Tonsillitis Flashcards

1
Q

What are kissing tonsils

A

enlarged, edematous palatine tonsils that meet in the midline and obstruct the passage of air or food
seen in tonsillitis

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2
Q

What could cause mouth breathing

A

enlarged adenoids

positive dry and irritated mucous membranes of the oropharynx

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3
Q

what are clinical manifestations of tonsillitis?

A

caused by inflammation
kissing tonsils
difficulty swallowing and breathing
mouth breathing from enlarged adenoids
dry and irritated mucous membranes of the oropharynx= offensive mouth odor and impaired sense of taste and smell
nasal and muffled voice= air cannot be trapped for proper speech sounds
persistent cough
OM= proximity of the adenoids to the Eustachian tubes = passageway is frequently blocked by swollen adenoids, interfering with normal drainage

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4
Q

Is tonsillectomy indicated in the child who has recurrent pharyngitis?

A

NO

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5
Q

When is tonsillectomy indicated?

A

Indicated for:
recurrent and frequent streptococcal infection
history of development of a peritonsillar abscess
airway obstruction
sleep apnea
chronic feeding difficulty

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6
Q

How old does a child have to be to have a tonsillectomy?

A

over 3 years old due to hypertrophy of remaining tissues

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7
Q

When is tonsillectomy contraindicated?

A

in
active infection
cleft palate

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8
Q

What is otitis-conjunctivitis connection?

A

It is when a person with a sore throat develops an asymptomatic otitis media and symptomatic conjunctivitis
associated with purulent rhinitis

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9
Q

What bacteria is responsible for otitis-conjunctivitis connection?

A

Haemophilus influenza

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10
Q

What is treatment for this?

A
Systemic antibiotics:
Augmentin
Ceftin
Pediazole
Bactrim
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11
Q

What other condition causes marked tonsillitis?

A

Infectious Mononucelosis caused by the Epstein Barr virus

Called the “kissing disease” because transmitted by saliva

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12
Q

How long is the incubation period with mono?

A

2-6 weeks

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13
Q

How long can the virus of mono be shed?

A

2 to 6 months

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14
Q

What is most common age for mono?

A

15-30 years old

rare under 5 years of age

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15
Q

What are clinical manifestations of mono?

A
fever 102-104
headache
severe fatigue
sore throat 
malaise
pharyngeal injection with exudate
POSTERIOR cervical lymphadenopathy
hepatosplenomegaly (sometimes)
splenomegaly
lymphocytosis
Atypical lymphocytes on CBC
palantine petichiae at the hard and soft palate
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16
Q

What tests can you do to check for mono?

A
Mono spot 
EBV titers (which shows if patient having acute, resolving episode or if patient has had mono in the past)
17
Q

What is treatment for mono

A
High amount of rest
No contact sports for 4 weeks until the spleen has healed
Tylenol
NSAIDS
increase fluid
18
Q

What are two other causes of pharyngitis?

A

Herpangina: headache, fever and malaise often accompanied by sinus tachycardia; small oral vesicles or ulcers on tonsils, uvula and soft palate.

Hand foot mouth disease:
large vesiculated ulcers in the oropharynx and on the palms and soles, buttocks and diaper area.

19
Q

What is gingivostomatitis?

A

1st presentation of herpes simplex virus

20
Q

What are the manifestations of gingivostomatitits?

A

vesicular lesions of tongue, labial, buccal and gingival mucosa
with fever and malaise

21
Q

What is treatment of gingivostomatititis?

A

If outbreak caught within first 72 hours can treat with anti-virals.