ENT - Diseases of the oral cavity and oropharynx Flashcards
what is the most common pathogen associated with tonsillitis?
beta hemolytic group A strep
what is med of choice for acute tonsillitis?
PCN
what are the diagnostic tests for mono?
- CBC (neutrophils early, leukocytes late)
- smear: atypical lymphocytes
- monospot positive
- heterophil antibody titer over 1:60
- throat culture to rule out coexisting beta hemolytic strep
what is the treatment for mono?
prednisone / steroids
symptoms of peritonsillar abscess
- marked dysphagia
- pain referred to ear in involved site**
- increased salivation
- fever
- trismus
- deviation of uvula across midline
- marked dysphagia
- EAR PAIN
- increased salivation
- fever
- VOICE CHANGES
symptoms of peritonsillar abscess
what test distinguishes abscess from cellulitis?
palpation
what is the anterior border of the retropharyngeal space?
pharynx and esophagus (buccopharyngeal fascia)
what is the posterior border of the retropharyngeal space?
alar layer of deep fascia
what is the superior border of the retropharyngeal space?
skull base
what is the inferior border of the retropharyngeal space?
superior mediastinum
- odynophagia
- dysphagia
- fever
- cervical LA
- torticollis
- nuchal rigidity
- stridor
- noisy breathing
retropharyngeal abscess
what si the treatment for retropharyngeal abscess?
- surgery and drainage
- IV hydration, abx, steroids
what is the biggest complication of tonsillectomy?
post op bleeding
what is the triad indicating adenoidectomy?
- hyponasality
- snoring
- mouth breathing
