Tonsillitis and Adenoids - ahmad：扁桃体和腺样体-艾哈迈德.ppt

nasopharyngoscopy X-ray nasopharynx lateral view When symptoms are not severe, decongestant nasal drops + antihistamines is the treatment of choice Marked symptoms, treatment is adenoidectomy Thank You Definition:? Is an inflammation of the tonsils. ? Types: Acute tonsillitis Chronic tonsillitis ? Classification: acute catarrhal or superficial tonsillitis: Here tonsillitis is a part of generalized pharyngitis and seen in viral infections ? acute follicular tonsillitis: In which tonsillar crypts become filled with purulent materials ? acute parenchymatous tonsillitis: Here tonsils are uniformly enlarged and red acute membranous tonsillitis: The exudates in the crypts coalesces to form membrane on the surface Affects school-age children but adults can also be affected. It is rare in infants ( 1 year age) and persons above 50 years. Group A beta hemolytic streptococci Haemophilus influenzae Streptococcus pneumoniae Staphylococci Tuberculosis (in immunocompromised) Viruses: adenovirus, Epstein-Bar virus and herpes simplex virus ? sore throat difficulty in swallowing + pain fever (can be accompanied by rigors and chills) ear ache headache generalized body fatigue breath is foetid and tongue is coated hyperaemia of the pillars, soft palate and uvula red and swollen tonsils with yellowish spots in the crypts (follicular tonsillitis) , whitish membrane on the medial surface of the tonsils (membranous tonsillitis) or enlarged and congestive tonsils with swollen uvula (acute parenchymatous tonsillitis) enlarged and tender jugulodigastric lymph nodes bed rest + plenty of fluids analgesia (Aspirin or Paracetamol) antimicrobial (Penicillin is the drug of choice) should be continued for 7 -10 days chronic tonsillitis with recurrent acute attacks peritonsillar abscess (quinsy) parapharyngeal abscess cervical abscess acute otitis media rheumatic fever acute golomerulonephritis sub acute bacterial endocarditis Diphtheria Infectious mononucleosis malignancy (lymphoma,