ENT Flashcards
1
Q
Causes of acute tonsillitis
A
- Group A Streptococci
- EBV
2
Q
Clinical features of tonsillitis…
A
- Pharyngitis
- Fever
- Malaise
- Lymphadenopathy
Bacterial causes may lead to abdominal pain, headache
EBV may lead to hepatosplenomegaly
3
Q
Diagnosis of tonsillitis…
A
CENTOR criteria:
- Exudate / swelling on tonsils
- Tender/ swollen anterior cervical lymph nodes
- Temp > 38deg
- Absence of cough
- Determines if it is likely to be caused by group A strep - may change treatment
4
Q
Management of acute tonsillitis…
A
Mild = rest and analgesia, or delayed antibiotic therapy
Moderate-severe = 10 day course of Pen V (erithromycin if penicillin allergy)
*If child is unable to swallow - admission required for IV fluids
5
Q
What is the most common complication of tonsillitis, and what is the treatment?
A
Quinsy = peritionsillar abscess formation - is an indication for tonsillectomy
6
Q
What are the common causes of glandular fever?
A
- EBV = most common cause
- CMV
7
Q
Clinical features of glandular fever?
A
- Classic triad = sore throat, lymphadenopathy (anterior/posterior triangles of neck) , pyrexia
- Malaise
- Splenomegaly
- Hepatitis - rise in ALT
- Increased lymphocyte count
8
Q
What happens if glandular fever pt takes ampicillin/amoxicillin?
A
Maculopapular, pruritic rash develops in 99% of patients
9
Q
Management of glandular fever…
A
- Rest during early stages with lots of fluid intake
- Simple analgesia for aches and pains
- *Avoid contact sports for 6-8 weeks -due to risk of splenic rupture
