Tonsilitis Flashcards
Why is tonsillitis a disease of childhood?
After adolescence the tonsils decrease in bulk
What do tonsils do?
Trap bacteria on inhalation and fight infection by immune cells in tonsillar tissue
What circular structure do the tonsils make up?
Waldeyer’s ring
What is in Waldeyer’s ring?
Palatine tonsils
Adenoids
Lingual tonsils
Between which two muscles does the tonsils lie?
Palatoglossus
Palatopharyngeus
What kind of tissue is the tonsil comprised of?
Stratified squamous epithelium
What happens to the tonsillar crypts on ageing?
Crypts enlarge
What differs in the tonsils to the adenoids?
Adenoids have folds
Made of pseudostratified columnar
True or False
Tonsillitis is mainly viral
True
Which virus mainly causes tonsillitis?
EBV
True or False
Viral tonsillitis is the most debilitating
False!
Bacterial causes total systemic upset
What is included in the Centor criteria?
Fever
Tonsillar exudates
Absence of cough
Cervical lymphadenopathy
What other factors are taken into consideration with the Centor Criteria?
Age.
Add 1 point if under 15.
Minus a point if over 44
What antibiotic should be given if centor criteria is 4/5?
Penicillin 500mg QDS 10 days
When can a tonsillectomy be suggested?
7 episodes in 1 year
5 episodes each in 2 years
3 episodes each in 3 years