Acute and Chronic Tonsillitis

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Presentation Transcript

Acute and Chronic Tonsillitis:

Acute and Chronic Tonsillitis Dr.Ruchir Dhawan

Anatomy:

Anatomy

Section of pharynx:

Section of pharynx

Anterior Relations:

Anterior Relations

Acute Tonsillitis:

Acute Tonsillitis Acute catarrhal or superficial tonsillitis Acute follicular tonsillitis Acute parenchymatous tonsillitis Acute membranous tonsillitis

Aetiology:

Aetiology Haemolytic streptococcus (commonest) Staphylococci Pneumococci H.Influenzae

Symptoms:

Symptoms Sore throat Difficulty in swallowing Earache Fever Constitutional symptoms

Signs:

Signs Foetid breath & coated tongue Hyperaemia of pillars,soft palate and uvula Jugulodiagastric lymph nodes

Treatment:

Treatment Hydration Analgesia Antimicribial Therapy

Complications:

Complications Chronic Tonsillitis Peritonsillar abscess Parapharyngeal abscess Cervical abscess AOM Rheumatic fever Acute Glomerulonephritis Subacute bacterial endocarditis

D/D:

D/D Membranous tonsillitis Diphtheria Vincent’s angina Infectious mononucleosis Agranulocytosis Leukaemia Aphthous Ulcers Malignancy tonsil Traumatic ulcer

Chronic Tonsillitis (Aetiology):

Chronic Tonsillitis (Aetiology) As a complication From sinuses & teeth

Types:

Types Chronic follicular tonsilitis Chronic parenchymatous tonsillitis Chronic fibroid tonsillitis

Clinical features:

Clinical features Recurrent attacks Chronic irritation in throat Cough Halitosis Voice change Choking Spells

Treatment:

Treatment Tonsillectomy

Complications:

Complications Peritonsillar abscess Parapharyngeal abscess Tonsilloliths Tonsillar cyst

Diseases of Lingual Tonsils:

Diseases of Lingual Tonsils Acute lingual tonsillitis Hypertrophy of lingual tonsils Abscess of lingual tonsil

THANK YOU:

THANK YOU

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