1. Characteristics
1.1. Definition
1.1.1. inflammation of the tonsils, viral or bacterial (caused by group A beta-hemolytic Streptococcus
1.2. Epidemiology
1.2.1. Keratin plugs press epithelium
1.2.2. Lymphoid tissues cause inflammation
1.2.3. Inflammation increases vasculasity
1.2.4. Bacterial or viral colonies form
1.3. Pathophysiology
1.3.1. Dendritic cells form
1.3.2. primary APC's cause immune response
1.4. Risk Factors
1.4.1. Immunosuppressed
1.4.2. Age
1.4.3. Exposure
1.4.4. Environment
2. Signs/Symptoms
2.1. Clinical Presentation
2.1.1. Red swollen tonsils
2.1.2. Sore throat
2.1.3. White or yellow pockets-exudate
2.1.4. Difficulty swallowing
2.1.5. Fever, bad breath, stiff neck, stomachache
2.2. Complications
2.2.1. Middle ear infection (otitis media)
2.2.2. quinsy (peritonsillar abscess)
2.2.3. obstructive sleep apnoea (OSA)
3. Management
3.1. Diagnosis
3.1.1. Clinical Presentation
3.1.2. Lekocytosis
3.1.3. Systemic response
3.1.4. Localized response
3.2. Treatment
3.2.1. Throat swab differential bacterial vs. viral
3.2.2. Encourage rest
3.2.3. Adequate fluids
3.2.4. Comfort foods
3.2.5. Saltwater gargle
3.2.6. Humidity Air
3.2.7. Throat Lonzenges
3.2.8. Avoid Irritants
3.2.9. Treat pain/fever
3.2.10. Antibiotics
3.2.11. Steroids chronic tonsility