4. Pathology
4
Acute inflammation of the pharyngeal
mucosal tissue:
Blood vessels dilatation
Inflammatory cells infiltration
mucosal swelling*
5. Clinical Appearances
5
◆ Symptoms
1. fever, headache
2 . pharyngeal driness and painess, pain when swallowing
◆ Examination
pharyngeal mucosal congestion, swelling, edema of uvula and
soft palate, enlargement of the lympoid nodules on the posterior
wall of the pharynx , and the glands on each side of the neck are
usually swollen and tender
7. Complications
7
◆ involved in adjacent organs: otitis media,
sinusitis , and acute respiratory inflammation.
◆ others: acute nephritis, rheumatic fever, and
septicemia, etc.
8. Treatment
8
◆Non general symptoms or light symptoms: local
treatment, such as gargle, lozenge, etc.
◆severe general symptoms: rest in bed, more
drink, antivirus, antibiotics
◆Chinese Medicine
13. Clinical Appearances
13
◆Symptoms
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.
14. Clinical Appearances
14
◆Examination
Chronic simple pharyngitis: mucosal congestion, vessels dilitation,
scatted lympoid follicles in pharyngeal posterior wall.
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.
Atrophic pharyngitis and pharyngitis sicca: mucosa menbrane is thin
and pale colour, mucosa is driness, often attached thick secretion.
16. Treatment
16
1.Etiologic therapy: eliminate anything which tends to
prolong the inflammation, altering the patient’s habits
( food,tobacco, alcohol,etc.) , excises.
2.Local therapy: soothing gargle ,Chinese
Medicines.
3. Target therapy:
hypertropic type of diseases---cautery or
diathermy or laser