This document discusses diseases of the throat including tonsillitis, pharyngitis, and larynx cancer. It provides details on the causes, symptoms, and treatment of tonsillitis. Tonsillitis is commonly caused by streptococcus bacteria and causes throat pain, difficulty swallowing, and fever. Complications can include pneumonia, nephritis, or rheumatic fever. Treatment involves antibiotics, rest, pain medication, and sometimes surgical removal of the tonsils (tonsillectomy) for recurrent cases.

1. Disease of the Throat

2. •Tonsillitis
•Pharyngitis
•Cancer of larynx

3. TONSILLITIS
•Tonsillitis is infection of the tonsils. Which
may be acute or chronic.
•
•Streptococcus is the most common
infecting organism, although Haemophilus
influenze and other orginsms also caused
by tonsillitis.

4. Etiology
• Infection due to bacteria are the most common causes.
• Other causes including
• URI
• Chronic sinusitis
• Lowered immunity status
• Excessive use of cold drinks
• Environmental pollution
• Foreign bodies

5. Clinical manifestations
• The patient’s with tonsillitis reports
• Throat pain
• Difficulty in swallowing
• Otalgia
• Generalised malaise
• Sudden onset fever
• In some cases Lymphadenipathy of the cervical
lymph nodes may also present.

6. Complications
Complications from streptococcal
tonsillitis include
Pneumonia
Nephritis
Osteomyelitis and Rheumatic fever
Bactrial endocarditis

7. Medical management
• Antibiotics are used to treat acute tonsillitis.
• In addition, the patient is instructed to
minimize activity, and to maximize bed rest
and increase adequate amount of fluid
intake.
• Saline throat irrigation or gargles may relives
the discomfort.

8. Continue
•Bed rest
•Fluid intake
•Anti biotics
•Throat irrigation
•Anti pyratics
• Soft, warm and simple diet

9. Surgical management
• Surgical removal of the tonsils (
tonsillectomy) and adenoids (
adenoidectomy) is collectively called “
Tonsilloadenectomy” or T & A

10. Indications of Tonsilloadenectomy
• Recurrent episodes of acute or chronic tonsillitis
• Tonsillar or adenoid hypertrophy causing
obstruction of a airway and impaired swallowing
• Resolution of a peritonsillar abscess
• Repated ear problems related to eustachain tube
obstruction
• Sinus complications

11. Nursing management of the surgical clients
• After tonsillectomy, place the client in a
lateral decubitus position unitil the client
awake and alert.
• Monitoring vital signs, hemorrhage is the most
serious complications.
• Start oral feeding if once recovery from
anesthesia.
• Pain is the first 7 to 10 post operative days