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Paratonsillitis


Clinical picture
Paratonsillitis is a complication of acute primary tonsillitis - catarrhal, lacunar and follicular tonsillitis. Due to the spread
inflammatory process on paratonsillar fiber.
Symptoms: sore throat, the intensity of which increases rapidly, fever up to 39-40 ° C, chills. Maxillary lymph nodes are enlarged, painful. Inflammatory infiltration of the paratonsillar region is determined (infiltration can be observed both on one side and on both sides).

Urgent care
Locally apply heat and rinse of the oropharynx with disinfectant solutions, intramuscularly - injections of penicillin in an average dose of 1.5-2.5 million units / day, depending on the age and body weight of the patient, as well as the introduction of penicillin directly into the inflamed paratonsillar tissue at 250-500 thousand units. In case of intolerance, penicillin patients are prescribed antibiotics-macrolides: oleandomycin, erythromycin, etc. They use antipyretic and painkillers, and conduct general hyposensitizing therapy.
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Paratonsillitis

  1. Paratonsillar abscess (paratonsillitis)
    This disease is also called phlegmonous tonsillitis. Between the capsule of the tonsil and the pharyngeal fascia, the distance between which is normally 0.5-1 cm, there is paratonsillar tissue, and behind the pharyngeal fascia, laterally, there is fiber of the parapharyngeal space. These spaces are made of fiber, the inflammation of which, and in the final stage, and abscess formation determines the clinic
  2. Angina
    Training target: using diagnostic algorithms, be able to diagnose angina and its complications (paratonsillitis, paratonsillar abscess), determine the clinical form of the disease and prescribe adequate treatment; be able to conduct dispensary observation. Assignment for independent study of the topic. Using the textbook, guidelines and lecture material for the acquisition
  3. Complications of tonsillitis
    C onclusion of General and Complicated ana ng. The most severe and formidable are common complications, since they cause persistent damage to vital organs and systems of the body. Among them, in the first place (in frequency, but not in severity) rheumatism with its attacks and lesions of the heart and joints, often no less serious complications of tonsillitis in the kidneys,
  4. Oropharynx hemorrhage
    D - ka: Profuse discharge of blood from the mouth, hemoptysis, sometimes - simultaneously discharge of blood from the nose; coughing up blood with aspiration. The position of the patient is often forced - sitting with the head and trunk tilted forward. It occurs with wounds of the pharynx with a cold or firearm, sharp foreign bodies, direct inflammatory processes, accompanied by suppuration and tissue necrosis
  5. Inflammatory diseases of the ENT organs
    The most common inflammatory diseases of ENT organs are represented by the following nosological forms: nasal furuncle, acute otitis media, acute sinusitis, paratonsillitis, pharyngeal abscess, laryngeal tonsillitis, phlegmonous laryngitis. The clinical significance of these diseases lies in the fact that they can occur both in latent and fulminant forms, accompanied by serious complications.
  6. Vizer V.A .. Lectures on therapy, 2011
    On the subject - almost completely cover the difficulties in the course of hospital therapy, the issues of diagnosis, treatment, as stated, are concise and quite affordable. Allergic lung diseases Joint diseases Reiter's disease Sjogren's disease Bronchial asthma Bronchiectasis Hypertension Glomerulonephrosafasdit Esophageal hernia Destructive lung diseases
  7. ALLERGIC LUNG DISEASES
    In recent decades, a significant increase in the number. patients with allergic diseases of the bronchopulmonary apparatus. Allergic lung diseases include exogenous allergic alveolitis, pulmonary eosinophilia, and drug
  8. EXOGENOUS ALLERGIC ALVEOLITES
    Exogenous allergic alveolitis (synonym: hypersensitive pneumonitis, interstitial granulomatous alveolitis) is a group of diseases caused by intensive and, more rarely, prolonged inhalation of antigens of organic and inorganic dusts and are characterized by diffuse, in contrast to pulmonary eosinophilia, lesions of the alveolar and interstitial structures of the lungs. The emergence of this group
  9. TREATMENT
    1. General measures aimed at disconnecting the patient from the source of antigen: compliance with sanitary and hygienic requirements at the workplace, technological improvement of industrial and agricultural production, rational employment of patients. 2. Drug treatment. In the acute stage, prednisone 1 mg / kg per day for 1-3 days, followed by a dose reduction in
  10. Chronic Eosinophilic Pneumonia
    It differs from Leffler's syndrome in a longer (more than 4 weeks) and severe course up to severe intoxication, fever, weight loss, the appearance of pleural effusion with a high content of eosinophils (Lehr-Kindberg syndrome). The prolonged course of pulmonary eosinophilia, as a rule, is the result of an under-examination of the patient in order to identify its cause. Besides the reasons
  11. PULMONARY EOSINOPHILIA WITH ASTHMATIC SYNDROME
    This group of diseases can include bronchial asthma and diseases with a leading broncho-asthmatic syndrome, which are based on other etiological factors. These diseases include: 1. Allergic bronchopulmonary aspergillosis. 2. Tropical pulmonary eosinophilia. 3. Pulmonary eosinophilia with systemic manifestations. 4. Hyperoseosinophilic
  12. LITERATURE
    1. Respiratory diseases: A guide for doctors: In 4 volumes. Edited by N.R.Paleeva. T.4. - M .: Medicine. - 1990. - S. 22-39. 2. Silverstov V.P., Bakulin M.P. Allergic lung lesions // Klin.med. - 1987. - No. 12. - S.117-122. 3. Exogenous allergic alveolitis / Ed. A.G. Khomenko, St. Mueller, V. Schilling. - M.: Medicine, 1987. -
  13. BRONCHEECTATIC DISEASE
    Bronchiectatic disease is an acquired (in some cases congenital) disease characterized by a chronic suppurative process in irreversibly changed (enlarged, deformed) and functionally defective bronchi, mainly in the lower parts of the lungs. ETHIOLOGY AND PATHOGENESIS. Bronchiectasis are congenital in 6% of cases, as a fetal malformation, a consequence
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