Acute TonsilliHS Aeake Tensillit’ ses Iris an acute inPleramation lating toasis Mat 1 gorerety con mt qrmap * p hemoiyic stapiovoecus reap . Meds all age grup but most ee commonly ae in Low (peak incictinde in §- 6 years of age? Ekology organisms : O viral + Usually storks b non speoike virug infeokon @ baoterial * Host im ortant is B- hemoiyke streptococcus Bout + treamocgccus Colpha hemoly te) and staphylecocet are commyn+ eee aah Hode oP transmission @ Far + Droplet inPeation — sino Fu ve f es Hodiogia On gore sb Pachrs eho steleg > bad hygiene + thins and sinusits Bacterial Vil inflamed "se wort Aingat infeekon ¢montkasis) @ rise membrane ~ cover uleerated tarfeee * usual ish at ected te the tevils 2 1B IVES ‘ow orea> refommea ee LORL io 2 y= vincenten's anging Ng 1 Infectious mononvcteosts d= Diphteria a: agranulocytosis a teukae mid eomplrcohon s oe © decal . + Peritonsitlor abscess Cquitsy) * farapharyageat abscess = bebmphanyageal abscess = obmnis “bons ih, ap > feute OK RD Hedin doum-> 2eryagit's @ aeneral -rheamakie Peover - wephrtire Treatment @ standard treotment : 7-10 cays counme P fanicillin V : + (0 pak ants allergic te Penicitin « wacrolides or oral eaphalosporins «tet lactemage inhibitor woh 45 tmoxicitin ~ clavulanic aotel @ Araigeaes @® Adequate hydrationChronic Toast Ho— DeRnition ; ecurent stacks oF acute tonsillits + Comore than 3 times Iyear For 5 gears or 5 hmes (year for A yeas oF 7 times | year For one year Hint + environmental ¢ bad hygiene » erecting ) + insuffilent treatmenF + tou immanity symproms eeal * persistent ot recument erepharyngea) symptoms + Imtant cough + IP large > snoring csleep apnea) and eneoah diPReulKe 3 General: symptoms of sqpic fous Caer foorn ) + Fovwr (sigh low grade) « tnoreria (dee Fo maliuing of tephe frelov malStOI8) headache, molals® C Paige) + Skaetol aystem + Arthgiay myaigary bactech € diovscaay 1ystem + falpitokony orem Uy agsram > waphtihs + skin ® eczema & psoriogts SEY! + indocy clits iinganl teas @ maundnt aHocks oP re thryat toeute forsit @ chm nihoon in thaat + cu ® sysphagia aeoking eis at night Cdue TO tonsils are lanye & pai Se types QO cmume follicular tonsils tensity exypts Pull oP inPected cheesy guiowish spot on the surface @ cnnmic. poreschymatous tansilits hyperplasia of iymphoid Hse every Mnudh enlarged ch, daglukiion and 4(0P eth @ thoi Abnid Fensillts in tong standing coves TvPES | Chronic iar Tonia ets 2.Chronic preachymatous tonsils yparlsia of phos Tonsil are very much enarged;may Interfere with speech deglttion and respiration Long standing cases develop features of cor pulmonale