Tonsillopharyngitis Tonsillitis is inflammation of the pharyngeal tonsils.

The inflammation usually extends to the adenoid and the lingual tonsils; therefore, the term pharyngitis may be used interchangeably.Tonsillopharyngitis is the swelling of the pharynx and the tonsils. The tonsils are soft tissue that makes up part of the throat's immune defenses. Pharyngitis is the swelling and inflammation of the pharynx. The pharynx is the back of the throat, including the back of the tongue. Tonsillopharyngitis usually causes the symptom of sore throat. Statistics About 30 million people develop tonsillitis in the US each year and about 1 out of 10 children seek consultation for tonsillitis each year in the US. Tonsillopharyngitis is a very common condition, most frequent in children aged 5 to 10 years and young adults between 15 and 25 years. Tonsillitis caused by Streptococcusspecies typically occurs in children aged 5-15 years, while viral tonsillitis is more common in younger children. One of the most frequent causes of tonsillitis is group A beta hemolytic Streptococcus pyogenes (GABHS), which is also the cause of strep throat; it is responsible for 30% of childhood tonsillitis and 10% of adult cases. Rationale In our society today, it is quite difficult to choose which illness requires or needs more attention however, Health care providers are not only obliged to help patient in care but also in determining the factors that contribute to the disease and aid patient to gain back his/her health. Tonsillopharyngitis is a common condition that affects mostly of the younger generation. Furthermore, without proper attention and treatment to this condition, it will lead to several serious complications. As nursing students, we are responsible to protect these fragile beings through somehow informing and teaching them ways to prevent illness and further complications.

Assessment Findings The patient was received lying supine in bed awake, conscious, coherent with cooperative behavior. He appears weak and fatigued. The patient reports of pain upon swallowing and persistent cough. The patient was mentally sufficient and did not appear restless or lethargic. Upon assessment of the HEENT (head, eyes, ears, nose and throat), head was normocephalic with evenly distributed long hair on scalp and without signs of infetstations or dandruff; with pinkish palpebral conjunctiva with no discharges noted, ears has no lesions, discharges or swelling and pinna is line with the outer cantus of the eye; nasal septum is straight and not perforated, with no discharges or swelling noted; mouth has moist pinkish oral mucosa, with (+) tonsillopharyngeal congestion. Normal findings were seen during the assessment of the gastrointestinal, musculoskeletal, and integumentary systems. Rapid chest expansions and breathing patterns were observed and a murmur sound was also heard during auscultation of chest. Neurological functions exhibited nothing out of the ordinary as well. The patient is usually having a blood pressure range of 100/60 to 120/80 mmHg. Radial pulse rate is 75 bpm, strong and regular. The client exhibits no difficulty in breathing, with repiratory rates ranging from 22-24 cpm. Client was afebrile throughout the time of care with temperature ranging between 36 37 deg Celsius.

Patients Profile Patient D.F., 26 years of age, male, a Born Again Christian and a resident of Tacloban, Leyte was admitted for the first time at Vicente Sotto Memorial Medical Center last July 11, 2011 with chief complaints of recurrent tonsillitis. History of Present Illness 17 years prior to admission, patient started having tonsillitis with pain and difficulty upon swallowing upon intake of solid and liquid foods. 7 years prior to admission, patient noticed almost monthly recurrence of tonsillitis with same complaints and symptoms but tolerated his condition. A month prior to admission, patient sought consultation and was given unrecalled antibiotics, however, still recurrence of tonsillitis happened, and so patient was advised to undergo tonsillectomy.