Adenontonsilar Disease Flashcards
What is the functionn of tonsils?
Trap bacteria and viruses on inhalation
What is comprised in Waldeyer’s ring?
Tonsils (Palatine tonsil)
Andenoids (Pharyngeal tonsil)
Lingual tonsil
Which type of epithelium are the tonsils made of?
Specialised squamous
Which types of epithelium are the andenoids made up of?
Ciliated pseudostratified columnar and stratified squamous
Which type of epithelium is found in the nose, PNS, larynx and trachea?
Columnar
What are the most common organisms cultured from patients with chronic tonsillar disease?
H. Influenza
S.aureus
Strep. Pneumonia
What are the symptoms of viral tonsilitis?
Malaise
Sore throat, mild analgesia requirement
Temperature
Possible lymphadenopathy
Lasts 3-4 days
What are the symptoms of bacterial tonsilitis?
Systemic upsetc
Fever
Odynophagia
Halitosis
Unable to work/school
Lymphadenopathy
Lasts ~ 1 week, requires antibiotics
Which scoring system is used to differentiate between viral and bacterial tonsilitis?
FeverPAIN
How is tonsiltis treated?
Supportive
Antibiotics - penicillin, clarithromycim (NOT Amoxicillin !!!)
Hospital - IV fluids, IV antibiotics, steroids
Surgery
What are the symptoms and signs of a peritonsilar abscess (quinsy)?
Unilateral throat pain and odynophagia
Trismus
3-7 days preceding acute tonsillitis
Medial displacement of tonsil and uvuvla
Concavity of palate lost
Which virus causes glandular fever?
Epstein-Barr
What are the signs of glandular fever?
Gross tonsilar enlargement with membranous exudate
Marked cervical lympahdenopathy
Palatal petechial haemorrhages
Generalisd lymphadenopathy
Hepatosplenomegaly
How is glandular fever diagnosed?
Aytpical lymphocytes in peripheral blood
Positive monospot or Paul-Bunnell test
Low CRP (<100)
How is glandular fever managed?
Symptomatic treatment
Antibiotics (NOT Ampicillin !!!)
Steroids
