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Laryngeal tonsillitis (angina laryngis) is an acute inflammation of the lymphadenoid tissue of the larynx (in the area of the scooped palatine folds, the intercarpal space, in the organoid ventricles, in the piriform sinuses and individual follicles).
As an independent disease, it is rare, it can occur as a result of hypothermia, after the flu, with TjfeBMe larynx by a foreign body, etc.
K l and n and with to and to kartin and. Concerned about pain when swallowing, soreness when turning the neck, dry throat. In some cases, one can note a change in voice, hoarseness, difficulty breathing. Laryngeal stenosis occurs relatively rarely. Body temperature with laryngeal tonsillitis is often increased to 37.5–38.0 ° C, the pulse is rapid, there are chills, sweating. Palpation of the neck in such patients can reveal enlarged, sharply painful lymph nodes, usually on one side. With laryngoscopy, hyperemia and infiltration of the mucous membrane of the larynx are determined on one side or on its limited area. Sometimes individual follicles with pinpoint plaques are visible. With a prolonged course of the disease, the formation of abscesses on the lingual surface of the epiglottis, scooped palatine fold or other area is possible.
D and a gnost with t and to and is based on the data of the anamnesis and survey.
Complaints of patients are similar to those with tonsillitis of the tonsils, so a mistake is possible. When with pharyngoscopy it is not possible to detect inflammation in the pharynx, one should resort to laryngoscopy, which will make it possible to make the correct diagnosis; in some cases, laryngeal tonsillitis is diagnosed as acute infiltrative laryngitis.
Laryngeal tonsillitis should be differentiated from diphtheria, in which the same picture happens. However, knowledge of the clinical features of diphtheria and the data of bacteriological examination of plaque or mucus from the larynx will help establish the correct diagnosis. With laryngeal tonsillitis, the inflammatory process most often occupies a limited area.
The treatment is the same as in acute catarrhal laryngitis, however, in severe cases, massive antibacterial therapy is necessary. With significant stenosis, a tracheostomy is indicated.
The patient must observe a home regimen that spares a diet. Heat is put on the neck, alkaline inhalations are prescribed. Anti-inflammatory therapy includes the introduction of antibiotics into the body; necessarily hyposensitizing treatment.
P about gn oz, as a rule, favorable, with abscessing and the appearance of stenosis of the larynx worsens.
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- Laryngeal tonsillitis. Etiopathogenesis, clinic, treatment
Laryngeal tonsillitis is an acute inflammation of the lymphadenoid tissue of the larynx (in the area of scooped-epiglottis folds, intercarpal space, in piriform sinuses and individual follicles). Etiopathogenesis. The disease can occur as a result of hypothermia, after the flu, with a trauma to the larynx by a foreign body, etc. Clinic. The patient is worried about pain when swallowing, pain when
- Differential diagnosis of angina Comparative signs of various forms of angina
Angina is a common acute infectious disease in which local acute inflammation affects the lymphadenoid tissue of various tonsils of the pharynx. In the vast majority of cases, tonsillitis is tonsillitis, other tonsils are involved in the inflammatory process much less frequently. Therefore, in medical practice it is customary to mean the tonsillitis under the term “tonsillitis"
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
Acute inflammation of the tonsils and pharyngeal mucosa. the term "acute tonsillitis" narrows the concept of "tonsillitis" and we do not recommend it. IN AND. Voyachek emphasized that it is necessary to pay particular attention to the defeat of the entire pharynx with angina. According to clinical data and pharyngoscopic picture, sore throats are divided into catarrhal, follicular, lacunar, ulcerative-membranous and necrotic.
- Sore throats
The clinical picture of Sore throat is infectious - diseases with the most pronounced local inflammatory process in the area of lymphoid tissue of the pharynx. Palatine tonsils are more often affected. Overcooling and other unfavorable factors leading to weakening of the body contribute to the disease. With catarrhal sore throat, the patient has malaise, fever, chills, headache
- 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,
Since tonsillitis is an acute inflammation of the tonsils, see the article ALMOND
- Angina (acute tonsillitis)
Angina - a common acute infectious and allergic inflammation of the tonsils, often palatine, other tonsils are involved in the inflammatory process much less often. Forms of tonsillitis differ in etiology, mechanisms of disease development and clinical course. Among the various microbial pathogens of angina, which include cocci, rods, viruses, spirochetes, mushrooms, Klebsiella, in the first place
- Classification of angina. Treatment principles
Classification of angina I. According to B.S. Preobrazhensky. It is based on pharyngoscopic signs, supplemented by data obtained in a laboratory study, sometimes with information of an etiological or pathogenetic nature. The following forms of angina are distinguished: catarrhal; follicular; III - lacuna; IV - fibrinous; V - herpetic; VI - phlegmonous
- differential diagnosis of angina
Differential diagnosis of angina should be carried out with diseases that occur with tonsillitis syndrome: a) localized forms of diphtheria (islet and membranous) - differ from angina by the gradual onset of the disease, specific manifestations of general intoxication in the form of pale skin, moderate adynamia and lethargy ( chills, body aches, muscle and joint pains, characteristic