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An algorithm approach to diagnosing bilateral parotid enlargement.

Authors
  • Chen, Si
  • Paul, Benjamin C
  • Myssiorek, David
Type
Published Article
Journal
Otolaryngology
Publisher
SAGE Publications
Publication Date
May 01, 2013
Volume
148
Issue
5
Pages
732–739
Identifiers
DOI: 10.1177/0194599813476669
PMID: 23380830
Source
Medline
License
Unknown

Abstract

After reviewing the matrix, it was clear that grouping diseases based on specific history and physical findings limits the differential diagnosis. The most important factors included disease incidence, timing of onset, nodular or diffuse, pain, and overlying skin changes. With this algorithm, the differential diagnosis can be limited from 28 to 7 or fewer likely diagnoses for a given presentation. Implications for Practice Bilateral parotid disease has a wide differential diagnosis with an expanding number of available tests. An algorithm, based solely on data obtained from the history and physical examination in the first patient encounter, may reduce the differential and aid the clinician in deciding on further workup and treatment. Following the algorithm presented here should allow the clinician to arrive at a diagnosis rapidly without ordering unnecessary tests and wasting resources.

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