tonilitis

Question 1

which post-tonssillectomy haemorrhages should be assessed by ENT

Answer 1

ALL !

Question 2

management of post-tonsillectomy haemorrhage in first 6-8hrs

Answer 2

immediate return to theatre

(primary/reactionary haemorrhage)

Question 3

management of post-tonsillectomy haemorrhage between 5 and 10 days post surgery

Answer 3

admission + antibiotics
–> most assoc with wound infection

Question 4

criteria for tonsillectomy

Answer 4

7 episodes per year for 1 year

5 per year for 2 yrss

or 3 per year for 3years

+ episodes are disabling, prevent normal functioning

Question 5

other conditions that might require tonsillectomy

Answer 5

recurrent febrile convulsions 2nd to eps of tonsilitis

obstructive sleep apnoea, stridor or dysphage 2nd to large tonssils

peritonsillar abscess thats unresponsive to tx

Question 6

Abx mx of tonsilitis if penicillin alergy

Answer 6

clarithromycin

(usually phenoxymethylpenicillin)

Question 7

FeverPAIN score

Answer 7

FEver >38

Purulence - exudate
Attended rapidly (<=3days)
Inflamed tonsils (severe)
No cough

–> 1 point for each, maach score of 5

Question 8

feverPain score required for antibioticss

Answer 8

0-1 - low - no abx

2-3 - mod likely - delayed abx (3days)

4-5 - abx tx