peritonsilar abscess OM VERMA 2022.pdf

OM VERMA
ASSISTANT PROFESSOR
GRACIOUS COLLEGE OF NURSING ABHANPUR RAIPUR CG

1. GRACIOUS COLLEGE OF NURSING
RAIPUR
PERITONSILLAR ABSCESS
PRESENTED BY
OM VERMA
ASSISTANT PROFESSOR

4. INTRODUCTION
peritonsillar
abscess
forms in the tissues of
the throat next to one of the
tonsils
. An
abscess is a collection of pus that forms near
an area of infected
skin
or other soft tissue.
an area of infected
skin
or other soft tissue.
The abscess can
cause pain
, swelling, and, if
severe, blockage of the throat. If the throat
is blocked, swallowing, speaking, and even
breathing become difficult.

5. Definition
According to levis

6. According to luckmans

7. When an infection of the tonsils
(known as
tonsillitis
) spreads and
causes infection in the soft tissues,
a peritonsillar abscess may
result. it
According to luckmans
a peritonsillar abscess may
result. it
is called peritonsillar abscess.

8. According to Wikipedia

9. ETIOLOGY ETIOLOGY

10. 1. A peritonsillar abscess is most
often a complication of
tonsillitis. The bacteria
involved are similar to those involved are similar to those that cause
strep throat
.

11. 2. Streptococcal bacteria ( Group A
beta-hemolytic streptococcus )most
commonly cause an infection in the
soft tissue around the tonsils
(usually just on one side). The (usually just on one side). The tissue is then invaded by anaerobes
(bacteria that can live without
oxygen), which enter through
nearby glands.

12. 3. Dental infection (such as the gum
infections periodontitis , also called gum
disease, is a serious gum infection that
damages the soft tissue and, without
treatment, can destroy the bone that
supports
teeth
and
gingivitis
is
a common
supports
teeth
and
gingivitis
is
a common
and mild form of gum disease (periodontal
disease) that causes irritation, redness and
swelling (inflammation) of gingiva , the part
of gum around the base of teeth

13. 4. CHRONIC TONSILLITIS
A peritonsillar abscess is most often a
complication of chronic tonsillitis .
Streptococcal bacteria most
commonly cause an infection in the commonly cause an infection in the soft tissue around the tonsils .

14. 4. INFECTIOUS MONONUCLEOSIS (IM)
Is a viral infection, caused by Epstein -
Barr virus (EBV), which is characterized
by fever, sore throat, lympha -denopathy
and atypical lymphocytosis .( high
lymphocyte count, is
an increase in white
lymphocyte count, is
an increase in white
blood cells called lymphocytes.
Lymphocytes help fight off diseases, so
it's normal to see a temporary increase
after an infection ) Peritonsillar cellulitis
is associated with IM

15. 5. SMOKING
smoking could be an important
predisposing factor for the
development of peritonsillar development of peritonsillar abscesse. g. due to alteration of
the mucosa and microbiological
changes.

16. 5.
TONSILLOLITHS Tonsil stones are small lumps of
hardened material that form on
tonsils, in the back of
throat
.
tonsils, in the back of
throat
.
The main sign of tonsil stones is
bad breath. and infection in
tonsils and peritonsillar space.

18. Due to etiological factors such as-

22. Odynophagia
refers topain
on swallowing
.
Inability to open mouth
on swallowing
.

23. "
HOT POTATO VOICE" (HPV)
Isa thick, muffled voice caused by
pharyngeal or laryngeal diseases
characterized by severe upper characterized by severe upper
airway obstruction, including acute
epiglottitisand peritonsillitis.

27. DIAGNOSTIC
EXAMINATION

28. 1.
H/T
2. PHYSICAL EXAMINATION

29. A rare condition in which the neck muscles contract , causing
the head to twist to one side.

30. CBC
CT SCAN
MRI
THROAT CULTURE THROAT CULTURE ASPIRATE PERITONSILLAR ABSCESS

31. Aspirate peritonsillar abscess For bacterial
culture
For needle aspiration
Use the 10-mL syringe with an 18-or 20-gauge
needle.
Apply continuous suction and direct the needle in
the
sagittal
plane (anterior to posterior) and not to
the
sagittal
plane (anterior to posterior) and not to
the side (laterally). ...
Aspirate the most prominent area first; it is usual ly
the superior pole. ...
Typically 2 to 6 mL of pus is obtained . And sample
send the laboratory for bacterial culture

33. PHARMACOLOGICAL MANAGEMENT