PERITONSILLAR ABSCESS -ETIOLOGY,MECHANISM,CLINICAL FEATURES,TREATMENT

-

 PERITONSILLAR ABSCESS ( QUINSY)


1)INTRODUCTION:

TONSIL-Subepithelial aggregation of lymphoid tissue which forms a part of waldeyer's ring

  • Its ovoid in shape
  • Situated in lateral wall of oropharynx

QUINSY- Collection of pus in peritonsillar space between capsule and superior constrictor muscle


2)ETIOLOGY:

  • As a sequelae of acute tonsillitis
  • De novo 
Causative organism : 

  • Streptococcus pyogenes
  • Staphylococcus aureus 
  • Anaerobic organism  





3)MECHANISM :

One of the crypts or crypta magna gets filled 

With pus and gets sealed off

Intratonsillar abscess 

Burst through capsule

Peritonsillitis

Peritonsillar abscess 


4)CLINICAL FEATURES :

GENERAL;

  • High grade fever with chills
  • Malaise
  • Headache
  • Body ache
  • Nausea

LOCAL:

  • Foul breath
  • Trismus
  • Severe unilateral throat pain
  • Poor orodental hygiene
  • Hot potato speech


5)EXAMINATION:

  • UVULA:Swollen ,pushed to opposite side
  • Tonsil,soft palate :congested on involved side
  • Torticollis:head tilted to involved side
  • Mucopus covering the tonsil 





6)TREATMENT:

CONSERVATIVE :

  • Hospitalisation and IV fluids
  • Analgesic 
  • Oral hygiene : Warm saline saline gargle

SURGICAL ;

a)INCISION AND DRAINAGE: 

  • If frank ps is present incision is done 
  • Incision point : Point of maximum bulge 

b)INTERVAL TONSILLECTOMY:

  • 4-6 Weeks following quincy 
  • Abscess tonsillectomy:
  • Disadvantage: 
  • Increased bleeding 






7)COMPLICATION :

  • Septicaemia
  • Endocarditis
  • Laryngeal oedema
  • Pneumonitis
  • Parapharyngeal abscess 





AIM OF THIS POST :

Hello stencildent viewers , hope you all are doing great , today we started of with a small introduction about what a tonsil is ,where is it located then we moved on to the actual topic of discussion that is peritonsillar abscess its clinical features,etiology,mechanism,examination,treatment options that are available then finally complication of quinsy.hope this post would have been informative if this post helped you learn then do tell me in the comment section below as this would motivate me to post more such content ,do stay connected through instagram as well to receive instant post notification and much more ,for product review kindly contact below mail id .

CONTACT DETAILS:

EMAIL:stencildent@gmail,com

INSTAGRAM:stencildent 

                                                        THANK YOU

Comments

Post a Comment

Popular posts from this blog

Sterilization technique in microbiology

-
Image
HELLO! DOCTOR VANAKAM, I hope you all are doing good today we will be discussing sterilization various methods of sterilization, about dry heat sterilization and moist heat sterilization along with different methods employed, and what are the materials to be placed in this method in detail about autoclave its principle, working and of course uses. As I have had already informed you all through my previous post on the contribution of Louis Pasteur and Koch postulates if we haven't checked it out yet do check it out using this link   https://www.stencildent.com/2020/07/contributions-of-louis-pasteur-and-koch.html  wherein I would explain the importance for the need of the HOUR and always to sterilize things to and from the patients and also get geared up for the next post on SHOCK wherein I would cover the definition, types, classification along with etiology, pathogenesis, flow chart, the complication of septic shock in detail so now without any further ado lets get started. STERILI
Read more

STAGES AND STEPS IN TOOTH PREPARATION

-
Image
                      STAGES AND STEPS IN                                        TOOTH  PREPARATION                 TOOTH PREPARATION INVOLVES 2 STAGES  1) INITIAL TOOTH PREPARATION:    OUTLINE FORM AND INITIAL DEPTH PRIMARY RESISTANCE FORM  PRIMARY RETENTION FORM CONVENIENCE FORM 2) FINAL TOOTH PREPARATION  REMOVAL OF REMAINING CARIES PULP PROTECTION SECONDARY RESISTANCE AND RETENTION FORM FINISHING OF EXTERNAL WALL FINAL PROCEDURE OF CLEANING AND INSPECTING  Each stage and step is explained in detail please refer to above notes . note:please do not  download and share all rights are reserved to stencildent.
Read more

Hypersensitivity microbiology notes

-
Image
                          HYPERSENSITIVITY   hello, doctor vanakam, I hope you all are doing good, as intimated through the last post on anaerobic culture method  https://www.stencildent.com/2020/08/anaerobic-culture-methods-microbiology.html  if u haven't checked it out do read using this link without any further ado lets get started. CONTENTS: 1)Definition 2)Classification 3)type 1 hypersensitivity reaction a)1st exposure b)2nd exposure c)mediators of reaction d)late-phase reaction 4)type 4 hypersensitivity 5)treatment  1)DEFINITION: It refers to a condition in which immune response results in excessive reaction leading to tissue damage, disease, or even death in a sensitised host. 2) CLASSIFICATION: Coomb and gel classification in 1963 into type 1 to 4  Type 1,    type 2, type 3       : They depend on the interaction of antigen with humoral antibodies They are the immediate-type reaction  type 4 : They are mediated by t lymphocyte Delayed-type of hypersensitive reaction 3)TYPE 1
Read more