a low-grade [[fever]]. The jawbone is often not palpable and swelling pushes the angle of the ear out and up. 25% of patients present with unilateral swelling. [[Stensen's duct]] orifice may be inflamed and erythematous. [[Lymph node]] swelling can be differentiated by the well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle.


==Physical Examination==
==Physical Examination==
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===HEENT===
===HEENT===
*Tender, edematous salivary glands
*Tender, edematous [[Salivary gland|salivary glands]]
:*Swollen parotid gland (90% of patients)
:*Swollen [[Parotid gland|parotid glands]] (90% of patients)
:*Swollen submandibular and sublingual glands (10% of patients)
:*Swollen [[Submandibular gland|submandibular]] and [[Sublingual gland|sublingual glands]] (10% of patients)
*Swelling pushes angle of ear up and out
*Swelling pushes angle of ear up and out
*Jawbone below ear often not visible or palpable at peak inflammation
*Jawbone below ear often not visible or palpable at peak inflammation
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:*One parotid may swell before other
:*One parotid may swell before other
:*25% of patients only have unilateral swelling
:*25% of patients only have unilateral swelling
*Stensen's duct orifice may be inflamed and erythematous
*[[Stensen's duct]] orifice may be inflamed and erythematous
*Lymph node swelling can be differentiated by well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle<ref name="CDCMumps">Mumps. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/index.html Accessed March 09, 2016.</ref>
*[[Lymph node]] swelling can be differentiated by well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle<ref name="CDCMumps">Mumps. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/index.html Accessed March 09, 2016.</ref>


==Gallery==
==Gallery==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]
 
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Dermatology]]
[[Category:Dermatology]]

Latest revision as of 18:07, 18 September 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: ; Nate Michalak, B.A.

Overview

The characteristic presentation of mumps is tender, swollen parotid glands. Inflammation of submandibular and sublingual salivary glands is palpable in 10% of patients. Sialoadenitits is usually preceded by a low-grade fever. The jawbone is often not palpable and swelling pushes the angle of the ear out and up. 25% of patients present with unilateral swelling. Stensen's duct orifice may be inflamed and erythematous. Lymph node swelling can be differentiated by the well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle.

Physical Examination

Vital Signs

HEENT

  • Swelling pushes angle of ear up and out
  • Jawbone below ear often not visible or palpable at peak inflammation
  • Patients may present with unilateral parotitis
  • One parotid may swell before other
  • 25% of patients only have unilateral swelling
  • Stensen's duct orifice may be inflamed and erythematous
  • Lymph node swelling can be differentiated by well-defined borders of the lymph nodes, location behind the angle of the jawbone, and lack of the ear protrusion or obscuring of the jaw angle[1]

Gallery

References

  1. Mumps. Centers for Disease Control and Prevention (May 29, 2015). http://www.cdc.gov/mumps/index.html Accessed March 09, 2016.
  2. "Centers for Disease Control and Prevention".


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