Tonsillitis and Tonsillectomy

Question 1

define tonsillitis?

Answer 1

inflamed tonsils

Question 2

cause of tonsillitis?

Answer 2

infection?

Question 3

usual cause of infective tonsillitis?

viral or bacterial

Answer 3

viral

Question 4

%wise how many tonsillitis are viral vs bacterial?

Answer 4

viral - 75%

bacterial - 25%

Question 5

Disease course of tonsillitis?

Answer 5

lasts 1 week, goes away on own, even without antibiotics

Question 6

usual case of viral tonsillitis?

name of virus

Answer 6

rhinovirus

Question 7

usual case of bacterial tonsillitis?

name of bacteria

Answer 7

streptococcus

Question 8

usual case of recurrent tonsillitis?

Answer 8

staph aureus

Question 9

why does staph aureus cause a lot recurrent tonsillitis?

-2

Answer 9

staph aureus gets deep into tonsil tissue and has antibiotic resistance

Question 10

most common complications of tonsillitis

Answer 10

otitis media

Question 11

other complications?

-2

Answer 11

dehydration

abscess form on tonsils

Question 12

why do children with tonsillitis potentially become dehydrated?

Answer 12

Sore throat + ill –> so E+D less

Question 13

which type of tonsillitis can make abscess form on tonsils?

Answer 13

bacterial tonsillitis

Question 14

how can you tell the tonsillitis is bacterial caused rather than viral?
-2

Answer 14

bacterial = lots of exudate & NO cough or coryzal symptoms

Question 15

Classic Presentation of tonsillitis?

-3

Answer 15

Child has sore throat
infection symptoms
white spots at back of throat

Question 16

Main Differential for tonsillitis?

Answer 16

Glandular fever

Question 17

Glandular fever aka?

how is it spread?

Answer 17

kissing disease

saliva

Question 18

Glandular fever viral cause?

Answer 18

EBV

Question 19

Glandular fever presentation? (i.e. signs and symptoms)

-4

Answer 19

sore throat
big neck lymph nodes
swollen neck
tonsils can inflame

Question 20

main symptoms of tonsillitis?

-2

Answer 20

Sore throat

Hurts to swallow

Question 21

other general infection symptoms of tonsillitis?

-3

Answer 21

Fever, headache, N&V

Question 22

main signs of tonsillitis on examination?

-3

Answer 22

White spots on tonsils
Tonsils big + with exudate
Red throat

Question 23

category of diagnosis?

Answer 23

Diagnose clinically

Question 24

are Ix needed to diagnose?

Answer 24

no

Question 25

what is the Gold. S Ix to confirm bacterial tonsillitis?

Answer 25

throat swab and culture

Question 26

what does tonsillitis Mx depend on?

Answer 26

is it bacterial or viral

Question 27

1st line Mx for viral tonsillitis?

• 4 things
• 2 are drug names

Answer 27

rest + fluids + paracetamol + ibuprofen

Question 28

1st line Mx for bacterial tonsillitis?

-1, drug name

Answer 28

Phenoxymethylpenicillin

Question 29

define tonsillectomy?

Answer 29

tonsils removed

Question 30

when is tonsillectomy indicated basically?

Answer 30

lots of recurrent tonsillitis

Question 31

list the 4 criteria needed to be eligible for tonsillectomy.

NB: you all need 4

Answer 31

1. sore throats is defo due to tonsillitis (i.e. not recurrent upper respiratory tract infections)
2. ≥ 5 sore throats per year
3. for at least one year
4. the episodes of sore throat are disabling and prevent normal functioning

Question 32

what are the common complications of tonsillectomy?

-2

Answer 32

bleeding, infection