Throat Flashcards
1
Q
when to refer tonsilitis
A
quinsy or can’t swallow
2
Q
signs of quinsy
A
deviation of uvula
unilateral loss of arch of soft palate
hot potato voice
3
Q
treatment quinsy
A
IV abx
drainage
4
Q
pt with EBV can’t
A
play contacft sports for 6-8 weeks
5
Q
why is amoxicillin not given in EBV
A
can cause maculopapular rash
6
Q
classic tonsillar pus in EBV
A
sheet rather than spots
7
Q
indications for tonsillectomy
A
- 7 episodes in last year / 5 per year in 2 years / 3 per year in 3 years
- 2 peritonsillar abscesses
- suspected malignancy (asymmetrical)
- sleep disordered breathing (snoring)
8
Q
post tonsillectomy bleeding rx
A
first 24 hr (usually within 6-8 hr) - take back to theatre
after 24 hr (usually 5-10 days later) - IV abx (usually caused by infection)
9
Q
tonsillar SCC associated with
A
HPV
10
Q
differencebwteen cfricothyroidtomty and tracheostomy
A
circothyroidotomy - emergency if can’t intubate. tracheostomy takes longer as more layers and chunky vessels in the way
