Adenotonsillar disease and Otitis media with effusion Flashcards
what is Waldeyer’s Ring?
Lymphoid aggregation in the subepithelial layer of oropharynx and nasopharynx
What is the Waldeyer’s ring comprised of?
Tonsils (palatine tonsil)
Adenoids (Pharyngeal tonsil)
Lingual tonsil
What are the posterior tonsillar pillars?
Palatoglossus and palatopharyngeus
What cell type makes up the tonsils?
Specialized squamous
Deep crypts and lymphoid follicles are also present
Describe the upper aerodigestive
Ciliated columnar respiratory type mucosa
Squamous ep.
What is adenotonsilitis?
Acute tonsillitis
What can cause tonsiliis
EBV
Rhinovirus,influenza,
parainfluenza, enterovirus
adenovirus
Why is GABHS important in tonsillitis?
Potential of sequelea
Should you throat swab with tonsillitis?
No
What organisms can cause tonsillitis?
Strep. pyogenes - alpha
H. influenza
Staph. aureus
Strep. pneumonia
What are tonsillitis symptoms?
Malaise
Sore throat
temp
How do you treat tonsillitis?
Fluids Rest Analgesia Antibiotics if organism Potential surgery
What is a potential complication of acute tonsillitis?
Peritonsilar abscess
What is a peritonsilar abscess?
bacteria between muscle and tonsil produce pus.
Medial displacement of tonsil and uvula
Loss of palate concavity
How do you treat a peritonsilar abscess?
Aspiration and antibiotics
What is infectious mononucleosis?
Glandular fever
What causes mononucleosis?
EBV
What are signs of Glsndular fever?
Gross tonsillar enlargement with membranous exudate
Cervical lymphadenopathy
Hepatosplenomegaly
How do you diagnose GF?
Atypical lymphocytes in peripheral blood
CRP
How do you treat GF?
Supportively
What drug should you not prescribe with GF?
Ampicillin
What should you not give for tonsillitis?
Amoxicillin
What are signs of adenoid hyperplasia?
Obligate mouth breathing
Hyponasal voice
Snoring
AOM/OME
What are signs of tonsil hyperplasia?
Snoring
Muffled voice
Potential dysphagia
