Emergency Medical Response Quiz

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Questions and Answers

The mechanism of trauma involved in RTA includes:

  • Acceleration
  • Deceleration
  • Compression / Decompression
  • Direct Collision Contact
  • Shearing
  • All of the above (correct)

The components of primary survey include all mentioned below except:

  • Airway patency with cervical control
  • Disability
  • Breathing
  • Circulation with Hage Control (correct)

What is Sialectasis?

Dilatation of the ducts and alveoli

What are predisposing factors for Acute bacterial sialadenitis? (Select all that apply)

<p>Duct obstruction (A), Dehydration (B), Poor oral hygiene (C)</p> Signup and view all the answers

Viral parotitis is usually unilateral.

<p>False (B)</p> Signup and view all the answers

Salivary stones are more common in the __________ gland.

<p>submandibular</p> Signup and view all the answers

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Study Notes

Road Traffic Accident (RTA) Mechanisms

  • Acceleration is a mechanism of trauma involved in RTAs
  • Deceleration is a mechanism of trauma involved in RTAs
  • Compression/Decompression is a mechanism of trauma involved in RTAs
  • Direct Collision Contact is a mechanism of trauma involved in RTAs
  • Shearing is a mechanism of trauma involved in RTAs
  • All of the above mechanisms are involved in RTAs

Primary Survey Components

  • Airway patency with cervical control is a component of primary survey
  • Breathing is a component of primary survey
  • Circulation with Hage Control is a component of primary survey
  • Disability is a component of primary survey

Salivary Glands

  • There are two main types of salivary glands: parotid gland and submandibular gland.

Sialectasis

  • Dilatation of the ducts and alveoli
  • Can cause stagnation and recurrent infection
  • Differential diagnosis: Mumps (unilateral and recurrent)
  • Treatment: Antibiotics, may resolve within 15 years of age, but may need surgery in adults

Infections/Inflammatory

  • Acute: viral or bacterial
  • Recurrent subacute or chronic
  • Chronic infections: TB
  • Granulomatous: Sarcoidosis

Viral Parotitis

  • Bilateral
  • Painful
  • Associated with fever
  • Typically occurs in children
  • Swelling
  • Self-limited

Acute Bacterial Sialadenitis

  • Predisposing factors: poor oral hygiene, dehydration, duct obstruction
  • Caused by Staph aureus
  • Clinical features: pain, swelling, hotness, redness, fever, and fluctuations
  • Treatment: MASHH (glandular massage, antibiotics, sialagogues, heat, and hydration) and drainage

Recurrent Subacute and Chronic

  • Predisposing factors: sialectasis, stone, autoimmune diseases
  • Differential diagnosis of lymph node: relation to meal, bimanual, rolling, and inspection of the duct

Salivary Stones

  • More common in the submandibular gland
  • Can be radio-opaque or radiolucent
  • Clinical features: pain and swelling
  • Treatment: removal of the stone

Salivary Gland Fistula

  • External: caused by trauma or surgery
  • Internal: caused by a stone

Degenerative Diseases

  • Sialectasis
  • Radiation sialadenitis

Autoimmune Diseases

  • Salivary gland diseases

Salivary Neoplasms

  • Various types of tumors that can occur in the salivary glands

Diagnostic Findings in Patients with a Salivary Mass or Enlargement

  • Various diagnostic features and tests to identify salivary gland disorders

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