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NURP 503 Exam 2' > Tonsillitis > Flashcards

Flashcards in Tonsillitis Deck (21)
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1
Q

What are kissing tonsils

A

enlarged, edematous palatine tonsils that meet in the midline and obstruct the passage of air or food
seen in tonsillitis

2
Q

What could cause mouth breathing

A

enlarged adenoids

positive dry and irritated mucous membranes of the oropharynx

3
Q

what are clinical manifestations of tonsillitis?

A

caused by inflammation
kissing tonsils
difficulty swallowing and breathing
mouth breathing from enlarged adenoids
dry and irritated mucous membranes of the oropharynx= offensive mouth odor and impaired sense of taste and smell
nasal and muffled voice= air cannot be trapped for proper speech sounds
persistent cough
OM= proximity of the adenoids to the Eustachian tubes = passageway is frequently blocked by swollen adenoids, interfering with normal drainage

4
Q

Is tonsillectomy indicated in the child who has recurrent pharyngitis?

A

NO

5
Q

When is tonsillectomy indicated?

A

Indicated for:
recurrent and frequent streptococcal infection
history of development of a peritonsillar abscess
airway obstruction
sleep apnea
chronic feeding difficulty

6
Q

How old does a child have to be to have a tonsillectomy?

A

over 3 years old due to hypertrophy of remaining tissues

7
Q

When is tonsillectomy contraindicated?

A

in
active infection
cleft palate

8
Q

What is otitis-conjunctivitis connection?

A

It is when a person with a sore throat develops an asymptomatic otitis media and symptomatic conjunctivitis
associated with purulent rhinitis

9
Q

What bacteria is responsible for otitis-conjunctivitis connection?

A

Haemophilus influenza

10
Q

What is treatment for this?

A
Systemic antibiotics:
Augmentin
Ceftin
Pediazole
Bactrim
11
Q

What other condition causes marked tonsillitis?

A

Infectious Mononucelosis caused by the Epstein Barr virus

Called the “kissing disease” because transmitted by saliva

12
Q

How long is the incubation period with mono?

A

2-6 weeks

13
Q

How long can the virus of mono be shed?

A

2 to 6 months

14
Q

What is most common age for mono?

A

15-30 years old

rare under 5 years of age

15
Q

What are clinical manifestations of mono?

A
fever 102-104
headache
severe fatigue
sore throat 
malaise
pharyngeal injection with exudate
POSTERIOR cervical lymphadenopathy
hepatosplenomegaly (sometimes)
splenomegaly
lymphocytosis
Atypical lymphocytes on CBC
palantine petichiae at the hard and soft palate
16
Q

What tests can you do to check for mono?

A
Mono spot 
EBV titers (which shows if patient having acute, resolving episode or if patient has had mono in the past)
17
Q

What is treatment for mono

A
High amount of rest
No contact sports for 4 weeks until the spleen has healed
Tylenol
NSAIDS
increase fluid
18
Q

What are two other causes of pharyngitis?

A

Herpangina: headache, fever and malaise often accompanied by sinus tachycardia; small oral vesicles or ulcers on tonsils, uvula and soft palate.

Hand foot mouth disease:
large vesiculated ulcers in the oropharynx and on the palms and soles, buttocks and diaper area.

19
Q

What is gingivostomatitis?

A

1st presentation of herpes simplex virus

20
Q

What are the manifestations of gingivostomatitits?

A

vesicular lesions of tongue, labial, buccal and gingival mucosa
with fever and malaise

21
Q

What is treatment of gingivostomatititis?

A

If outbreak caught within first 72 hours can treat with anti-virals.