Tonsillitis

Yvonne Lockett A
Mind Map by , created about 6 years ago

Mind Map on Tonsillitis, created by Yvonne Lockett A on 09/15/2013.

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Yvonne Lockett A
Created by Yvonne Lockett A about 6 years ago
ASTHMA IN CHILDREN
Tonsillitis
2_CHRONIC VENOUS INSUFFICIENCY
Tonsillitis
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TONSILLITIS
Tonsillitis
GASTRITIS
Tonsillitis
CHRONIC ASTHMA
Tonsillitis
CHRONIC VENOUS INSUFFICIENCY
Tonsillitis
1_GASTRITIS
Tonsillitis
Tonsillitis
1 Pathophysiology
1.1 A bacterial or viral infection that causes inflammation of the tonsils.
1.1.1 Between 15 to 30% of pharyngotonsillitis is caused by bateria.
1.1.1.1 Anaerobic bacteria usually causes bacterial tonsillitis. The majority of bacterial tonsillitis is caused by group A beta-hemolytic Streptococcus pyogenes (GABHS)
1.1.1.1.1 GABHS adheres to the epithelium of the tonsils.
2 Epidemiology
2.1 Tonsillitis occures most often in children though it rare in children under 2.
2.1.1 Tonsillitis caused by Strep usually occurs between the ages of 5-15, though viral tonsillitis is more common in younger children.
3 Risk Factors
3.1 Exposure to someone with tonsillitis.
3.1.1 Sinusitis
3.1.1.1 Alcohol use
3.1.1.1.1 Smoking or exposure to secondary smoke
3.1.1.1.1.1 Weaked immune system
4 Clinical Presentation
4.1 Fever, sore throat, foul breath
4.1.1 Dysphagia (dificulty swallowing), odynophagia (painful swallowing)
4.1.1.1 Tender/enlarged cervical lymph nodes
4.1.1.1.1 Airway obstruction manifested as mouth breathing
4.1.1.1.1.1 Lethargy and malaise
4.1.1.1.1.1.1 Enlarged tonsils
4.1.1.1.1.1.1.1 Tonsillar exudates, and leukocytosis
5 Diagnosis
5.1 Rapid Strep test and throat cultures
5.1.1 Radiologic imaging of the lateral neck or CT scans with contrast for those with suspected spread to deep neck structures.
5.1.1.1 Test family member is there is a presence of streptococcal antibodies, especially if family member is immunocompromised
6 Adaptive Response
6.1 Swollen/ tender cervical lymph nodes
6.1.1 Fever
6.1.1.1 Enlarged tonsils with exudate
7 Treatment
7.1 If not bacterial, treat symptoms.
7.1.1 Encourage fluids, adequate caloric intake, pain and fever control.
7.1.1.1 If bacterial, treat with antistreptococcal antibiotics like erythromycin, penicillin, and clindamycin.
7.1.1.1.1 If tonsillitis is secondary to mononucleosis, corticosteroids may decrease duration of fever and pharyngitis.