Swollen Tonsils Holistic Treatments
Peritonsillar abscess is a common condition of the throat. Also called quinsy, this throat problem occurs as a complication of acute tonsillitis. The infection spreads to the potential peritonsillar space between the tonsillar capsule and the constrictor pharyngis muscle. Mixed pyogenic organisms such as staph, strep, or pneumococci may be the cause of infection. (1) Sore throat or tonsillitis becoming more severe on one side.
For the sore throat that often comes with the common cold or flu, antibiotics should usually not be used and will do no good. Treat with gargles and acetaminophen (or aspirin). However, one kind of sore throat called strep throat should be treated with penicillin. It is most common in children and young adults. It usually begins suddenly with severe sore throat and high fever, often without signs of a cold or cough. The back of the mouth and tonsils become very red, and the lymph nodes under the jaw or in the neck may become swollen and tender. Give penicillin (p. 351) for 10 days. If penicillin is given early and continued for 10 days, there is less danger of getting rheumatic fever. A child with strep throat should eat and sleep far apart from others, to prevent their getting it also.
ID CC A 10-year-old boy is brought to the pediatrician complaining of high fever, sore throat, earache, swollen glands, and productive, greenish-white, blood-tinged sputum. Treatment Penicillin. Retropharyngeal abscess is a serious complication that requires drainage. Evaluate for tonsillectomy. Discussion Tonsillectomy is performed less frequently now than a decade ago nevertheless, an evaluation must be done weighing surgical risks with those of recurrent p-streptococcal infections and possible rheumatic fever. Waldeyer's ring consists of the nasopharyngeal tonsils, the palatine tonsils, and the lingual tonsils.
Group A beta-hemolytic streptococci are nonmotile bacteria that can occur in pairs or chains. These bacteria are responsible for a variety of diseases ranging from streptococcal sore throat to scarlet fever. Impetigo, pyoderma, otitis media, wound infections, and rheumatic fever are also associated with group A beta-hemolytic streptococci. Acute infections are best diagnosed by direct streptococcal cultures.
Maria Rodriguez, a 20-year-old college student, has entered the health center because she has swollen lymph glands, a sore throat, fever, and other symptoms that may be indicative of infectious mononucleosis. Identify the causative agent for mononucleosis. What is the standard method of testing for this disease Describe the antibody tests used to diagnose mono.
The answer is a Fauci 14e pp 14511455 Massive lifethreatening hemoptysis is 100 cc of blood in 24 h The most common
The answer is b. (Fauci, 14 e, pp 1437-1439.) Pneumococcal pneumonia is abrupt in onset, with fever, pleuritic chest pain, and purulent sputum production. In young, otherwise healthy patients who present with a localized pneumonia (in this case right middle lobe) of gradual onset accompanied by dry cough and a predominance of extrapulmonary symptoms (i.e., malaise, headache, diarrhea), the most likely diagnosis is atypical pneumonia due to Chlamydia pneumoniae or Mycoplasma pneumoniae. Patients often complain of a sore throat at the beginning of the illness and a protracted course of symptoms. Physical examination is often unimpressive compared to the radiograph findings. Legionella pneumoniae is an atypical organism, but patients usually have renal and hepatic abnormalities, hyponatremia, and mental status changes.
Historically, streptococcal myositis has been an extremely uncommon GAS infection, and only 21 cases were documented from 1900 to 1985.19 Recently, an increased prevalence of GAS myositis has been reported in the United States, Norway, and Sweden.5,6,20 Translocation of GAS from an asymptomatic infection of the pharynx to the muscle site must occur hematogenously because penetrating trauma is not usually a major factor. Further, most patients have not reported symptomatic pharyngitis or tonsillitis. Severe pain at the site of infection may be the only presenting symptom swelling and erythema may be the only signs of infection. Muscle compart-mental syndromes may develop rapidly In most cases a single muscle group is involved however, because patients frequently have bacteremia, there may be other sites of myositis or abscess. Distinguishing streptococcal myositis from spontaneous gas gangrene caused by C. perfringens or C. septicum may be difficult, although the presence of crepitus...
The patient's sexual practice may be a major indication of the potential site of infection. In homosexual males, the rectum is the only site of gonococcal infection in 40 of reported cases. Rectal infection occurs through direct inoculation by receptive anal intercourse and often results in symptomatic disease.25,26 Symptoms can be quite mild with only pruritus and painless rectal discharge. Conversely, patients can experience severe rectal pain and bloody, mucopurulent discharge. Diagnosis is best made by anoscopy and culture, since external inspection may reveal few signs of infection. Without treatment the patient can become a chronic, asymptomatic carrier. Pharyngeal infection occurs in up to 25 of homosexual men and 7 of heterosexual men who engage in oral-genital contact with an infected partner. Over 90 of pharyngeal infections are asymptomatic but can produce an exudative pharyngitis or tonsillitis. The pharynx is the only site of infection in 5 of patients with gonococcal...
PE extensive erythematous rash ( goose-pimple sunburn ) on neck, groin, and axillae desquamation and peeling of fingertips circumoral pallor lines of hyperpigmentation with tiny petechiae ( pastia's sign) in antecubital fossae bright red lingual papillae superimposed on white coat ( strawberry tongue ) pharyngitis with exudative tonsillitis cervical lymphadenopathy normal eardrums.
A 10-year-old boy presents with Coca-Cola-colored urine and edema of his lower extremities. On physical examination the patient has a blood pressure of 185 100. He does not appear to be in any distress. His lungs are clear to auscultation, and his heart has a regular rate and rhythm without any murmurs, gallops, or rubs. His past medical history is remarkable for a sore throat that was presumed viral by his physician 2 weeks before.
Culture is defined as a laboratory test by which samples from body specimens are cultivated in a special growth medium in order to isolate the microorganisms that may be present. Culture is a highly effective laboratory method for identifying the microorganisms that cause infectious disease and for obtaining a definitive diagnosis. For example, a suspected diagnosis of strep throat is confirmed by culturing material taken from the infected throat and observing the growth of a specific type of streptococcal bacteria. Strep throat
Operations for abscess drainage, amputations, cataract operations, tonsillectomy, neck tumor excision, lithotomy, obstetrical procedures, bowel obstructions, hemorrhoids, and anal fistulas were described in the Susruta-samhita long before they were ever adopted in Western medicine. A special chapter in the book is dedicated entirely to the pathology and treatment of fractures.
The common cold, with runny nose, mild fever, cough, often sore throat, and sometimes diarrhea is a frequent but not a serious problem in children. If a child with a cold becomes very ill, with high fever and shallow, rapid breathing, he may be getting pneumonia (see p. 171), and antibiotics should be given. Also watch for an ear infection (next page) or 'strep throat' (p. 310).
The victim experiences a sudden onset of high fever along with chills, and sore throat, depression, and prostration. There is also a severe aching ( breakbone ) of his extremities, back, and head. Bradycardia and hypotension may also be present. For 3 or 4 days, there is the initial febrile phase, and this is usually followed by remission lasting from a few hours to two days. In approximately 80 percent of the cases, a skin eruption (maculopapular) appears during the remission or the second febrile stage. The symptoms during this stage are milder than those of the initial phase. In a high percentage of cases (mosquito-borne hemorrhagic fever) in Southeast Asia, hemorrhages (gastrointestinal) and petechial rashes occur. Until the skin eruption appears, it is difficult to distinguish dengue fever from malaria, yellow fever, or influenza. (a) Signs and symptoms. The victim of encephalitis has fever, sore throat, nausea, vomiting, malaise, stupor, lethargy, coma,...
A 10yearold child is referred from the school nurse because of a positive tuberculin skin test The patient has been
A healthy host usually walls off the organism. Primary pulmonary TB is usually asymptomatic in children. Patients who are asymptomatic usually complain of malaise and low-grade fever. Children with progressive pulmonary TB have bronchopneumonia. Patients with progressive pulmonary TB have fever, weight loss, night sweats, and hemoptysis. Patients with upper respiratory tract TB have involvement of the larynx and middle ear. These patients may have a croupy cough and sore throat. They may also have hearing loss. Infection of the CNS with TB may cause meningitis that may be fatal. Bone and joint , V c TB may lead to Pott disease (destruction of vertebral bodies leading to kyphosis).
ID CC A 20-year-old male college student complains of sore throat, fatigue, fever, swollen lymph nodes on die back of his neck. PE VS fever. PF. enlargement of submaxillary and cervical lymph nodes exudative tonsillitis petechiae on soft palate slightly enlarged spleen and liver.
The baseline streptococcal pharyngeal carriage rate is roughly 5 , but reaches rates of 15 to 50 in school-age children in temperate climates during epidemics of GAS pharyngitis. Transmission occurs via aerosolized droplets from the upper airway of one host to another. GAS pharyngitis is most common in children 5 to 15 years of age who live in temperate climates. The cardinal manifestations of GAS pharyngitis include sore throat, submandibular and anterior cervical adenopathy, fever of greater than 38 C, and pharyngeal erythema with exudates. Acute pharyngitis is sufficient Erysipelas Impetigo Mastoiditis Myonecrosis Necrotizing fasciitis Otitis media Peritonsillar abscess Pharyngitis Pneumonia
Christine Castle, Medical Ethicist and Chief of Internal Medicare at the University of Chicago Medical Center, points out that it may, at times, be hard for the one to engage in truly autonomous decision making at the very moment when sickness saps your energy and impairs your freedom. This happens whether you are suffering from a minor sickness like a sore throat or a broken leg, concerned that you might have AIDS, or in terrible fear of cancer. She refers to a poignant article entitled, On Arrogance, written by a terminally ill physician for one of the professional journals. The physician, suffering from terminal cancer and technically competent to make treatment decisions, soon realized that what he really wanted was a knowledgeable, ethical, competent person helping him to make decisions. He didn't want total freedom or a menu of possible treatments similar to what one might receive from an auto mechanic. He wanted someone with an opinion on the best possible treatment someone...
Throat cultures are obtained by cautiously inserting a swab through the mouth to the pharyngeal and tonsillar area. The swab must not touch any part of the oral cavity. Pharyngeal and tonsillar areas, including lesions, inflammation, or exudates, are rubbed with the swab and specimens are collected. Throat cultures are indicated for children who present with a sore throat and fever. The purpose of the culture is to detect the presence of the group A beta-hemolytic Streptococcus pyogenes that would provide the diagnosis of beta-hemolytic streptococcal pharyngitis, known as strep throat. This type of streptococcal infection can be followed by rheumatic fever or glomerulonephritis. Since fewer than 5 of adults who present with pharyngitis will have a streptococcal infection, throat cultures are only indicated when the adult patient has severe or recurrent sore throat.
The majority of streptococcal infections of man are caused by beta hemolytic streptococci. A variety of diseases are manifested such as puerperal fever, erysipelas, septic sore throat scarlet fever, impetigo and acute bacterial endocarditis. Of these infections, septic sore throat is, by far, the most common clinical entity. Approximately 2 to 3 weeks following recovery from a beta streptococcal pharyngitis, acute glomerulonephritis or rheumatic fever may develop not as a direct effect of disseminated bacteria, but due to tissue hypersensitivity.
Following a fever and sore throat, there is a fine, red, sandpaper-like rash within 1 5 days. Although the rash includes the oral cavity, it typically tends to spare the perioral region. There is nausea and even severe prostration. When the rash fades, desquamation accompanies the healing process.
A 42-year-old welder is brought in the emergency room complaining of a sore throat, headache, and myalgias. He also started feeling a tightness in the chest and shortness of breath. He works in an electroplating operation brazing and cutting metals. Pulmonary function tests reveal a reduced forced expiratory volume. The chest x-ray is normal.
A 30-year-old male patient complains of fever and sore throat for several days. The patient presents to you today with additional complaints of hoarseness, difficulty breathing, and drooling. On examination, the patient is febrile and has inspiratory stridor. Which of the following is the best course of action
A 19-year-old previously healthy college student presents with a 5-day history of fever, generalized malaise, and sore throat. He denies cough. He does not use illicit drugs and uses condoms with his one sexual partner. He has been vaccinated against hepatitis B. On physical examination the patient appears jaundiced and has a temperature of 101.7 F The pharynx is erythematous but has no exudate. There is bilateral tender cervical lymphadenopathy. Liver size is 14 cm in the MCL and the spleen tip is palpable 2 cm below the left costal margin. The white blood cell count is elevated and many atypical forms are reported. Which of the following is the most likely diagnosis
A 50-year-old woman develops pink macules and papules on her hands and forearms in association with a sore throat. The lesions are targetlike, with the centers a dusky violet (see photo). A diagnosis of erythema multiforme is made. The most important information obtained from this patient's history is d. No other family members have a sore throat d. No other family members have a sore throat
The answer is b. (Tintinalli, 5 e, pp 1556-1559.) The patient has a peritonsillar abscess, which is an accumulation of pus between the tonsil-lar capsule and the superior constrictor muscle of the pharynx. Patients present with a hot potato voice, fever, cervical lymphadenopathy, trismus, and a displaced uvula due to a unilaterally enlarged tonsil. Patients complain of dysphagia, odynophagia, and otalgia. A retropharyngeal abscess is an infection of the deep spaces of the neck (from the base of the skull to the tracheal bifurcation) patients are often young children who present with fever, cervical lymphadenopathy, neck pain, neck swelling, torticollis (rotation to the affected side), difficulty breathing, and stridor. Patients with an exudative pharyngitis will have fever, cervical lym-phadenopathy, bilateral tonsillar enlargement, erythema, edema of the midline uvula, and discrete tonsillar exudate.
A 7-year-old boy presents to the pediatrician because his mother noticed a smoky color to his urine. On questioning the mother, it is revealed that the child had a sore throat several weeks ago that was left untreated. Physical examination reveals hypertension and mild generalized edema. Urinalysis is significant for red blood cell casts. Which of the following accurately describes the microorganism responsible for this child's illness
A 59-year-old G4P4 presents to your GYN office complaining of losing urine when she coughs, sneezes, or engages in certain types of strenuous physical activity. The problem has gotten increasingly worse over the past few years, to the point where the patient finds her activities of daily living compromised secondary to fear of embarrassment. She denies any other urinary symptoms such as urgency, frequency, or hematuria. In addition, she denies any problems with her bowel movements. Her prior surgeries include a tonsillectomy and appendectomy. She has adult-onset diabetes and her blood sugars are well controlled with oral glucophage. The patient has no history of any gynecologic problems in the past. She has four children that were delivered via spontaneous vaginal deliveries their weights ranged between 8 and 9 lb. She is currently sexually active with her partner of 25 years. She has been menopausal for 4 years and has never taken any hormone replacement therapy. Her height is 5 ft,...
PE extensive erythematous rash ( goose-pimple sunburn ) on neck, groin, and axillae desquamation and peeling of fingertips circumoral pallor lines of hyperpigmenta-tion with tiny petechiae (Pasha's sign) in antecubital fossae bright red lingual papillae superimposed on white coat ( strawberrytongue ) pharyngitis with exudative tonsillitis cervical lymphadenopathy normal eardrums.
The diagnosis is made by history, particularly of incomplete immunizations. Fever, hoarseness, sore throat, wheezing, and rales are usually absent. Infants may present with apnea or cyanosis before the cough appears. There may be leukocytosis caused by absolute lymphocytosis. Culture of B. pertussis is the gold standard. Direct fluorescent antibody (DFA) testing of nasopharyngeal secretions is a rapid test that may be helpful if a patient has received antibiotics, but is not always reliable. Depending on the severity of the disease or complications, chest radiograph may show a perihilar infiltrate, edema, atelectasis, pneumothorax, pneumomediastinum, or air in the soft tissues.
Developmental anomalies are more likely to present in young patients. These may include clitoral hypertrophy, congenital labial fusion, hypertrophy of the labia majora or minora, imperforate or microperforate hymen, transverse or longitudinal vaginal septum, or ambiguous genitalia. Pediatric patients may also develop vulvovaginitis. Candida and Escherichia coli are the most common organisms causing this condition, but sexually transmitted infections may also be seen. Neonatal infections of pathogens such as HSV and HPV may be congenitally acquired, but the presence of these in older children should prompt the suspicion of sexual abuse. Young girls may insert foreign bodies such as small toys or pieces of tissue in the vagina, which may trigger vaginitis symptoms such as itching and discharge (12). In addition, dermatologic conditions such as irritant dermatitis (diaper dermatitis) and lichen sclerosus may be seen in prepubertal girls. In adolescents presenting with viral syndrome...
If the child has been ill with a fever, sore throat, or a barking cough, transport him immediately and rapidly to a medical treatment facility. A child whose breathing is causing a harsh, shrill sound (stridor) should also be transported immediately to a medical treatment facility.
Vomiting is one of the signs of many different problems, some minor and some quite serious, so it is important to examine the person carefully. Vomiting often comes from a problem in the stomach or guts, such as an infection (see diarrhea, p. 153), poisoning from spoiled food (p. 135), or 'acute abdomen' (for example, appendicitis or something blocking the gut, p. 94). Also, almost any sickness with high fever or severe pain may cause vomiting, especially malaria (p. 186), hepatitis (p. 172), tonsillitis (p. 309), earache (p. 309), meningitis (p. 185), urinary infection (p. 234), gallbladder pain (p. 329) or migraine headache (p. 162)
This is a disease of children and young adults. It usually begins 1 to 3 weeks after the person has had a strep throat (see above). To prevent rheumatic fever, treat 'strep throat' early with penicillin for 10 days. To prevent return of rheumatic fever, and added heart damage, a child who has once had rheumatic fever should take penicillin for 10 days at the first sign of a sore throat. If he already shows signs of heart damage, he should take penicillin on a regular basis or have monthly injections of benzathine penicillin (p. 353) perhaps for the rest of his life. Follow the advice of an experienced health worker or doctor.
An 8-year-old girl complains of acute sore throat of 2 day's duration, accompanied by fever and mild abdominal pain. Physical examination reveals enlarged, erythematous tonsils with exudate and enlarged, slightly tender cervical lymph nodes. Presentation. Viral and bacterial pharyngitis are often difficult differentiate clinically. Erythema, exudate, petechiae, enlarged tonsils, and cervical adenopathy may be common to both. Viral pharyngitis usually has a gradual onset, with moderate throat pain and symptoms of URI. Many times a history of contacts having cold symptoms can be elicited. Vesicles and ulcers are more common with herpes simplex and coxsackievirus. Conjunctivitis is seen with adenovirus. Viral exanthems may be seen. GABHS may present with headache, vomiting, and abdominal pain. URI symptoms are usually absent. Palatal petechiae and diffuse erythema of the tonsils and pillars are highly suggestive. Strep pharyngitis can be associated with a fine, blanching, erythematous,...
A 19-year-old male presents with a 1-week history of malaise and anorexia followed by fever and sore throat. On physical examination, the throat is inflamed without exudate. There are a few palatal petechiae. Cervical adenopathy is present. The liver is percussed at 12 cm and the spleen is palpable.
A previously healthy 19-year-old college student comes to the clinic because of a headache, sore throat, muscle aches, and a constant, irritating, dry cough for the past 4 days. She says that she is never sick and has only been to this clinic for her immunizations. She exercises regularly, does not smoke cigarettes, and has an occasional glass of wine on the weekends with sorority sisters. Her temperature is 38.8 C (101.8 F), blood pressure is 120 80 mm Hg, pulse is 68 min, and respirations are 16 min. Scattered rhonchi are heard in the left lower lobe. A chest x-ray shows diffuse interstitial infiltrates in the left lower lobe. Laboratory studies show elevated cold agglutinin titers. Which of the following is the most likely diagnosis
Pericoronitis is an inflammatory process occurring in gingival tissue found around the coronal (crown) portion of the teeth, particularly around partially erupted teeth. Similarly, operculitis is an inflammation of the gingival tissue flaps (operculi) found over partially erupted teeth. The most frequent site is the mandibular third molar region. The heavy flap of gingival tissues covering portions of the tooth crown of the tooth makes an ideal pocket for debris accumulation and bacterial incubation. In the acute phase, pain and swelling in the area are prominent features. Symptoms of a sore throat and difficulty in swallowing may be present. A partial contraction of muscles of mastication causing difficulty in opening the mouth (trismus) may also be experienced. Abscess formation in the area may occur, leading to marked systemic symptoms of general malaise and fever. Treatment should be directed toward careful cleansing of the pocket area and followup care with warm saline...
Immunity acquired naturally is called active immunity. An individual can have the disease, recover, and become permanently immune. Measles, chickenpox, whooping cough, scarlet fever, typhoid fever, Rocky Mountain spotted fever, and diphtheria are examples of such diseases. The person has chickenpox, recovers, and has a permanent immunity to chickenpox. There are other diseases which an individual can have and recover from but not develop a lasting immunity. The group of infections called the common cold, influenza, gonorrhea, septic sore throat, and some types of pneumonia are examples. A person can have a cold, recover, and get another cold.
Importance of Throat and Nasopharyngeal Specimens. Throat and nasopharyngeal cultures are important in the diagnosis of such infections as streptococcal sore throat, scarlet fever, diphtheria, and whooping cough. They are also useful in determining the focal point of infection in such diseases as rheumatic fever and acute glomerulonephritis. In epidemiological studies, these cultures have been essential for the detection of carriers of beta hemolytic streptococcus, staphylococcal infections, Corynebacterium diphtheriae, and other potential pathogens.