Tonsilitis Flashcards

1
Q

Why is tonsillitis a disease of childhood?

A

After adolescence the tonsils decrease in bulk

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2
Q

What do tonsils do?

A

Trap bacteria on inhalation and fight infection by immune cells in tonsillar tissue

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3
Q

What circular structure do the tonsils make up?

A

Waldeyer’s ring

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4
Q

What is in Waldeyer’s ring?

A

Palatine tonsils
Adenoids
Lingual tonsils

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5
Q

Between which two muscles does the tonsils lie?

A

Palatoglossus

Palatopharyngeus

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6
Q

What kind of tissue is the tonsil comprised of?

A

Stratified squamous epithelium

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7
Q

What happens to the tonsillar crypts on ageing?

A

Crypts enlarge

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8
Q

What differs in the tonsils to the adenoids?

A

Adenoids have folds

Made of pseudostratified columnar

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9
Q

True or False

Tonsillitis is mainly viral

A

True

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10
Q

Which virus mainly causes tonsillitis?

A

EBV

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11
Q

True or False

Viral tonsillitis is the most debilitating

A

False!

Bacterial causes total systemic upset

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12
Q

What is included in the Centor criteria?

A

Fever
Tonsillar exudates
Absence of cough
Cervical lymphadenopathy

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13
Q

What other factors are taken into consideration with the Centor Criteria?

A

Age.
Add 1 point if under 15.
Minus a point if over 44

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14
Q

What antibiotic should be given if centor criteria is 4/5?

A

Penicillin 500mg QDS 10 days

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15
Q

When can a tonsillectomy be suggested?

A

7 episodes in 1 year
5 episodes each in 2 years
3 episodes each in 3 years

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16
Q

What complication of tonsillitis must be considered?

A

Peritonsillar abscess i.e. quinsy

17
Q

What is the classic history of a quinsy?

A

Preceding tonsillitis
Unilateral throat pain and odynophagia
Trismus

18
Q

What is the treatment for quinsy?

A

Aspiration and abx

19
Q

What virus causes glandular fever?

A

EBV

20
Q

What non-oral signs may be present in glandular fever?

A

Hepatosplenomegaly

Lymphadenopathy

21
Q

What antibiotic is avoided in infectious mononucleosis?

A

Amoxicillin

22
Q

Enlargement of what structure can cause sleep apnoea?

A

Adenoids

23
Q

What is a tonsillith?

A

Debris in the tonsillar crypts