Tonsilitis Flashcards

1
Q

Define:

A

• Inflammation due to infection of the tonsils.

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2
Q

Aetiology:

A
  • Usually VIRAL (e.g. common cold or influenza)

* Can be bacterial (caused by group A streptococci)

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3
Q

Risk factors:

A

o Immune deficiency

o Family history of tonsillitis or atopy

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4
Q

Epidemiology:

A
  • VERY COMMON

* Usually in children and young adults

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5
Q

Symptoms:

A
  • Pain in the throat
  • Painful swallowing
  • Pain may be referred to ears
  • Abdominal pain (in small children)
  • Headache
  • Loss of voice or changes in voice
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6
Q

Signs:

A

Red throat
• Swollen tonsils, which may have white flecks of pus
• High temperature (sometimes)
• Swollen lymph nodes

Examination:
o Intense erythema of tonsils and pharynx
o Yellow exudate
o Tender, enlarged anterior cervical glands

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7
Q

Signs of strep tonsillitis:

A

o Acute onset
o Headache
o Abdominal pain
o Dysphagia

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8
Q

Investigations:

A
  • Throat swabs and rapid antigen tests can be performed (but are NOT recommended)
  • Swabs may not be able to distinguish between infection and colonisation
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