tonsillitis

Question 1

causes of tonsillitis

Answer 1

viral
bacterial causes: group A strep, strep pneumo

Question 2

waldeyer’s tonsillar ring

Answer 2

ring of lymphoid tissue in the pharynx

Question 3

presentation of tonsillitis

Answer 3

sore throat
fever
pain on swallowing
red, inflamed tonsils with or without exudate
anterior cervical lymphadenopathy

Question 4

centor criteria

Answer 4

used to estimate if tonsillitis is due to bacterial infection
3 or more- bacterial
fever >38
tonsillar exudate
absence of cough
tender lymph nodes

Question 5

fever PAIN score

Answer 5

alternative to centor
fever
Purulence
Attended within 3 days
Inflamed tonsils
No cough or coryza

Question 6

management

Answer 6

educate its likely viral and safety net
analgesia
prescribe abx if
- pain still there after 3 days or fever >38.3
- centor 3 or more
- feverPAIN 4 or more
penicillin V (phenoxymethylpenicillin) for 10 days
- clarithromycin if penicillin allergic