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To assess the tonsils, a patient opens their mouth and a tongue blade is used to depress the tongue. A penlight is used to inspect the back of the patient's throat, looking for pink, symmetrical and normal-size tonsils. Tonsil size is graded as follows: 1+ Visible; 2+ Halfway between the tonsillar pillars and the uvula; 3+ Touching the uvula
The score is assessed by asking the patient, in a sitting posture, to open their mouth and to protrude the tongue as much as possible. [1] The anatomy of the oral cavity is visualized; specifically, the assessor notes whether the base of the uvula, faucial pillars (the arches in front of and behind the tonsils) and soft palate are visible.
Palatine tonsil enlargement can affect speech, making it hypernasal and giving it the sound of velopharyngeal incompetence (when space in the mouth is not fully separated from the nose's air space). [10] Tonsil size may have a more significant impact on upper airway obstruction for obese children than for those of average weight. [11]
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 tonsils in the back of the mouth, the adenoid, and the tonsilar tissue at the base of the tongue combine to form Waldeyer's ring, a tissue ring that helps keep toxins, bacteria, and viruses out of the body. B lymphocytes, a kind of blood cell that produces antibodies, make up the majority of the tissues found in the tonsils and adenoid ...
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The Centor criteria are a set of criteria which may be used to identify the likelihood of a bacterial infection in patients complaining of a sore throat. They were developed as a method to quickly diagnose the presence of Group A streptococcal infection or diagnosis of streptococcal pharyngitis in "adult patients who presented to an urban emergency room complaining of a sore throat."
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