peritonsillar abscess (quinsy)

Question 1

what does a peritonsillar abscess typically develop as?

Answer 1

a complication of bacterial tonsillitis

Question 2

what are the features of peritonsillar abscess (quinsy)?

Answer 2

1. severe throat pain, lateralises to one side
2. deviation of uvula to unaffected side
3. trismus (difficulty opening mouth)
4. reduced neck mobility

Question 3

what do pts with quinsy need?

Answer 3

urgent review by ENT specialist

Question 4

how is quinsy managed?

Answer 4

1. needle aspiration / incision and drainage + IV abx
2. tonsillectomy considered to prevent recurrence