NURS 654 DISORDERS OF THE OROPHARYNX QUESTIONS AND CORRECT ANSWERS

benign lesions of the salivary gland usually present with.......


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- painless, slow growing masses
- parotid most common site
- mobile, well-defined borders




parotitis risk factors


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, - older age
- chronic illness
- immunocompromised
- poor oral hygiene
- salivary duct obstruction
- medications (anticholinergics, antihistamines)
- post-op dehydration
- hypovolemia




epiglottitis presentation


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- severe sore throat/odynophagia, dysphagia
- shortness of breath, leaning forward (tripodding)
- drooling, muffled voice (hot potato voice)
- stridor (late sign)
- fever (may or may not be present)
- neck tenderness, lymphadenopathy
- tachypnea, retractions
- hypoxia signs (cyanosis, anxiety, pallor)




Aphthous ulcers associated with....


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Crohn Dx
Ulcerative Colitis
Gluten Sensitivity
Stress
Nutritional deficiencies

, Epiglottitis: diagnostics


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- Gold standard: direct visualization via flexible laryngoscopy (cautious,
with airway backup ready)
- Imaging:
lateral neck xray (thumbprint sign)
ultrasound
CT/MRI (used for complications)
- Labs:
CBC
Blood cultures
ABG if needed for resp status




Immediate referral to ______ if epiglottitis suspected


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ED




infectious salivary gland disorders


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- Mumps
- HIV
- TB
- Sarcoidosis