Ebook Das manual of clinical surgery (9/E): Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Das manual of clinical surgery (9/E): Part 2
Ebook Das manual of clinical surgery (9/E): Part 2
EXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly was Ebook Das manual of clinical surgery (9/E): Part 2s the swelling first noticed?' How long is the swelling present?' 'Has the swelling enlarged uniformly throughout the period?' or 'Has it suddenly enlarged very recently?’ So the onset ofthe swelling, exactsite ofthe swelling, duration of the swelling and growthofthe swellingare noted. In dehydrated Ebook Das manual of clinical surgery (9/E): Part 2patientWith poor oral hygiene if he complainsofsudden increase in size of both the parotid glands with considerable pain, the case is probably one ofEbook Das manual of clinical surgery (9/E): Part 2
acute parotitis. If there is brawny oedematous swelling of the parotid region with pain, this isprobably a case ofparotidabscess.When there is generalEXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly was Ebook Das manual of clinical surgery (9/E): Part 2arthritis the conditioniscalled Sjogren's syndrome.A slowgrowing tumourhaving duration foryears or monthsofthe parotid glandis thepleomorphic adenoma. When such a tumour suddenly starts growing rapidly and becomes painful,it is highly suggestive of malignanttransformation ofthisadenoma (mixedparotid Ebook Das manual of clinical surgery (9/E): Part 2tumour).Site is importantas adenolymphoma,which is also aslow-growing painlesstumour,arises in the lower part of the parotid gland at the level of theEbook Das manual of clinical surgery (9/E): Part 2
lower border of the mandible slightly lower than the usual Site of pleomorphic adenoma. Does the swelling increase in size, becomes tense and painfulEXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly was Ebook Das manual of clinical surgery (9/E): Part 2ered that mumpsis the commonestcauseofbilateralparotitis (See Fig.25.15).Throbbing pain isthecharacteristic featureof parotidabscess.Excruciating pain,slightswelling andrednessinthe region of theparotidgland arecharacteristic featuresof parotid abscess.In caseofobstruction of theparotidductWithaston Ebook Das manual of clinical surgery (9/E): Part 2e or stricturepatientWill complainof colickypain during meals when the swelling of the parotid gland will also be increased.3Watery discharge from a sEbook Das manual of clinical surgery (9/E): Part 2
inus in the region of the parotid gland or its duct particularly during meals is significant of a parotid fistula.INSPECTION and PALPATION.—-1SwellingEXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly was Ebook Das manual of clinical surgery (9/E): Part 2A swelling of the parotid gland thus obliterates the normal hollow just below the lobule of the ear. This position of the parotid gland is very important as many of the lymph node swellings are often mistaken for parotid gland tumour and vice versa. While examining the swelling its extent, size, sha Ebook Das manual of clinical surgery (9/E): Part 2pe, consistency etc. should be noted as in any other swelling. Whether the swelling IS fixed to theEXAMINATION OF THE SALIVARY GLANDS355massetermuscleEbook Das manual of clinical surgery (9/E): Part 2
or not is examined by asking die patient to clinch his teeth and the mobility of the swelling is tested over die contracted masseter muscle (Figs.25.EXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly was Ebook Das manual of clinical surgery (9/E): Part 2ly seen is not very easy to diagnose. The examinations detailedabove are alls u p e r I' i c i a I lobe. A bima jsajllr nual exam in a-lion with one ■ *' finger of one hand inside die mouth just ill hunt of tonsil and behind the 3rd molar tooth and one finger of the other hand externallv tiehindthe Ebook Das manual of clinical surgery (9/E): Part 2ramus ot Figs .25.3 & 25.4.— Testing tor mobility over- die contracted masseter. The patient is the mandibleasked to clinch his teeth to make the massEbook Das manual of clinical surgery (9/E): Part 2
eter contracted,is necessaryfor palpation of die deep lobe (Fig. 25.5).EXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly wasEXAMINATION OF THE SALIVARY GLANDSTHE PAROTID GLANDHISTORY.—1Swelling.— Careful history must be taken as How did the swelling start?’ Whereexactly wasGọi ngay
Chat zalo
Facebook