The document discusses tonsillitis, including: - Tonsillitis commonly affects school-aged children and is usually caused by viral infections like streptococci. - Symptoms include sore throat, difficulty swallowing, fever, and earache. On examination, the tonsils may be red, swollen, and coated with yellow spots. - Treatment is usually supportive with rest, hydration, and analgesics. Antibiotics are sometimes used for bacterial causes like streptococcal infections. Complications can include peritonsillar abscess or other infections.

3. Development?
Achieves its maximum
size?
Lining epithelium?
Largest crypt?

4. Eagle’s
syndrome?
Glossophary
ngeal
neuralgia?
 Pulsatile
tonsil?

7.  Local immunity
 Surveillance mechanism

10.  Acute cattarhal / superficial
 Acute folllicular tonsillitis
 Acute parenchymatous tonsillitis
 Acute membranous tonsillitis

15.  School going children
 Most common cause –viral infections
 Hemolytic streptococci- GABS

16.  Sore throat
 Difficulty in swallowing
 Fever
 Earache
 Constitutional symptoms
abdominal pain ?

17.  Foetid breath
 Coasted tongue
 Red, swollen tonsils with yellowish spots
 Whitish membrane
 Enlarged and congested tonsil
 Enlarged and tender jugulodigastric
lymphnodes

18.  Throat swab
 TC , DC
 Blood smear
 Rapid antigen testing

19.  supportive
 Bed rest
 Adequate hydration
 Analgesics
 Antibiotics – DOC ?
duration-?( British national formulatory)
 steroids ?

20.  Chronic tonsillitis
 Peritonsillar abscess ( indication for Sx?)
 Parapharyngeal abcess ( CT)
 Cervical abcess
 Acute otitis media
 Scarlet fever , systemic sepsis
 Rheumatic fever
 Acute glomerulonephritis
 SABE – streptococcus viridans
 PANDAS- OCD & TICS

21.  Lemierre’s syndrome ?
 Psoriasis ?

23.  MEMBRANOUS TONSILLITIS ?
 DIPHTHERIA ?
 VINCENT ANGINA ?
 IMN ?
 AGRANULOCYTOSIS ?
 LEUKAEMIA ?
 APTHOUS ULCERS ?
 MALIGNANCY ?
 TRAUMATIC ULCER ?
 CANDIDAL INFECTION ?

27.  Acute tonsillitis is common and self limiting
 Complications are rare
 Treatment is largely symptomatic