Tonsillitis Flashcards Preview

ENT > Tonsillitis > Flashcards

Flashcards in Tonsillitis Deck (11)
Loading flashcards...
1

def

inflammation of the tonsils

2

aetiology

1 viral (most common)
-rhinovirus>coronavirus>adenovirus
2 bacteria
-beta-haemolytic streptococci (most common is group A beta-haemolytic streptococci followed by group C)

3

what are group A beta-haemolytic streptococci

streptococcus pyogenes

4

what are group C beta-haemolytic streptococci

streptooccus dysgalactiae

5

epi

common in children

6

risk factors

children
contact with infected people

7

history

sudden onset sore throat with pain on swallowing
associated symptoms such as cough or runny nose, fever, headache, N+V

8

examination

tonsillar redness and enlargement, tonsillar exudate (esp with Group A beta-haemolytic streptococci)
lymphadenopathy (anterior cervical lymph nodes)

9

investigations

1 rapid streptococcal antigen test
-identifies GABHS
2 throat culture is a definitive diagnosis for bacterial tonsilitis
3 bloods
-raised CRP, WCC

10

what are the centor criteria

indicates the likelihood of a sore throat being due to a bacterial infection
1 tonsillar exudate
2 tender anterior cervical lymphadenopathy
3 fever >38
4 absence of cough

11

what is the streptococcal score card

indicates the likelihood of a sore through being due to GABHS
1 age 5-15yrs
2 season (late autumn, winter, early spring)
3 fever >38.3
4 cervical lymphadenopathy
5 pharyngeal erythema, oedema, exudate
6 no symptoms of a viral URI (cough, runny nose)