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Tonsillitis is inflammation of the tonsils in the upper part of the throat. It can be acute or chronic. [8] [9] [2] Acute tonsillitis typically has a rapid onset. [10] Symptoms may include sore throat, fever, enlargement of the tonsils, trouble swallowing, and enlarged lymph nodes around the neck. [1] [2] Complications include peritonsillar ...
Tonsillectomy is mainly undertaken for sleep apnea and recurrent or chronic tonsillitis. [1] It is also carried out for peritonsillar abscess , periodic fever, aphthous stomatitis, pharyngitis and adenitis (PFAPA), guttate psoriasis , nasal airway obstruction , tonsil cancer and diphtheria carrier state .
A 2017 systematic review found three interventions which were probably effective in reducing antibiotic use for acute respiratory infections: C-reactive protein testing, procalcitonin-guided management, and shared decision-making between physicians and patients. [17]
As a result, Vincent's angina is widely confused with necrotizing ulcerative gingivitis (previously also called "Vincent's gingivitis"), however the former is tonsillitis and pharyngitis, [6] and the latter involves the gums, and usually the two conditions occur in isolation from each other. The term "angina" is derived from a Latin word which ...
The differential diagnosis must be established with acute and chronic tonsillitis, tonsillar hypertrophy, peritonsillar abscesses, foreign bodies, phlebolites, ectopic bone or cartilage, lymph nodes, granulomatous lesions or calcification of the stylohyoid ligament in the context of Eagle syndrome (elongated styloid process).
It may be classified as acute or chronic. Acute pharyngitis may be catarrhal, purulent, or ulcerative, depending on the causative agent and the immune capacity of the affected individual. Chronic pharyngitis may be catarrhal, hypertrophic, or atrophic. [citation needed] Tonsillitis is a subtype of pharyngitis. [14]
The palatine tonsils are located in the isthmus of the fauces, between the palatoglossal arch and the palatopharyngeal arch of the soft palate.. The palatine tonsil is one of the mucosa-associated lymphoid tissues (MALT), located at the entrance to the upper respiratory and gastrointestinal tracts to protect the body from the entry of exogenous material through mucosal sites.
The most common way to treat tonsillitis is with anti-inflammatory drugs such as ibuprofen, or if bacterial in origin, antibiotics, e.g. amoxicillin and azithromycin. Surgical removal (tonsillectomy) may be advised if the tonsils obstruct the airway or interfere with swallowing, or in patients with severe or recurrent tonsillitis. [7]