Acute Tonsillitis Flashcards
describe the general aetiology of acute tonsillitis
majority viral, 5-30% bacterial
what are the causative organisms associated with acute tonsillits
EBV, rhinovirus, influenzae, parainfluenza, enterovirus, adenovirus
give some examples of differential diagnosis for acute tonsillitis
URT viral infection, infectious mononucleosis, peritonsillar abscess, candida infection, malignancy
what viral symptoms are associated with tonsillitis
malaise, sore throat, high temp., possible lymphadenopathy
what bacterial symptoms are associated with tonsillitis
systemic upset, fever, odynophagia, halitosis, unable to work/school, lymphadenopathy
how long does viral or bacterial tonsillitis typically last
viral = 3-4 days bacterial = ~1 week
what criteria is used to assess sore throat
FeverPAIN
what are the different aspects of FeverPAIN
Fever(in last 24hr), Purulence(pus on tonsils), Attend rapidly(within 3 days onset), severely Inflamed tonsils, No cough or coryza
(each scores 1 point)
what is involved in the supportive treatment of tonsillitis
eat and drink, rest, OTC analgesia(paracetamol, NSAIDs)
what antibiotics are involved in the treatment of tonsillitis
penicillin 500mg for 10 days, clarithromycin if allergic
what hospital treatment may be needed for tonsillitis
IV fluids, IV antibiotics, steroids, surgery
what treatment should NOT be given for tonsillitis
amoxicillin
what symptoms are associated with chronic tonsillitis
chronic “sore throat”, malodorous breath
what signs are associated with chronic tonsillitis
presence of tonsilliths, peritonsillar erythema persistent tender cervical lymphadenopathy
what clinical features are associated with obstructive hyperplasia of the adenoid
obligate mouth breathing, hyponasal voice, snoring/sleep disturbance, Acute otitis media/otitis media with effusion
