1 - ENT - Head and Neck - Other throat complaints - Pharyngitis and Follicular Tonsilitis Flashcards
Pharyngitis - usually…3 things
trivial
self limiting
viral
Pharyngitis - Sx and ass w?
Dry sore throat worse in morning
nocturnal nasal obstruction
no general malaise
aften ass w common cold
Pharyngitis - 3 causes + sub causes
VIRAL - adenovirus, EBV, CMV, enteroviruses
BACTERIAL - GAStrep, Pneumococcus
FUNGAL - candida
Follicular tonsilitis - Sx + signs
sore throat
odynophagia
fever, malaise, cervical lymphadenopathy
enlarged erythematous tonsils with white plaques
Follicular tonsilits - causes
mainly GAS
-corynebacterium diptheriae in travellers - grey membrane on tonsils, croup
Tx of follicular tonsilitis
usually self limiting
penicillin may speed recovery by 1-3 days
tonsillectomy if >11 in 3 y / >9 in 2y / >6 in a year
Glandular fever - cause
EBV
Glandular fever - Sx
sore throat odynophagia noisy breathing fever malaise
Glandular fever - signs
enlarged erythematous tonsils - white/grey exudates
cervical and general lymphadenopathy
hepatosplenomegaly in severe cases
Glandular fever - how to confirm diagnosis
atypical mononuclear cells on blood film,
+ve monospot of Paul Bunnel test
Glandular fever - mgmt
conservative mgmt, oral steroids if severe/airway obstruction
Quinsy - what is it? usually follows what?
peritonsillar abscess - usually complication of tonsilitis
Quinsy - consequences
abscess in sot tissues superlateral to tonsils > inferomedial displacement of tonsils
-bulging of peritonsilar tissues and soft palate
Quinsy - presentation
severe unilateral tonsil pain odynophagia trismus (lock jaw) due to inflam induced pterygoid spasm referred otalgia malaise and fever
Quinsy - mgmt
drainage and AB’s
