Peritonsillar abscess physical examination: Difference between revisions

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==Physical examination==
==Physical examination==
Physical examination findings suggestive of peritonsillar abscess include the following:<ref name="pmid18246890">{{cite journal| author=Galioto NJ| title=Peritonsillar abscess. | journal=Am Fam Physician | year= 2008 | volume= 77 | issue= 2 | pages= 199-202 | pmid=18246890 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18246890  }} </ref><ref>{{cite book | last = Ferri | first = Fred | title = Ferri's clinical advisor 2015 : 5 books in 1 | publisher = Elsevier/Mosby | location = Philadelphia, PA | year = 2015 | isbn = 978-0323083751 }}</ref><ref name="pmid8302122">{{cite journal| author=Passy V| title=Pathogenesis of peritonsillar abscess. | journal=Laryngoscope | year= 1994 | volume= 104 | issue= 2 | pages= 185-90 | pmid=8302122 | doi=10.1288/00005537-199402000-00011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8302122  }} </ref><ref name="pmid11127146">{{cite journal| author=Nwe TT, Singh B| title=Management of pain in peritonsillar abscess. | journal=J Laryngol Otol | year= 2000 | volume= 114 | issue= 10 | pages= 765-7 | pmid=11127146 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11127146  }} </ref>
====Appearance of the Patient====
* They are usually acutely-ill looking.
====Vital Signs====
* High [[temperature]]
====HEENT====
*Muffled voice (also called "hot potato voice")
* [[Contralateral]] deflection of the uvula (see image below)
*The [[tonsil]] is generally displaced [[inferiorly]] and [[medially]]
* Facial swelling
* [[Tonsillar abscess|Tonsillar]] [[hypertrophy]] with likely Peritonsillar [[edema]] (see image below)
* [[Trismus]]
* [[Drooling]]
* [[Rancidification|Rancid]] or [[Fetor oris|fetor]] breath
Image below shows edematous and [[inflamed]] tonsillar  with contralacteral uvula deviation:<ref name =abc>DescriptionEnglish: A right sided peritonsilar abscess Date 13 May 2011 Source Own work Author James Heilman,MD wikimedia commons https://commons.wikimedia.org/wiki/File:PeritonsilarAbsess.jpg</ref>
[[Image:PTA2.jpg|200PX]]
====Neck====
* [[Tenderness]] of [[anterior]] neck
* Tender [[submandibular]] and [[anterior]] [[cervical lymph nodes]]
====Lungs====
* May be in obvious respiratory distress with flaring of ala nasi, subcostal and intercostal recessions.
* Increased respiratory rate in both children and adults
* Decreased air-entry depending of degree of airway obstruction
====Extremities====
* [[Cyanosis]]


==References==
==References==

Revision as of 18:08, 2 March 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

Physical examination

Physical examination findings suggestive of peritonsillar abscess include the following:[1][2][3][4]

Appearance of the Patient

  • They are usually acutely-ill looking.

Vital Signs

HEENT


Image below shows edematous and inflamed tonsillar with contralacteral uvula deviation:[5]


200PX

Neck

Lungs

  • May be in obvious respiratory distress with flaring of ala nasi, subcostal and intercostal recessions.
  • Increased respiratory rate in both children and adults
  • Decreased air-entry depending of degree of airway obstruction

Extremities

References

  1. ↑ Galioto NJ (2008). "Peritonsillar abscess". Am Fam Physician. 77 (2): 199–202. PMID 18246890.
  2. ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
  3. ↑ Passy V (1994). "Pathogenesis of peritonsillar abscess". Laryngoscope. 104 (2): 185–90. doi:10.1288/00005537-199402000-00011. PMID 8302122.
  4. ↑ Nwe TT, Singh B (2000). "Management of pain in peritonsillar abscess". J Laryngol Otol. 114 (10): 765–7. PMID 11127146.
  5. ↑ DescriptionEnglish: A right sided peritonsilar abscess Date 13 May 2011 Source Own work Author James Heilman,MD wikimedia commons https://commons.wikimedia.org/wiki/File:PeritonsilarAbsess.jpg

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