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Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
Acute And Chronic Pharyngitis
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Acute And Chronic Pharyngitis

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  • Acute rhinitis and acute tonsilitis may become involved secondarily.
  • Virus: Coxsackie virus, rhinovirus, adenovirus, influenza virus , parainfluenza virus so on. Bacteria: streptococci,staphylococci and pneumococci mostly seen. Invironmental factors:high temperature,dust,frog,stimulated gas, etc
  • * Exduation from blood vessels and infiltration of inflammatory cells.
  • Pharyngeal culture and antibody test.
  • *Usually a part of the upper respiroty chronic inflammation, commonly seen in adults. Long course of diseases.
  • Soothing gargle may help relieve the symptoms.
  • Transcript

    • 1. <ul><ul><ul><ul><ul><li>Acute Pharyngitis </li></ul></ul></ul></ul></ul>
    • 2. Acute Pharyngitis <ul><li>Definition*: </li></ul><ul><li>acute inflammation of pharyngeal mucosa and submucosa, mostly invovled in pharyngeal lymphoid tissue. </li></ul>
    • 3. Etiology <ul><li>1. Virus* </li></ul><ul><li>2. Bacteria* </li></ul><ul><li>3. Invironmental Factors* </li></ul>
    • 4. Pathology Acute inflammation of the pharyngeal mucosal tissue: Blood vessels dilatation Inflammatory cells infiltration mucosal swelling*
    • 5. Clinical Appearances <ul><li>◆ Symptoms </li></ul><ul><li>1. fever, headache </li></ul><ul><li>2 . pharyngeal driness and painess, pain when swallowing </li></ul><ul><li>◆ Examination </li></ul><ul><li>pharyngeal mucosal congestion, swelling, edema of uvula </li></ul><ul><li>and soft palate, enlargement of the lympoid nodules on the </li></ul><ul><li>posterior wall of the pharynx , and the glands on each side </li></ul><ul><li>of the neck are usually swollen and tender </li></ul>
    • 6. Diagnosis and Differential Diagnosis ◆ Diagnosis: history, symptoms, signs (examinations). ◆ Differential Diagnosis: acute infectious diseases (measles, scarlet fever,etc.)
    • 7. Complications <ul><li>◆ involved in adjacent organs: otitis media, sinusitis , and acute respiratory inflammation. </li></ul><ul><li>◆ others: acute nephritis, rheumatic fever, and septicemia, etc. </li></ul>
    • 8. Treatment <ul><li>◆ Non general symptoms or light symptoms: local treatment, such as gargle, lozenge, etc. </li></ul><ul><li>◆ severe general symptoms: rest in bed, more drink, antivirus, antibiotics </li></ul><ul><li>◆ Chinese Medicine </li></ul>
    • 9. <ul><li>Chronic Pharyngitis </li></ul>
    • 10. Chronic Pharyngitis <ul><li>Definition*: </li></ul><ul><li>diffuse inflammation of pharyngeal mucosa and submucosa, and pharyngeal lymphoid tissue. </li></ul>
    • 11. Etiology <ul><li>1. Local Factors : </li></ul><ul><li>◆ repeat relapse of acute pharyngitis </li></ul><ul><li>◆ affected by adjacent organs : nose, tonsils. </li></ul><ul><li>◆ bad irritants </li></ul><ul><li>2. General Factors : </li></ul><ul><li>◆ General chronic diseases: anemia, dyspepsia, lower respiratory chronic diseases, cardiovascular diseases, etc. </li></ul><ul><li>◆ allergic factors </li></ul>
    • 12. Pathology <ul><li>● Chronic simple pharyngitis: chronic mucosal congestion, gland hypertrophy, hypersecretion. </li></ul><ul><li>● Chronic hypertrophic pharyngitis: mucosal congestion, pharyngeal lympoid tissue hypertrophy. </li></ul><ul><li>● Atrophic pharyngitis and pharyngitis sicca: seldom seen, etiology is unknown, hyposecretion, mucosa is thin . </li></ul>
    • 13. Clinical Appearances <ul><li>◆ Symptoms </li></ul><ul><li>the description given of the symptoms varies greatly with individuals, no general symptoms, simple sore throat, a pricking or irritation as of a foreign body, or an accumulation of mucus causing a constant necessity to swallow. </li></ul>
    • 14. Clinical Appearances <ul><li>◆ Examination </li></ul><ul><li>Chronic simple pharyngitis: mucosal congestion, vessels dilitation, scatted lympoid follicles in pharyngeal posterior wall. </li></ul><ul><li>Chronic hypertrophic pharyngitis: mucosa menbrane is thickened and reddened, a degree of edema of uvula may be found, increase in size of lympoid islands in the mucosa of pharyngeal posterior wall. </li></ul><ul><li>Atrophic pharyngitis and pharyngitis sicca: mucosa menbrane is thin and pale colour, mucosa is driness, often attached thick secretion. </li></ul>
    • 15. history, symptoms, signs (examinations). Diagnosis
    • 16. Treatment <ul><li>1. Etiologic therapy: eliminate anything which tends to prolong the inflammation, altering the patient’s habits ( food,tobacco, alcohol,etc.) , excises. </li></ul><ul><li>2. Local therapy: soothing gargle ,Chinese Medicines. </li></ul><ul><li>3. Target therapy: </li></ul><ul><li>hypertropic type of diseases---cautery or diathermy or laser </li></ul>
    • 17. Treatment Efficiency <ul><li>The therapy is intractable and unsatisfactory because of a high tendency to recurrence and relapse. </li></ul>

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