Thursday, May 10, 2012

Peritonsillar abscesses

Symptoms start approximately within a week (2-8days) before abscess formation
  • Progressively worsening, unilateral sore throat and odynophagia
  • persistent pain
  • fever, malaise, headache
  • hot potato voice
  • tender cervical lymphadenopathy
  • referred ipsilateral ear pain
  • halitosis
  • trismus
Exam findings
  • Redness and edema in the tonsillar area of the affected side
  • The uvula may be displaced towards the unaffected side
  • Strep, Staph, and Nontypeable H. flu
  • I&D + antibiotics

See this video for a PTA I&D:


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