When dealing with an inflamed Stensen's duct, what is the first action to take?

Stimulating the parotid gland to check for exudate is the first action to take when dealing with an inflamed Stensen's duct. This approach helps to assess the nature of the inflammation and whether there is any obstruction or infection present. By applying pressure in the area of the parotid gland, the clinician can encourage saliva flow through the duct, which may help to identify any exudate that may indicate infection or calcification.

This step is crucial because it provides valuable diagnostic information and can potentially relieve symptoms by clearing any blockage. If there is purulent exudate, it confirms infection, which may guide subsequent management steps. This initial assessment can often dictate the urgency and type of treatment required, such as whether antibiotics are necessary or if further interventions are needed.

The other options, while potentially relevant in the management of Stensen's duct issues, are not the immediate first steps. Administering antibiotics without understanding the extent of inflammation could be premature, and scheduling for surgical consultation may depend on the findings from the initial evaluation. Performing imaging could also delay immediate management and would generally be considered if other steps do not yield a resolution or if there is suspicion of a more complicated condition.