This document presents a case presentation of a patient with throat issues. It includes details of the patient's chief complaints of odynophagia, dry cough, and halitosis. It documents the patient's adenoid and throat examination history, including any previous complications. It also includes the patient's general physical examination, oral cavity and throat examination, as well as provisional diagnosis. Routine investigations and potential treatment options are discussed.

1. Case Presentation in Throat.
Dr. Rajashri Mane,
Prof & HOD,
D. Y. Patil Medical College,
Kolhapur.

2. CASE HISTORY
• Name:
• Age
• Sex:
• Socioeconomic status:
• Occupation

3. THROAT
Chief complaints
• Odynophagia
• Dry cough
• Halitosis

4. Adenoid history
• Bilateral nasal obstruction
• Snoring at night
• Sleep disturbances

5. History of complications
History of
• Swelling/fever/trismus ( Peritonsillar abscess)
• Breathlessness/difficulty in swallowing/swelling in
neck(retropharyngeal/parapharyngeal abscess)

6. History of etiology
History of
• Exposure to cold
• Recurrent URTI

7. • Past history
History suggestive of TB/ HTN/HIV/ DM/Any other illness.
• Family history
History suggestive of TB/ HTN/HIV/ DM/Any other illness.
• Personal history
-Nutrition: adequate/ inadequate
-Diet: Veg/Nonveg/Mixed
- Sleep: Normal/Reduced
-Habits: Smoking/ tobacco chewing/ alcohol
Days/ months/years
• History of exposure to noise
• History of exposure to S.T.D’s

8. • General physical examination:
- Built: good/ moderate/poor
-Adenoid facies
-Pallor/cyanosis/jaundice/clubbing/
Lymphadenopathy/edema
- Pulse rate- /minute
-B.P. mm Hg
• Systemic examination-
-CVS
-RS
- CNS
- P/A

9. ORAL CAVITY & THROAT EXAMINATION
Oral cavity-
• Lips & angle of mouth
• Labial mucosa
• Vestibule
• Buccal mucosa
• Gingivo labial & buccal sulci
• Gums
• Teeth
• Floor of mouth
• Anterior 2/3rd of tongue
• Hard palate
• Uvula

10. Oropharynx-
• Anterior pillar
• Tonsils
• Posterior pillar
• Posterior pharyngeal wall
• Lateral pharyngeal wall

11. Indirect Laryngoscopy-

12. Neck examination
• Jugulo diagastric LN
• Laryngeal crepitus
• Other swellings

13. PROVISIONAL DIAGNOSIS
• Acute/chronic
• Follicular/ parenchymatous/ fibrotic
• Adenotonsillitis with
• No/CSOM/DNS/Sinusitis pathology in ear/nose.

14. INVESTGATIONS
• BT,CT
• Throat swab for culture sensivity
• 450 endoscopy
• X ray nasopharynx lateral view

15. ROUTINE INVESTIGATIONS
• Hb
• TC
• DC - N L M E B
• BT
• CT
• RBS
• Serum Urea
• Serum creatinine
• HIV
• Urine- Albumin
• Sugar
• Micro
• ECG
• PTA- Pre op
• X RAY-CHEST PA view

16. Adenoids/tonsils
Active infection-
• Antibiotics
• Anti inflammatory
After active infection subsides-
adeonotonsillectomy under GA
Inactive-adenotonsillectomy/tonsillectomy GA

17. Thank you.