ENT Flashcards
tonslitis vs phargitis
very similar except pharygitis typically no lymphadenopathy
DX FOR TONSILITIS
phargitis
Infectious mono
tonsiliti vs infectios mon o
infectious mono would give you splenomegaly and SEVRE FATIGUE
WHAT IS CENTOR USED FOR
criteria
The Centor Criteria is a set of clinical predictors used to identify patients with Group A streptococcal pharyngitis:
absence of cough
fever
tonsillar exudates
lymphadenopathy (anterior cervical)
3 or more cosnidered for ab treatment
CRITERIA FOR TONSILITIS
CENTOR
what do we give in normal tonsilatis
paracetamol and ibuprofen
complicatins of tonislitis
- recurrent tonsilitis
- retrophargeal (usually in kids)
- pertitonsilar abseccs (quinsy)
- lemiers sydnromes
quinsy , symptoms
whats the main difference
also called peritonsilar abscess - a complication of tonsilitis
- can cause trismus
- dysphagia
-fever
-deviation of uvula
-hot poattoe voice
difference is that patients cant eat because of the abscess whereeas tonsilitis they can it just hurts .
can viral tonsilitis cause a fever
yes but its not essential, and if it is it is a mild fever
what is strep throat?
- pharyngitis (sore throat caused by inflammation of pharynx)
caused by strep GROUP A
SYMPTOMS OF STREP THROAR
PHARYGNITIS (sore throat, difficult eating )
swollen tonsils
systemic - myalgia, headache
lymph nodes
usually theres an absence of cold symptoms cold, runny nose etc.
what do we give in strep throart
penicillins
lymphadenopathy causes
infection standard
hIV
TB
sarcoidosis
virchows node
left supraclavicular enlarged node caused by gastrointestinal malignancy particularly stomach
can also be from the lungs
ln of the neck groups
submental
submandibular
anterior cervical
posterior cervical
pre auricular
post auricular
occipital
what direcetion of flow is lymph
the direction towards the heart because thats where the lymph is going to be mixed in with the venous system
you have the thoracic duct (left side) in the venous anfgle
and right lymphatic duct
strep throat vs common cold
- both can cause pharygitis but strep is more severe difficulty eating
- both can cause a fever but strep more higher
- strep is bacterial
- cold is viral - rhinovirus, adenovirus
- strep more systemic symptoms
- strep has no cough, congestion, runny nose vibes
- strep can lead to rheumatic fever
will you always get tonsilitis with strep throat
strep throat does not always cause tonsillitis, though it often does.
dx of sore throart
tonsilitis
pharygitis
infectious mono
How can you confirm a deep neck space infection if you suspect one?
ct neck contrast
What could result from an untreated peritonsillar abscess?
Deep neck space infection, which is an airway emergency.
symptoms of mono
DIAGNOSIS
pharyngitis
tonsillitis
systemic
splenomegaly
hepatomegaly
liver problems
lymphadenopathy (hence glandular fever)
can get rash
SVERE FATIGUE
MONOSPOT/heterophile ab test looks for ab against EBV but not very reliable as causes many false postives/negatives esp negative if early infection…
bloods;lymphocytosis and mono spot test
tx of mono
mainly conservative
as its self limiting
advise no contact sports for 3 weeks and heavy lifting
avoid alochol - because of liver, splenic injury, further weakens the immune system
dont take certain abx
dx of mono
tonsilitis
pharnitis
CMV
HIv (lymph nodes)
complications of mono
airway obstruction
splenomegaly and rputure
aplastic anemia
liver failure
whats the tets you orde rif you suspect HIV
ELISA
you always do second test to double check
