BSC NURSING III YEAR - ENT DISORDER

1. Mr. Manikandan.T,
RN., RM., M.Sc(N)., D.C.A .,(Ph.D)
Assistant Professor,
Dept. of Medical Surgical Nursing,
VMCON, Puducherry.

2. INTRODUCTION
• The tonsils are composed of lymphatic tissue
and are situated on each side of the
oropharynx. The faucial or palatine tonsils and
lingual tonsils are located behind the pillars of
fauces and tongue, respectively. They
frequently serve as the site of acute infection
(tonsillitis).

3. DEFINITION
• Inflammation of tonsil

4. CAUSES
Streptococcus
Staphylococcus
H.Influenza
Pneumococcus

5. RISK FACTORS
Poor oral
hygiene
Poor nutrition
Upper
respiratory
tract infection

6. TYPES
• ACUTE: sudden in onset. Cases where
symptoms lasts anywhere from 3 days to 2
weeks
• Chronic: recurrent (more than 7 episodes in
1year ) lasts for more than 2 weeks

7. CLINICAL FEATURES
• Sore throat
• Dysphagia
• Ear ache as a result of referred otalgia
• Fever
• Enlarged tonsils
• Pus – chronic
• Malaise
• Anorexia
• Body ache
• Edema of uvula and soft palate
• Unpleasant taste(cacabus)
• Bad odour

8. DIAGNOSIS
• H.C
• P/E
• Throat swab test

9. MANAGEMENT
• Antibiotics – penicillin/ erythromycin
• Increased fluid intake
• Analgesics
• salt-water gargles
• Rest
• Tonsillectomy

10. COMPLICATIONS
• Peritonsillar abcess
• Parapharygeal abscess
• Otitis media