14.1 Tonsillitis

Question 1

What is the most common cause of bacterial tonsillitis?

Answer 1

group A streptococcus (Strep progenies)

Question 2

How can you treat group A strep tonsillitis?

Answer 2

penicillin V (phenoxymethylpenicillin)

Question 3

Trismus

Answer 3

inflamed medial pterygoid

Question 4

Tympanogram

Answer 4

type A and B
B is flat and due to hole or fluid

otovent balloon - valsalva manœuvre

Question 5

What is the most common cause for a tonsillitis?

Answer 5

viral cause

- does not respond to Abx

Question 6

What is the second most common cause of tonsillitis and also causes OM, rhinosinusitis?
Other bacterial tonsillitis causes?

Answer 6

Streptococcus pneumoniae

Other:
Haemophilus influenzae
Morazella catarrhalis
Staphylococcus aureus

Question 7

What is the tonsillar ring called?

Answer 7

Waldeyers ring

Question 8

What are the lymphoid tissues in Waldeyers ring?

Answer 8

six areas making up: adenoid, tubals, palatines and lingual tonsil

Question 9

Typical presentation of tonsillitis?

Answer 9

fever, sore throat, painful swallowing

children 5-10 most affected, another peak 15-20

can be non-specific in younger patients: fever, poor oral intake, headache, vomiting or abdo pain.

Question 10

What will you see on tonsillitis examination?

Answer 10

red, inflamed, large tonsils with or without exudates.

Always do otoscopy
Palpate for cervical lymphadenopathy