Inflammation of the pharyngeal tonsils that can extend to the adenoid and lingual tonsils

Inflammation of the pharyngeal tonsils that can extend to the adenoid and lingual tonsils
May be acute or chronic
Typical viral infection: Mild and of limited duration

:heart:The inflammatory response to cell damage by viruses or bacteria may result in hyperemia and fluid exudation.

:heart:Bacterial infection (group A beta-hemolytic streptococci)
:heart:Viral infection (herpes simplex virus, Epstein-Barr virus, adenovirus, measles virus)

:heart:Viral tonsillitis is more common than bacterial tonsillitis.
:heart:Bacterial infection occurs more commonly in the winter.

:heart:Chronic upper airway obstruction
:heart:Sleep disturbance or sleep apnea
:heart:Cor pulmonale
:heart:Failure to thrive
:heart:Eating or swallowing disorders
:heart:Speech abnormalities
:heart:Febrile seizures
:heart:Otitis media
:heart:Cardiac valvular disease
:heart:Peritonsillar abscesses
:heart:Glomerulonephritis (group A beta-hemolytic Streptococcus )
:heart:Rheumatic fever (group A beta-hemolytic Streptococcus )
:heart:Acute poststreptococcal glomerulonephritis (group A beta-hemolytic Streptococcus )
:heart:Bacterial endocarditis
:heart:Cervical lymph node abscesses

:heart:Mild to severe sore throat
:heart:Muscle and joint pain
:heart:Pain, commonly referred to the ears
:heart:Constant urge to swallow
:heart:Constricted feeling in the back of the throat

:new_moon:Assessment-Physical Findings
:heart:Foul breath
:heart:Voice changes (thicker or deeper voice)
:heart:Swollen, tender submandibular lymph nodes
:heart:Generalized inflammation of the pharyngeal wall
:heart:Swollen tonsils projecting from between the pillars of the fauces and exuding white or yellow follicles (see Tonsillitis)
:heart:Purulent drainage with application of pressure to tonsillar pillars
:heart:Uvula that’s possibly edematous and inflamed
:heart:Soft palate petechiae
:heart:Cervical lymphadenopathy

:new_moon:Diagnostic Test Results-Laboratory
:heart:A throat culture may reveal the infecting organism (gold standard).
:heart:A serum white blood cell count usually reveals leukocytosis.
:heart:Antistreptococcal antibody titers are elevated.

:heart:Symptom relief
:heart:Cool-mist humidifier
:heart:Saltwater gargles
:heart:Anesthetic throat lozenges
:heart:Airway management

:heart:As tolerated
:heart:Adequate fluid intake

:heart:Rest periods as needed

:heart:Acetaminophen for fever and pain
:heart:Antibiotics, such as penicillins or amoxicillin, erythromycin, or cephalexin (if allergic to penicillin) as first-line agents for streptococcal infection; possibly azithromycin or clarithromycin as second-line agents

:heart:Incision and drainage of peritonsillar abscess
Possible tonsillectomy (for recurrent tonsillitis)