PAROTITIS 47 



hydrogen peroxid, or Dobell's solution of the fol- 

 lowing formula : 



Borax grs. 130 



Sodium bicarbonate grs. 130 



Carbolic acid grs. 25 



Glycerin fl. ozs. 5% 



Water,' q. s fl. ozs. 20 



The diet must be restricted to liquids and soft 

 foods to avoid irritation of the inflamed mucous 

 membrane. 



Parotitis 



(Inflammation of the Parotid Gland — Mumps) 



Cause. — There are four varieties of parotitis (or 

 parotiditis), the causes of which differ. They may 

 be classed as follows : 



Contagious^ parotitis, the specific organism of 

 which has not yet been determined ; traumatic 

 parotitis, produced by injuries ; metastatic parotitis, 

 due to a metastasis of pyogenic organisms during 

 attacks of distemper, pyemia, or septicemia ; and 

 parotitis caused by the extension of a neighboring 

 inflammatory focus, as in pharyngitis, mastoiditis, 

 or similar diseases. 



Symptoms. — In the contagious form the whole 

 gland, or both glands, are swollen and tender, but 

 there is no tendency to suppuration. In the other 

 varieties the swelling is more circumscribed and 

 suppuration usually takes places. The swollen 

 glands are hot and tender and the act of swallowing 

 is difficult and painful. Constitutional symptoms 

 are fever, anorexia, and lassitude, while in sup- 

 purative cases fluctuation is detected and the fever 

 is usually high. 



Treatment. — The patient should receive a mild 

 laxative — olive oil or cascara — and the affected 

 glands, after being freely fomented with hot water, 



