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Tonsillitis
- Etiologies
- Viral
- Epstein-Barr Virus (Mononucleosis)
- Bacterial
- Group A Beta Hemolytic Streptococcus
- Staphylococcus aureus
- Hemophilus Influenzae
- Symptoms
- Difficulty taking oral intake
- Difficulty swallowing secretions
- Otalgia (common innervation of ear and throat)
- Signs
- Febrile, appears ill
- Mucus membranes dry
- Tonsils enlarged, beefy red, exudate
- Tender cervical adenopathy
- Splenomegaly in Epstein-Barr Virus
- Labs: Epstein Barr Virus Infection
- Heterophil agglutination (Monospot Test)
- Liver Function Test Elevation
- Peripheral blood smear with Atypical lymphocytes
- Management
- SEE Pharyngitis for standard management
- Unresponsive to medications for Pharyngitis
- Obtain Throat Culture and Monospot
- Consider Clindamycin 300 mg PO qid
- Assess for Peritonsillar Abscess
- Assess for Laryngeal pathology
- Consider ENT referral
- Management: Tonsillectomy Indications
- Tonsillitis episodes 4 or more per year for 2 years
- Tonsillar size is not an indication for surgery
- Size diminishes naturally in early adolescence
- Prognosis: Following Tonsillectomy
- Reduces Pharyngitis frequency (esp. Streptococcus)
- Effect lasts 2-3 years after surgery
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| Definition (MSH) | Inflammation of the tonsils, especially the palatine tonsils. It is often caused by a bacterium. Tonsillitis may be acute, chronic, or recurrent. |
| Concepts | Disease or Syndrome (T047)
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| ICD9 | 463 |
| English | Tonsillitides, Tonsillitis |
| Spanish | amigdalitis, tonsilitis |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
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