Acute and chronic tonsilitis, Biology

Acute and Chronic Tonsilitis:

Tonsilitis refers  to the inflammation of  tonsils and lymphatic tissue that are located on each side of oropharynx. Acute infection of  tonsils usually occurs as a complication of pharyngitis and is usually caused by bacteria mainly; streptococcus, staphlococcus,  ' H. Influenzae and pneumococcus. It may also be caused by virus. Chronic tonsilitis results from recurrent infection. 

Pathophysiology 

As a result of  inflammation the tonsils. palatine or fauces enlarge, with the result they obstruct the airway and food passages. If  adenoids are also involved, they may block posterior nares resulting in mouth breathing. The eustachian tubes may also get blocked which may lead to otitis media. 

Medical Management 

If  throat culture shows B haemolytic streptococici then antibiotic are given for 8-10 days and child is followed up. 

Surgical Management 

Surgical management includes removal of  the tonsils which is a controversial issue 

Assessment 

You will find that the child with tonsilitis presents with mild to severe sore throat, fever, muscle aches, chills, dysphagia, pain in the ears, headache, anorexia and malaise. Inspection of  the tonsils reveal swelling and redness with pus. There may be yellow or white exudate over the tonsils. The uvula may be edematous and inflammed. The cervical lymphnodes are usually tender.  This includes evaluation of child for history of evidence of  allergic symptoms, recurrent respiratory infections and for symptoms of upper air way obstruction affecting respiration. You also need to assess the child by examining/inspecting mucosal lining of nares, appearance of  tonsils which are inflammed and enlarged, nature of  respiration and serous otitis media. 

Diagnostic evaluation includes, complete blood count which reveals elevated white blood cell count, throat culture and sensitivity and chest X-ray if respiratory  

Posted Date: 10/26/2012 7:58:44 AM | Location : United States







Related Discussions:- Acute and chronic tonsilitis, Assignment Help, Ask Question on Acute and chronic tonsilitis, Get Answer, Expert's Help, Acute and chronic tonsilitis Discussions

Write discussion on Acute and chronic tonsilitis
Your posts are moderated
Related Questions
What are the blood types of the ABO blood system? The type A, the type B, the type AB and the type O are the blood types of the ABO blood system..

Transport system in higher animals The circulatory system in higher animals has undergone several changes during evolution. The heart has become totally muscular. It p

BEE DISEASES - Suffer from nosema diseases caused by Nosema apis. SILK WORM DISEASES - Pebrine disease caused by Nosema.

What is Trophic Levels and Food Webs? Trophic Levels and Food Webs : Energy flows and nutrients are cycled through an ecosystem via organisms that feed on one another. When c

Q. What are the elements that constitute the internal ear? What are the functions of those structures? In the internal ear there are the semicircular canals and the cochlea. Th

Determine the phospholipids of the membrane The phospholipids of the membrane are arranged in a bilayer with their polar head groups on the exterior and the nonpolar hydrophobi

What (a) internal, (b) external events contribute to gain of heat in the body?   a) Respiration in the tissues, particularly in the brain and active muscles, is the major in

Which is the type of gamete (for a given trait) produced by a dominant homozygous individual? What is the genotypical proportion of these gametes? What about a recessive homozygous

What is cell cycle? Cell cycle, or mitotic cycle, is the time period that starts when the cell is formed and finishes when it is divided by mitosis making two daughter cells. T

You have a 1M KCl stock solution and a 85 mg/ml sulphuric acid stock solution. How will you make a 200 ml single solution containing 20mM KCl and 18 mg/ml sulphuric acid?