Parotitis epidemica (mumps) is usually diagnosed on the basis of the clinical picture. 2nd order laboratory parameters-depending on the results of the history, physical examination, etc.-for differential diagnostic workup Antibodies against mumps virus (IgG, IgM) in the blood, possibly in the cerebrospinal fluid [IgM antibodies in serum or significant IgG antibody titer increase]. Direct pathogen … Mumps (Parotitis Epidemica): Test and Diagnosis
Therapeutic targets Mitigation of the symptomatology Avoidance of complications Therapy recommendations Symptomatic therapy (analgesics/pain relievers, antipyretics/antipyretic drugs, if necessary). Postexposure prophylaxis [see below]. See also under “Further therapy“. Postexposure prophylaxis (PEP) Post-exposure prophylaxis is the provision of medication to prevent disease in individuals who are not protected against a particular disease by vaccination but have … Mumps (Parotitis Epidemica): Drug Therapy
Parotitis epidemica is usually diagnosed on the basis of the clinical picture. Optional medical device diagnosis-depending on the results of the history, physical examination, laboratory diagnosis, and obligatory medical device diagnosis-for differential diagnosis. Abdominal ultrasonography (ultrasound examination of abdominal organs) – for suspected pancreatitis (inflammation of the pancreas) as the method of choice (in mild … Mumps (Parotitis Epidemica): Diagnostic Tests
Medical history (history of illness) represents an important component in the diagnosis of parotitis epidemica (mumps). Family history What is the current health status of your relatives? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Have you noticed any general signs of illness such as headache, fever, or loss … Mumps (Parotitis Epidemica): Medical History
Blood, blood-forming organs – immune system (D50-D90). Sarcoidosis (synonyms: Boeck’s disease; Schaumann-Besnier’s disease) – systemic disease of connective tissue with granuloma formation (skin, lungs, and lymph nodes). Endocrine, nutritional and metabolic diseases (E00-E90). Diabetes mellitus Cardiovascular system (I00-I99) Hemangioma (hemangioma) Lymphangioma – benign growths of the lymphatic vessels. Lymphadenitis colli – swelling of the lateral … Mumps (Parotitis Epidemica): Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by parotitis epidemica (mumps): Eyes and eye appendages (H00-H59). Inflammation of the eyes Dacryoadenitis (inflammation of the lacrimal glands). Blood, blood-forming organs – immune system (D50-D90). Thrombocytopenic purpura – increased breakdown of platelets (thrombocytes) and consequent increased bleeding tendency. Endocrine, nutritional … Mumps (Parotitis Epidemica): Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Inspection and palpation (palpation) of the neck [swelling of the parotid (parotid gland) unilateral or bilateral … Mumps (Parotitis Epidemica): Examination
The following symptoms and complaints may collectively indicate parotitis epidemica (mumps): Leading symptom Painful swelling of the parotid/parotid gland (unilateral (20-30%) or bilateral (70-80%) with slightly protruding ears and “hamster cheeks”). The glandulae submandibularis (mandibular salivary gland) or sublingualis (tongue salivary gland) react in 10-15% with, the pancreas in 2-5%. Duration of inflammatory swelling: 3-8 … Mumps (Parotitis Epidemica): Symptoms, Complaints, Signs
Pathogenesis (development of disease) The cause of the disease is infection with the mumps virus, which is passed by smear or droplet infection. Etiology (causes) Behavioral causes Avoid contact with ill persons during the phase of infection. However, this phase begins approximately one week before the appearance of the characteristic swelling of the parotid gland … Mumps (Parotitis Epidemica): Causes
General measures Applying warm or cold compresses to the parotid gland (parotid gland) relieves pain Observance of the general hygiene measures! In the occurrence of fever: Bed rest and physical rest (even if fever is only mild; if limb pain and lassitude occur without fever, bed rest and physical rest is also required, because myocarditis/heart … Mumps (Parotitis Epidemica): Therapy
