Tonsillitis is an inflammation of the tonsils, which are glands located on either side of the throat. It is commonly caused by a bacterial or viral infection. The main types of tonsillitis are acute tonsillitis and chronic tonsillitis. Acute tonsillitis causes symptoms like a sudden onset of throat pain, fever, chills, and swollen tonsils. Chronic tonsillitis can result from repeated attacks of acute tonsillitis and causes long-term issues like poor appetite, bad breath, and difficulty breathing. Complications of tonsillitis include peritonsillar and retrotonsillar abscesses. Treatment involves rest, analgesics, antibiotics, and tonsillectomy in severe or recurrent cases.

1. TONSILLITIS.
MARKAD RAVINDRA A
SCHOOL OF NURSING,
K.E.M. HOSPITAL, PAREL, MUMBAI 12

2. TONSILLITIS
DEFINITION:-
Inflammation of tonsils is common in children and
may be found in acute tonsillitis.
Or
Infection of tonsil, which glands on either side of
the throat

3. *

4. Causes

5. ACUTE TONSILLITIS.
Acute tonsillitis may classified as follows.
A)Catarrhal tonsillitis
It is usually present with URI and MEASLES it is least severe
from the manifested As redness and sore throat.

6. FOLLICULAR TONSILITIS
• There is involvement of crypts with discrete yellow patches of
exudate on tonsil and enlargements of reginal glands.

8. Peritonsillar abscess
• It may be developed in bacterial tonsillitis. The child may be present with
trismus and muffled voice with the poor oral intake. Severe pain on
swelling and opening of the mouth, High fever. Pensive breath
Enlargement of cervical lymph glands and otalgia on examination of
throat. Unilateral bugle in the soft pallet Particular region with uvular
deviation To the opposite side are seen.

9. Clinical features.
• Abrupt onset pain in throat witch radiate to ear
• Swelling
• Fever
• Chills
• Convulsions may occur
• Tonsil look Markley red and congested
• Enlargement and tender
• Vincent angina
• Oral thrust

10. Management
• Bed rest.
• Isolation.
• Soap or liquid diet
• Analgesic.
• Antipyretics
• Systemic antibiotics. E.g penicillin.
• other antibiotics. e.g erythromycin. Cephalexin.
• Hot saline gargle or with Aspirin solution make useful.

11. • Repeated attacks of tonsillitis is resulting Scarring over the crypts
leading to retention of infection material with tonsils. Clinical
manifestation more generalized than Local features may present
recurrent sore throat and tiredness.

12. Clinical features.
poor Food intake
Vomiting
bad smell in bread (Halitosis)
Abdominal pain,
swelling,
breathing difficulty
dryness and Irritation in throat may be present.
Respiratory difficulty Chronic hypoxemia with pulmonary Hypertension may
develop.

13. Complication.
• Peritonsillar Abscess.
• Retro tonsillar Abscess.
• Failure to thrive.
• Congestion.
• Tonsil may become smaller in size due to the fibrosis.
• Enlargement of Cervical lymph glands.

15. Peritonsillar Abscess.

16. retro tonsillar Abscess.

17. Management of Chronic tonsillitis.
• Tonsillectomy
Indications:-
Unsuccessful medical treatment.
Severe hypertrophy.
more than six significant attack of tonsillitis in a year for two consecutive years
and presence with Peritonsillar or retro tonsillar Abscess.
Obstructive sleep apnea.
Superactive otitis media.
Carrier of diphtheria

18. Tonsillectomy