14 yrs/m c/o throat pain & difficulty​ in swallowing-days, mild fever throat findings​ as seen + tender JD L nodes Dx & manegement.

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Clearly visible tonsillitis as right tonsils enlargement much compared to left Retropharyngeal abscess will present c high grade fever, as this case having mild fever Definitely do lateral xray not for abscess but for ADENOIDS ENLARGEMENT c grade of enlargement

Tonsillitis c posterior pharyngitis Rule out ADENOIDS ENLARGEMENT Treatment Maintain hydration Supportive management c antibiotics and antipyretics

It's pharyngeal tonsillitis with grade three enlargement if repeated attacks persists go for tonsillectomy or continue with oral antibiotics and analgesics and antihistamine

Is gr 3 enlargement without exudate equivalent to tonsillitis,?
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I find the tonsils and uvula normal. There is hyperaemia and bulge of pharyngeal wall, I would like to evaluate for retro pharyngeal abscee and besides a cbc I shall also do a lateral xray neck.

Congestion in posterior pharyngeal wall is more than on tonsils or tonsillar pillars. So should be treated as acute pharyngitis. Tonsil size is not the only criteria for putting it under tonsillitis....

Case of ACUTE PHRYNGO- TONSILITIS WITH JUGULO-DIGADTRIC LYMPH NODE ENLARGEMENT. APPROPRIATE ANTIBIOTICS COVERAGE POSSIBLY CULTURES SENSITIVITY DRUGS.

Tonsillitis with posterior pharyngitis

Rt tonsil is hypertrophied but not congested much, lt tonsil normal Granular pharyngitis is prominent

Though the art tonsil is larger, there is no exudate at all

Pharyngeal tonsillitis Treatment tonsilectomy Rx antibiotics Analgesics Antihistamine

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