Peritonsillar abscess physical examination: Difference between revisions
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====Appearance of the Patient==== | ====Appearance of the Patient==== | ||
* They are usually acutely- | * They are usually acutely ill-looking. | ||
====Vital Signs==== | ====Vital Signs==== | ||
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* [[Contralateral]] deflection of the uvula (see image below) | * [[Contralateral]] deflection of the uvula (see image below) | ||
*The [[tonsil]] is generally displaced [[inferiorly]] and [[medially]] | *The [[tonsil]] is generally displaced [[inferiorly]] and [[medially]] | ||
* Facial swelling | * Facial [[swelling]] | ||
* [[Tonsillar abscess|Tonsillar]] [[hypertrophy]] with likely | * [[Tonsillar abscess|Tonsillar]] [[hypertrophy]] with likely peritonsillar [[edema]] (see image below) | ||
* [[Trismus]] | * [[Trismus]] | ||
* [[Drooling]] | * [[Drooling]] | ||
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Image below shows edematous and [[inflamed]] tonsillar with | Image below shows edematous and [[inflamed]] tonsillar with [[contralateral]] [[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> | ||
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====Lungs==== | ====Lungs==== | ||
* May be in obvious respiratory distress with flaring of ala nasi, subcostal and intercostal recessions. | * May be in obvious [[respiratory distress]] with flaring of ala nasi, [[subcostal]] and [[intercostal]] recessions. | ||
* Increased respiratory rate in both children and adults | * Increased [[respiratory rate]] in both children and adults | ||
* Decreased air-entry depending of degree of airway obstruction | * Decreased air-entry depending of degree of [[airway obstruction]] | ||
====Extremities==== | ====Extremities==== | ||
Revision as of 17:56, 3 March 2017
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Peritonsillar abscess Microchapters |
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Risk calculators and risk factors for Peritonsillar abscess physical examination |
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
- 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 hypertrophy with likely peritonsillar edema (see image below)
- Trismus
- Drooling
- Rancid or fetor breath
Image below shows edematous and inflamed tonsillar with contralateral uvula deviation:[5]
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
References
- ↑ Galioto NJ (2008). "Peritonsillar abscess". Am Fam Physician. 77 (2): 199–202. PMID 18246890.
- ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
- ↑ Passy V (1994). "Pathogenesis of peritonsillar abscess". Laryngoscope. 104 (2): 185–90. doi:10.1288/00005537-199402000-00011. PMID 8302122.
- ↑ Nwe TT, Singh B (2000). "Management of pain in peritonsillar abscess". J Laryngol Otol. 114 (10): 765–7. PMID 11127146.
- ↑ 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
