Mouth

Tonsillitis

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Tonsillitis

  • Symptoms
  1. See Pharyngitis
  2. Difficulty taking oral intake
  3. Difficulty swallowing secretions
  4. Otalgia (common innervation of ear and throat)
  • Signs
  1. Febrile, appears ill
  2. Mucus membranes dry
  3. Tonsils enlarged, beefy red, exudate
  4. Tender cervical adenopathy
  5. Splenomegaly in Epstein-Barr Virus
  • Differential Diagnosis
  1. Heterophil agglutination (Monospot Test)
  2. Liver Function Test Elevation
  3. Peripheral Blood Smear with Atypical lymphocytes
  • Management
  1. See Pharyngitis for standard management
  2. See Group A Streptococcal Pharyngitis
  3. Unresponsive to medications for Pharyngitis
    1. Obtain Throat Culture and Monospot
    2. Consider Clindamycin 300 mg PO qid
    3. Assess for Peritonsillar Abscess
    4. Assess for Laryngeal pathology
    5. Consider ENT referral
  1. Reduces Pharyngitis frequency (esp. Streptococcus)
  2. Effect lasts 2-3 years after surgery