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Infectious tonsillitis - 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, sometimes joint pain, dry throat, soreness, followed by pain when swallowing. Tonsils hyperemic, slightly swollen. The submandibular lymph nodes are slightly enlarged, painful. The duration of the disease is 3-4 days.
Angina lacunar. General symptoms, like pain when swallowing, are more pronounced. High temperature (up to 40 ° C) from the onset of the disease. Along with the changes described in catarrhal sore throat, there are yellowish-white deposits protruding from the gaps.
Plaque contains rejected epithelial cells, white blood cells, and microbes. Sometimes there is a continuous coating covering the tonsils, not going beyond them and easily removed, unlike diphtheria. The increase and soreness of the submandibular lymph nodes are more pronounced than with catarrhal angina. The duration of the disease is 4-5 days.
Follicular tonsillitis is manifested by suppuration of the follicles, which protrude on the surface of hyperemic and edematous tonsils in the form of yellowish-white dots. The submandibular lymph nodes are enlarged and painful. The clinic resembles that of lacunar angina. The duration of the disease is 4-5 days.
Angina of Louis - acute phlegmonous inflammation of the fiber of the bottom of the oral cavity, often due to an infectious disease of the teeth. Malaise, high fever (up to 40 ° C), loss of appetite, sleep. Locally - a very dense swelling and infiltration of the submandibular and chin region. Protrusion and swelling of the mucous membrane of the bottom of the oral cavity, limited and painful opening of the mouth. Pain when swallowing, chewing. Speech is difficult, slurred.
With the development of the disease, swelling extends to the neck. With untimely treatment, sepsis occurs, difficulty breathing, and even asphyxia due to compression and swelling of the larynx and trachea.
Phlegmonous tonsillitis (peri-almond abscess) is a complication of angina. Inflammation, followed by suppuration of peri-almond fiber causes an infection that penetrates from lacunae, tonsils. In the vast majority of cases, the disease is one-sided. Typically, in a patient who has had a sore throat, the temperature rises (up to 38-40 ° C), swallowing becomes sharply painful, as a result of which the patient refuses food, does not fully open his mouth, is nauseous, objectively hyperemia and swelling of the soft palate on the affected side, the tonsil is protruded, displacement of the tongue in a healthy direction. The submandibular lymph nodes are enlarged, painful on palpation. The head is forced to tilt to the affected side.
Sore throat ulcerative. Yellowish-white necrotic deposits on the tonsils, soft palate, sometimes on the back of the throat, mucous membrane of the palate. Plaques are easily removed, superficial or deeper ulcerations remain under them. Bad breath. The general condition is satisfactory, the temperature rises to 38 ° C, can be subfebrile or normal. Lymph nodes of the neck are enlarged, painless. Swallowing is painless. The disease lasts about a week, but in debilitated patients it can be protracted.
Bed rest, heavy drinking, semi-liquid, high-calorie foods, vitamins, warm rinses with hydrogen peroxide (3% solution), potassium permanganate (dissolve crystals to a pink color), a weak solution of sage; warming compress (1/3 of alcohol and 2/3 of water). At high temperature - acetylsalicylic acid (0.5 g), paracetamol. Antibiotics are prescribed (at least 5-7 days). Monitor the condition of the heart and kidneys. With ulcerative-filmy angina - lubrication of ulcers with 1% Lugol's solution, rinsing the tantum verde.
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- 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.
- 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
- Laryngeal tonsillitis
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
- 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 pallor of the face, moderate adynamia and lethargy ( chills, body aches, muscle and joint pains, characteristic