Throat Pathology Flashcards
What is a common feature of glandular fever that does not involve the throat?
heaptosplenomegaly
Sx of glandular fever…
pyrexia
lymphadenopathy
pharyngitis
tonsils have white exudate
What criteria is used for getting the risk of isolated streptococcus infection?
centor criteria
What is involved in the centor criteria?
Cough absent
Exudates (tonsillar)
Nodes
Temp. >38
Tx for tonsillitis…
normally self-limiting
if strep…
1st - penicillin
2nd - clarithromycin
What antibiotic should be avoided if suspected mono?
amoxicillin
Can cause a rash
What are the hallmarks of quinsy?
unilateral sore throat trismus hot potato voice reduced neck mobility uvular deviation
Mx for quinsy…
urgent ENT referral
aspiration/incision and drainage
IV antibiotics
What criteria has to met for a tonsillectomy?
sore throats are due to tonsilitis
5 or more episodes in 1 year
symptoms have been occurring for at least 1 year
prevents normal functioning
List neck lumps that are congenital…
cystic hygoma
branchial cyst
thyroglossal cyst
dermoid cyst
List neck lumps that are acquired…
carotid body tumour
inflammatory lymph node
lymphoma
thyroid disease
What cyst is in the midline and moves on tongue protrusion?
thyroglossal cyst
What mass will present on the lateral aspect of the neck, anterior to the SCM. It is quite large in size and is somewhat painful.
Branchial cyst
Tx for glandular fever…
self limiting
hydrate
analgesia
avoid contact sports for 6 weeks
What is the most common head and neck cancer?
SCC
What is the causative organism of SCC?
HPV 18+21
Sx of epiglotitis…
quick progressing coryzal symptoms drooling fever no cough children
What virus causes epiglotitis?
RPV
What is Kawasaki disease?
affects children
form of vasculitits that results in rash, red eyes, dry lips and swollen neck glands
What is the majority of hoarseness due to?
laryngeal pathology
what is another name for quinsy?
peritonsillar abscess
What is a pharyngeal pouch?
herniation of mucosa through fibres of inferioir pharyngeal constrictor muscle
Sx of pharyngeal pouch…
neck swelling
failure to swallow
gurgling sound when swallowing
Ix for pharyngeal pouch…
barium swallow
What virus causes glandular fever?
EBV
What can cause laryngeal polyps?
vocal abuse
infection
smoking
Are laryngeal polyps usually unilateral or bilateral?
unilateral
What is the most common salivary gland tumour?
pleomorphic adenoma
