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    Examination of Salivary Glands

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    malikdrsaqi
    The document provides instructions for examining the parotid and submandibular salivary glands. It describes the anatomy and location of each gland and techniques for inspecting, palpating, and examining the glands and their ducts. Features to note include size, shape, texture, tenderness, fixation, duct thickness and discharge. The facial nerve should also be checked in parotid examinations and cervical lymph nodes inspected. Relevant questions regard swelling characteristics and meal-time changes.

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    Download as PDF, TXT or read online from Scribd

    Examination of Salivary Glands

    Uploaded by

    malikdrsaqi
    16 views2 pages
    The document provides instructions for examining the parotid and submandibular salivary glands. It describes the anatomy and location of each gland and techniques for inspecting, palpating, and examining the glands and their ducts. Features to note include size, shape, texture, tenderness, fixation, duct thickness and discharge. The facial nerve should also be checked in parotid examinations and cervical lymph nodes inspected. Relevant questions regard swelling characteristics and meal-time changes.

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    The document provides instructions for examining the parotid and submandibular salivary glands. It describes the anatomy and location of each gland and techniques for inspecting, palpating, and examining the glands and their ducts. Features to note include size, shape, texture, tenderness, fixation, duct thickness and discharge. The facial nerve should also be checked in parotid examinations and cervical lymph nodes inspected. Relevant questions regard swelling characteristics and meal-time changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    16 views2 pages

    Examination of Salivary Glands

    Uploaded by

    malikdrsaqi
    The document provides instructions for examining the parotid and submandibular salivary glands. It describes the anatomy and location of each gland and techniques for inspecting, palpating, and examining the glands and their ducts. Features to note include size, shape, texture, tenderness, fixation, duct thickness and discharge. The facial nerve should also be checked in parotid examinations and cervical lymph nodes inspected. Relevant questions regard swelling characteristics and meal-time changes.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Examination of Salivary Glands

    Parotid Gland

    Before starting:

    • Exposure: Face and neck


    • Position: Sitting on a stool
    • Introduction and consent

    Inspection and palpation:

    • Area of parotid:
    o Below, behind and slightly in front of the ear lobule. It obliterates the normal hollow
    below the ear lobule
    • Check movements of jaws
    • Features of movements of jaw
    • Features of swelling:
    o Site, size, shape, surface, skin, temperature, tenderness, consistency, fluctuation
    o Fixity to skin and masseter muscle; check attachement to skin as explained before. Ask
    the patient to clench his teeth for masseter contraction, and then move the swelling in
    both planes. If movement decreases, it is fixed to masseter.
    • Parotid Duct (stenson’s):
    o Ask the patient to clench teeth. The duct can be palpated just above the masseter
    border. Look for its thickening, tenderness, look for its orifice in the mouth on the
    buccal mucosa opposite upper 2nd molar tooth. Note any discharge (Pus, blood) coming
    from orifice when gland pressed from outside
    • Examine the gland bimanually for deep part of the gland:
    o Place one hand behind the ramus of the mandible and finger of other hand inside the
    mouth in front of the tonsil. Check for tenderness, consistency and calculus
    • Examine facial nerve:
    o Involved in parotid malignancy
    • Go to patient’s back and check all cervical lymph nodes

    Submandibular gland:

    • Position and exposure as above


    • Features of swelling as above
    • Submandibular duct (wharton’s duct): Inspect the floor of mouth on both sides of the frenulum
    for the orifices of SM duct. Look for any pus discharge. Giving lemon juice to the patient will
    instantly cause secretions to appear.
    • Bimanual palpation: Place one finger of one hand on the floor of mouth pushing it backwards
    and fingers of other hand placed just medial to the inferior margin of mandible

    Relevant Questions:

    • Questions of swelling
    • Does the swelling increases in size and gets painful during meals

    How to describe:

    • As described in a swelling
    • The swelling is palpable bimanually indicating origin from --- gland, The --- duct is --- thickened
    and there is --- discharge from the duct orifices
    • The facial nerve is --- (intact) and --- lymph nodes are palpable

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