| ID | 298 |
|---|---|
| Name | PERITONSILLAR ABSCESS |
| Cause | Most peritonsillar abscesses are caused by the same bacteria that cause strep throat. Sometimes, other types of bacteria are involved. Peritonsillar abscesses usually happen as a complication of tonsillitis. If the infection breaks out of a tonsil and gets into the space around it, an abscess can form |
| Signs Symptoms | red, swollen tonsils. tender, swollen glands (lymph nodes) on one side of the neck. severe pain on one side of the throat. difficulty and pain when swallowing or opening the mouth. fever and chills. headache. earache. drooling. |
| Diagnosis | The presenting symptoms include fever, throat pain, and trismus. Ultrasonography and computed tomographic scanning are useful in confirming a diagnosis. Needle aspiration remains the gold standard for diagnosis and treatment of peritonsillar abscess |
| Investigations | The presenting symptoms include fever, throat pain, and trismus. Ultrasonography and computed tomographic scanning are useful in confirming a diagnosis. Needle aspiration remains the gold standard for diagnosis and treatment of peritonsillar abscess |
| Management | Management: Conservative treatment: 1. Parenteral systemic antibiotic should be given for 5-7 days. 2. Paracetamol 500mg thrice daily for pain & temperature. Operative treatment: 1. If acute dysphagia, sore throat & lock-jaw persists- the treatment is incision & drainage. 2. Find the point of impending rupture, make an incision at the point of pus. 3. Tonsillectomy after 4-6 weeks. |
| Introduction | It is the abscess formation in the peritonsillar space between tonsillar capsule & sup. constrictor muscle. It is usually unilateral, male are usual victims & a sequele of acute tonsillitis. |
| History | |
| Etiology | Most peritonsillar abscesses are caused by the same bacteria that cause strep throat. Sometimes, other types of bacteria are involved. Peritonsillar abscesses usually happen as a complication of tonsillitis. If the infection breaks out of a tonsil and gets into the space around it, an abscess can form |
| Clinical Features | Clinical fc eatures: Symptoms: 1. Severe sore throat (unilateral), with high rise of temperature. 2. Dysphagia, otalgia, dribbling of saliva, speech is thick & muffled. 3. Lock-jaw. Signs: Congestion, bulging & oedema of the tonsillar & palatal region, tonsil is covered with mucopus, uvula is oedematous, buccal mucosa is dirty, tonsillar gland is enlarged & tender. Uvula pushed to opposite side. |
| Preventions | To lower your risk of getting an abscess in your tonsils, don't smoke and make sure you keep your teeth and mouth clean |
| Treatment | Symptoms and findings generally include fever, sore throat, dysphagia, trismus, and a “hot potato” voice. Drainage of the abscess, antibiotic therapy, and supportive therapy for maintaining hydration and pain control are the cornerstones of treatmen |
| Complications | Complications: 1. Parapharyngeal abscess 2. Oedema of the larynx 3. Cellulitisoftheneck 4. Septicemia etc. |
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| Pathology | Peritonsillar abscess (PTA)—also known as 'quinsy'—is a localized deep neck infection that develops between the tonsil and its capsule. The infection can progress to airway obstruction, abscess rupture and asphyxia by aspiration of pus and necrosis resulting in septicaemia or haemorrhage |
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