Secondary infection of salivary glands from adjacent lymph nodes also occurs. These lymph nodes are the glands in the upper neck which often become tender during a common sore throat Many of these lymph nodes are actually located on, within, and deep in the substance of the parotid gland, near the submandibular glands.
Neuro Checks & Assessment. Neuro checks are used to assess an individuals neurological functions and level of consciousness in order determine whether or not individual is functioning properly and reacting appropriately to the tests being performing.
Structural stress is the most likely contributing factor, in need of evaluation of the neck and thoracic spine, perhaps with MRI. Thyroid needs to be checked. Neuro exam to make sure you are not have a neurologic symptom from MS or other problem. Blood sugar and electrolytes should also be checked.