Quinsy

Question 1

What is quinsy?

Answer 1

Peritonsillar abscess, also known as quinsy, is a serious complication of tonsillitis that requires prompt diagnosis and treatment

It is a collection of pus in the tissue surrounding the tonsils, usually caused by bacterial infection.

Question 2

What are the 4 main features of quinsy?

Answer 2

1. Severe throat pain, which lateralises to one side
2. Deviation of the uvula to the unaffected side
3. Trismus (difficulty opening the mouth)
4. Reduced neck mobility.

Question 3

What would physical examination reveal in quinsy?

Answer 3

Physical examination may reveal a swollen and erythematous tonsil, deviation of the uvula, and a fluctuant mass in the peritonsillar area.

Question 4

How is diagnosis confirmed?

Answer 4

Diagnosis is confirmed by needle aspiration or imaging studies

Question 5

How is quinsy treated?

Answer 5

Treatment involves drainage of the abscess, usually by needle aspiration or incision and drainage, along with antibiotics

Question 6

Name 3 complications of quinsy?

Answer 6

1. Airway obstruction
2. Sepsis
3. Lemierre’s syndrome

Question 7

what is considered to prevent reoccurence?

Answer 7

tonsillectomy should be considered to prevent recurrence