May 29, 2020

TONSILLITIS

Tonsillitis :

Def- inflammation of tonsils caused by bacteria or virus

Pathophysiology: entry of pathogens will trigger the mast cells that causes inflammation of tonsils and related symptoms

Etiology - virus- adeno virus, Corona virus , influenza virus, rhino virus

Bacteria- streptococcus pneumoniae, mycoplasma pneumoniae, bordetell partusis, corynebacterium diphtherie, treponema pallidum

S/s : sore throat, wide swollen tonsils, white spots, hoarseness of voice, dysphagia

Medical/nursing mgt:

  • Antibiotics- azithromycin, amoxicillin
  • Analgesics- acetaminophen, ibuprofen
  • Warm water gargles
  • Side lying position to facilitate secretion removal
  • Tepid sponge bath for managing fever

Distinctive facts:

  • Ix- throat swab, CBC
  • White spots are present in bacterial tonsillitis characterized by gray furry tongue
  • Complications can cause quinsy ( peritonsilar abscess)
  • Tonsillectomy a surgical management

Prognosis:

  • Prognosis is good and mortality is rare
  • However complication of rheumatic fever may occur if not treated appropriately

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