Peritonsillar abscess physical examination
|
Peritonsillar abscess Microchapters |
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Peritonsillar abscess physical examination On the Web |
|
American Roentgen Ray Society Images of Peritonsillar abscess physical examination |
|
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
On physical examination patients are usually acutely ill-looking. The following examination findings may be found; high temperature, muffled voice (also called "hot potato voice"), contralateral deflection of the uvula *The tonsil is generally displaced inferiorly and medially, facial swelling, tonsillar, hypertrophy with likely peritonsillar edema, trismus, drooling, tenderness of anterior neck and tender submandibular and anterior cervical lymph nodes[1][2][3][4]
Physical examination
Physical examination findings suggestive of peritonsillar abscess include the following:[1][5][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:[6]
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
- ↑ 1.0 1.1 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.
- ↑ 3.0 3.1 Passy V (1994). "Pathogenesis of peritonsillar abscess". Laryngoscope. 104 (2): 185–90. doi:10.1288/00005537-199402000-00011. PMID 8302122.
- ↑ 4.0 4.1 Nwe TT, Singh B (2000). "Management of pain in peritonsillar abscess". J Laryngol Otol. 114 (10): 765–7. PMID 11127146.
- ↑ Ferri, Fred (2015). Ferri's clinical advisor 2015 : 5 books in 1. Philadelphia, PA: Elsevier/Mosby. ISBN 978-0323083751.
- ↑ 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
