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==Overview==
==Overview==
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==
Where mumps is rare, diagnosis can be challenging since signs and symptoms are non-specific and laboratory evaluation is not straightforward. The CDC defines a clinical case of mumps as "An illness with acute onset of unilateral or bilateral tender, self-limited swelling of the parotid or other salivary gland(s), lasting at least 2 days, and without other apparent cause."<ref> {{cite book | author = Centers for Disease Control and Prevention | title = Epidemiology and Prevention of Vaccine-Preventable Diseases | editor = Atkinson W, Wolfe S, Hamborsky J | edition = 12 | chapter = Chapter 14: Mumps | location = Washington DC | publisher = Public Health Foundation | year = 2011 | chapterurl = http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/mumps.pdf | accessdate = 2011-10-30}}</ref> Other etiologies of acute parotitis to consider include Epstein-Barr virus, coxsackievirus, influenza A virus, parainfluenza virus, and bacterial pathogens.<ref>{{cite journal | author=Brook I | title=Diagnosis and Management of Parotitis | journal=Arch Otolaryngol Head Neck Surg | year=1992 | pages=469-71 | volume=118 | issue=5 }}</ref>
===Vital Signs===
*Low-grade [[fever]]


[[File:Mumps Source CDC.jpg|350px|center|Child with parotitis]]
===HEENT===
<br clear="left"/>
*Tender, edematous [[Salivary gland|salivary glands]]
:*Swollen [[Parotid gland|parotid glands]] (90% of patients)
:*Swollen [[Submandibular gland|submandibular]] and [[Sublingual gland|sublingual glands]] (10% of patients)
*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<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>
Image:Mumps Source CDC.jpg|Child with parotitis. <SMALL>''[http://www.cdc.gov/mumps/hcp.html  Adapted from the CDC.]''<ref name="Dermatology Atlas">{{Cite web | title = Centers for Disease Control and Prevention| url = http://www.cdc.gov/mumps/hcp.html}}</ref></SMALL>
</gallery>


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Infectious disease]]
 
[[Category:Pediatrics]]
[[Category:Pediatrics]]
[[Category:Dermatology]]
[[Category:Dermatology]]
[[Category:Needs overview]]
[[Category:Viral diseases]]
[[Category:Viral diseases]]
[[Category:Oral pathology]]
[[Category:Oral pathology]]
[[Category:Mononegavirales]]
[[Category:Mononegavirales]]
[[Category:Needs content]]
[[Category:Mature chapter]]
[[Category:Mature chapter]]

Latest revision as of 18:07, 18 September 2017

Mumps Microchapters

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Historical Perspective

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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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