Tonsillitis

Question 1

What is tonsillitis?

Answer 1

Inflammation of the palatine tonsils

Question 2

What are common causative organisms?

Answer 2

Adenovirus
Rhinovirus
Influenza
Parainfluenxa

Strep pyogenese
Staph aureus

Question 3

What are the symptoms of tonsillitis?

Answer 3

Odynophagia
Dysphagia
Pyrexia

Red, swollen tonsils

Question 4

What score system is used to assess need for abx?

Answer 4

CENTOR

Question 5

How is tonsillitis managed?

Answer 5

Analgesia
Ensure hydration

Tonsillectomy

Question 6

What are indications for a tonsillectomy?

Answer 6

>/=7 episodes in a year 
>/=5 per year for 2 years 
Suspsected malignancy 
Presence of sleep apnoea 
Previous peritonsillar abscess

Question 7

What are primary complications (<24hr) of a tonsillectomy?

Answer 7

Haemorrhage

Pain

Question 8

What are secondary complications (>24hr) of a tonsillectomy?

Answer 8

Haemorrhage (due to infection)

Pain

Question 9

What is a complication of tonsillitis?

Answer 9

Peritonsillar abscess

Question 10

What is a peritonsillar abscess also known as?

Answer 10

Quinsy

Question 11

What are the clinical features of a peritonsillar abscess?

Answer 11

Severe sore throat

Odynophagia

Question 12

What is seen on examination in a peritonsillar abscess?

Answer 12

Extensive erythema
Soft palate swelling
Deviated uvula

Question 13

How is a peritonsillar abscess managed?

Answer 13

IV abx
Regular analgesia

Needle aspiration/incision+drainage