Pharngotonsilitis Flashcards
Which oropharynx mucosa covers superior constrictor muscle and cervical vertebrae?
Posterior
Which oropharynx is anterior and posterior tonsillar pillars, the faucial tonsil and lateral pharyngeal bands?
Lateral
Which oropharynx is the oral cavity with tongue below and soft palate above?
Anterior
What virus causes acute pharyngitis as part of infectious mononucleosis syndrome and the tonsils are severely enlarged classically covered with an extensive grayish-white exudate?
Epstein-Barr virus (EBV)
What lab test do you order of EBV?
Heterophile antibody test (Monospot).
What is the prognosis for the Febrile stage of EBV?
1-3 weeks
What is the prognosis for the Convalescent stage of EBV?
> 3 months
What fungal infection has White cottage cheese-like plaques over the pharyngeal mucosa, tonsils, tonsillar pillars and base of the tongue which bleed if removed with a tongue depressor?
Oropharyngeal candidiasis (thrush)
How does Oropharyngeal candidiasis come about?
Prolong use of antibiotics
What bacterial infection is characterized by Fever, dry sore throat, cervical adenopathy, dysphagia, and odynophagia?
Acute Streptococcal Pharyngotonsilitis
What is the most common and important pathogen causing Acute Strep Pharyngotonsillitis?
Group A, Beta-hemolytic strep
What bacterial infection is caused by Trepomema vincentii and Spirochaeta and arises in conditions of overcrowding such as dorms and military camps?
Vincent angina
What bacterial infection is a gram positive bacilli that causes Sudden chills, slight fever, pain in back, and extremities with a pulse rapid and thready?
Diptheria
What is Syphilis caused by?
Treponema pallidum
What is the primary lesion of Syphilis called?
Chancre
How many episodes per year should a patient with Recurrent acute tonsillitis consider getting a tonsillectomy?
6-7 episodes
How many episodes per year for 2 years should a patient with Recurrent acute tonsillitis consider getting a tonsillectomy?
5 episodes/yr
How many episodes per year for 3 years should a patient with Recurrent acute tonsillitis consider getting a tonsillectomy?
3 episodes/yr
What has a sensation of a foreign body in the throat along with expressible, hard white material from the tonsils?
Tonsilloliths
What disease is a swollen uvula related to allergic phenomenon resulting in sudden onset of fullness of throat and muffled voice without pain or fever?
Quincke’s Disease
What condition is known as dry pharynx inflammation and causes the Pharynx to appear dry, smooth and shiny with desire to swallow because of the dryness which may accompany sjogren’s syndrome?
Pharyngitis Sicca
What is a chronic sore throat caused by medication?
Drug irritation
What disease has Pale, multiple painful, shallow ulcers with white base with a diagnosis based on lesions in the lungs?
Tuberculosis
What Non-suppurative Complication of Acute Adenotonsillitis causes Fever, severe dysphagia, yellow membranous exudate covering tonsils and pharynx, and a diffuse erythematous rash that usually follows pharyngitis with the tongue may becoming red?
Scarlet Fever
What Non-suppurative Complication of Acute Adenotonsillitis causes A-B production that cross-react with heart tissues?
Acute Rheumatic Fever
What Non-suppurative Complication of Acute Adenotonsillitis presents as acute nephritic syndrome 10 days after pharyngotonsillar infection and involves injury to the glomerulus by deposition of the immune complexes as well as circulating auto-antibodies as the Strep Ag?
Post-Streptococcal Glomerulonephritis
What Non-suppurative Complication of Acute Adenotonsillitis is a Pediatric autoimmune neuropsychiatric disorder associated with Streptococcal infection?
PANDAS
What occurs when a bacterial infection extends beyond the tonsilar capsule into the surrounding tissues that manifests to a bulging palate with the corresponding tonsil displaced to the midline or beyond?
Peritonsilar abscess (Quincy)
What type of abscess is situated between posterior wall of pharynx and vertebral column?
Retro-pharyngeal abscess
What is a virulent infection in the tissue spaces of the floor of the mouth that involves Strep or Staph from root of the tooth with the patient’s tongue pushed upward and submaxillary area swollen?
Ludwig’s Angina
What has burning in throat above soft palate?
Acute nasopharyngitis
What Chronic Nasopharyngitis is characterized by green crusts and dry mucous membrane that bleeds when removed?
Atrophic rhinitis (Ozena)
What Chronic Nasopharyngitis is characterized by nasopharynx and pharynx become very dry, ropy secretions that are often brown?
Pharyngitis Sicca
What is the most common cause of dysphonia in children?
Vocal cord nodules
