Acute Tonsillitis Flashcards
What does the tonsils consist of?
Epithelium
Crypts
Lymphoid tissue / parenchyma
Most common organism responsible for acute tonsillitis
Group A beta haemolytic streptococcus ( same organism causes quinsy )
Types of presentation of tonsillitis
1.Acute catarrhal tonsillitis/superficial tonsillitis
2.Acute follicular tonsillitis
3.Acute parenchymatous tonsillitis
4.Acute membranous tonsillitis
Symptoms of tonsillitis
Sore throat
Referred Otalgia
Fever
Odynophagia
Constitutional symptoms
Does very enlarged tonsil causes sleep apnea ?
Yes
> 30 episodes in 7hrs of sleep
Treatment for acute tonsillitis
Patient is encouraged to plenty of fluids
Analgesics
Antimicrobial therapy (given for 7-10 days)
DD of membrane over the tonsils
AL - VITAMIN D
Agranulocytosis
Leukaemia
Vincent angina
Infectious mononucleosis
Trauma
Aphthous ulcer
Moniliasis
Infection of throat (membranous tonsillitis)
Neoplasia
Diphtheria
Organism causing Vincent angina /trench mouth/acute necrotising ulcerative gingivitis
Borellia Vincenti
F.fusiform
Infectious mononucleosis also known as
Kissing disease as it spreads through saliva
Glandular fever
Tx for Vincent angina
Penicillin + metronidazole ( for anaerobic cover )
Infectious mononucleosis caused by
Epstein Barr virus
Diagnostic features of infectious mononucleosis
Lymph node enlargement in posterior triangle with splenomegaly
Petechiae over the palate
Tx for infectious mononucleosis
Only symptomatic management
No need of antibiotics; antibiotics will cause development of rashes
Clinching points for diagnosing oral thrush /candidiasis / moniliasis
Immunocompromised
Steroid oral inhaler
Membrane will be all over the mouth and not just over the tonsil
Diptheria pseudo membrane characteristics
Dirty grey
Spreads beyond tonsils
Tightly adherent and bleeds on removal
IMMUNISATION HISTORY HAS TO BE ASKED
