Throat

Question 1

Acute sore throat

Answer 1

Most viral -> supportive treatment

Can be bacterial (pyogenes) –> antibiotics

Question 2

Recurrent sore throat

Answer 2

may be due to immunosuppression (HIV, transplant, Diabetes, oral steroids) or malignancy
treatment is often elective surgery (tonsilectomy

Question 3

Waldeger’s Ring

Answer 3

A ring of lymphoid tissue in the throat

lingual, palantine, tubal and adenoids

Question 4

Differential for sore throat

Answer 4

tonsilitis, glandular fever, peritonsilar abscess, pharyngitis, AIDs, crohn’s, epiglottitis, diphtheria

Question 5

Acute Epiglottitis

Answer 5

odema due to HIB
presents with dysphagia,
rarely occurs in children with rapid onset and stridor

Question 6

Diphtheria

Answer 6

Rare in britain due to vaccination

10% mortality, malaise, pseudomembrane and neurological complications

Question 7

Throat Neoplasms

Answer 7

Salivary gland tumours –> a deep medial bulge in the lateral wall
Lymphoma
Squamous cell carcinoma

Question 8

Treatment of acute tonsilitis

Answer 8

IV fluids, analgesia, penicillin G, drain the pus
Tonsillectomy –»5 attack/year or 2 peritonsillar abscesses.
also in case of sleep apnoea or rheumatic fever or GN