12.3 Tonsillitis, Quinsy, Epiglottis, Stridor, FB in Throat

Question 1

Tonsillitis

Answer 1

Infection of tonsil bilateral and due to acute infection

Question 2

Tonsillitis can spread by

Answer 2

Droplet nuclei

Question 3

Clinical manifestations of Tonsillitis

Answer 3

• Fever, sore throat, difficulty in swallowing
• Anterior cervical LN enlargement
• Bright red and swollen tonsil
• visible exudate on tonsil
• otalgia (pain of ear)

Question 4

Complication of Tonsillitis

Answer 4

Become chronic
Peritoneal abscess (Quinsy)

Question 5

Antibiotic for bacterial infection
What if allergy

Answer 5

Penicillin/ amoxicillin for group A streptococcus
- erythromycin/ cefuroxima (Zinacef) if allergy to penicillin

Question 6

Indication for tonsillectomy

Answer 6

• Recurrent or chronic infection
• Hypertrophy of tonsil- risk of airway obstruction and impaired swallowing
• Quinsy

Question 7

Post tonsillectomy nursing care

Answer 7

• Maintain airway patent
• Observe signs of hemorrhage
• Cool fluid, bland diet
• Avoid aspirin
• Increase swallowing of fluid reduce discomfort
• oral hygiene

Question 8

Post tonsillectomy appearance

Answer 8

• Whitish discolouration is healing membrane
• Delay haemorrhage if fall of healing membrane
• heal 14-21 days

Question 9

Health education before discharge

Answer 9

• Avoid coughing and excessive clearing of throat
• do not swallow but soit out blood
• take analgesic half hrs before meals
• avoid hard and crunchy food, spicy and acidic food (burning sensation)
• avoid use of straw

Question 10

Throat spray need __ for first time use

Answer 10

Priming
Hold breath when spray
Allow >15s then spit out!

Question 11

Quinsy

Answer 11

Pritonsillar abscess
White Pus in peritonsillar tissue

Question 12

Clinical manifestations of quinsy

Answer 12

Fever and chills
Drooling
Uvula push to unaffected side
Collection of pus
Enlarged LN

Question 13

Management of quinsy

Answer 13

• If airway blockage, emergency perform needle aspiration or incision and drainage
• High dose antibiotics

Question 14

Stridor

Answer 14

High pitch rr sound indicated partially obstructed or narrow upper airway

Associated with rr distress and can be life-threatening

Question 15

Epiglottis

Answer 15

Life-threatening

Caused by haemophilus influenza B

Omega signs

Question 16

FB in throat
Presenting symptoms that need immediate action

Answer 16

Dysphasia,
Cyanosis,
Collapse

Stridor

Question 17

Injection of button batteries

Answer 17

Cause serious burn in 2 hours
Remove emergently