Tonillitis & Adenoiditis

Question 1

When are the adenoids located?

Answer 1

In the nasopharynx

Question 2

Where and the tonsils located?

Answer 2

In the oropharynx

Question 3

What acts as filters?

Answer 3

Tonsils and adenoids

Question 4

Although they act as filters, can it still acquire bacteria?

Answer 4

Yes

Question 5

Inflammation of the tonsils

Answer 5

Tonsillitis

Question 6

Inflammation of the adenoids

Answer 6

Adenoiditis

Question 7

Factors of tonsillitis and adenoiditis

Answer 7

• Cold
• sweet
• post nasal drainage

Question 8

What is the diagnostic test for tonsillitis and adenoiditis?

Answer 8

Nasal / throat swab
(Culture and sensitivity )

Question 9

What comes first? Culture and sensitivity or antibiotics?

Answer 9

Culture and sensitivity

Question 10

Most common causative agent

Answer 10

Group A beta - hemolytic streptococci (GABHS)

Question 11

Gabhs means?

Answer 11

Group A beta-hemolytic streptococci

Question 12

GABHS triggers what ?

Answer 12

Autoimmune disorders
- rheumatic fever
- glomerulonephritis (agn)

Question 13

Management:
1.____________________ fluid intake
2. Gargle ____________________ saline for decrease swelling
3. Gargle antiseptic : NPO for now many minutes?
4. Surgeries done?

Answer 13

l. Increase fluid intake
2. Warm
3.30 minutes
4. Tonsillectomy and adenoidectomy

Question 14

Rationale for:
1. why increase fluid intake?
2. Why gargle w/ warm saline?
3. Why gargle with antiseptic?
4.. Why do we need to remove tonsil and adenoids sometimes?

Answer 14

1. To remove sugar (sugar attracts bacterial
2. To decrease swelling
3. To decrease bacteria
4. To prevent having autoimmune disorder

Question 15

Tonsil when having tonsillitis is ______________ in H2O and_______________in solute concentration.

Answer 15

Increase, decrease

Question 16

Since around the tonsil , NaCl is much higher in concentration → there will be a shift in fluids. Fluids in the higher concentration will so to the lower concentration and the tonsil will shrink. What do we call the process?

Answer 16

Osmosis

Question 17

Pre operative and postoperative management goal

Answer 17

Decrease complication

Question 18

Preoperative
1. Assess for signs of infection (WOF: ______________)
2. Assess for any loos teeth (WOF:__________________)
3. Check labs : __________________

Answer 18

1. WBC
2. Aspiration
3. International normalize ratio

Question 19

INR means?

Answer 19

International normalize ratio

Question 20

WOF prolonged INR

Answer 20

Increase bleeding

Question 21

Postoperative positions

Answer 21

1. Prone (head turned to side ) → most comfortable
2. Semi-fowlers
3. Side lying

Question 22

Most comfortable position after operation

Answer 22

Prone w/ head turned to side

Question 23

Incision location - throat or neck?

Answer 23

Throat

Question 24

Early sign of bleeding after operation

Answer 24

Drooling of red secretion or frequent swallowing

Question 25

True or False
1. Avoid clearing of throat
2. Avoid blowing of nose
3. Avoid dark color beverages

Answer 25

All true

Question 26

Clearing of throat or blowing of nose increases what?

Answer 26

Increases tension on the sutures → cause bleeding

Question 27

Don’t drink dark colored beverages?

Answer 27

It will mask bleeding

Question 28

To reduce bleeding / reduce inflammation and increase comfort, what collar does it?

Answer 28

Ice/cold collar ( puts in neck)

Question 29

Positive or negative?
1. Ice pops
2. Clear liquids
3. Can berry juice
4. Ice cream
5. Pudding
6. Sorbet
7. Crashed ice
8. Soda
9. Citrus flavored drinks
10. Soft foods for 1-2 days

Answer 29

1. Positive
2. Positive
3. negative
4. Negative
5. Negative
6. Positive
7. Positive
   8’ negative
   9 negative
8. Positive

Question 30

Ice cream and pudding isn’t good because it contains milk/cream that →