Download Approach to Sore Throat PowerPoint Presentation

Login   OR  Register

Share page


Home / General & Others / General & Others Presentations / Approach to Sore Throat PowerPoint Presentation

Approach to Sore Throat PowerPoint Presentation

worldwideweb By : worldwideweb

On : Jun 04, 2015

In : General & Others

Embed :

Login / Signup - with account for

  • → Make favorite
  • → Flag as inappropriate
  • → Download Presentation
  • → Share Presentation
  • Slide 1 - Approach to Sore Throat & Peritonsillar Abscess MR 8/3/09 J.Chen
  • Slide 2 - General Approach R/O Life Threatening causes R/O non-infectious causes Determine whether or not treatment is required
  • Slide 3 - Life Threatening Causes Airway Compromise Sitting in sniffing position Toxic appearing Drooling Voice change Fever
  • Slide 4 - Life Threatening Causes Epiglottitis Retropharyngeal abscess Peritonsillar abscess Significant tonsillar hypertrophy Diphtheria
  • Slide 5 - Management NPO Supplemental O2 Consider airway adjunct (NP airway) IV access (if pt can tolerate) Anesthesia
  • Slide 6 - Non-infectious Causes Environmental Irritative pharyngitis Smoke Dry air Chemicals Trauma Burns Foreign Body Retained Laceration to posterior pharynx
  • Slide 7 - Non-infectious Causes Allergic/Inflammatory Allergens causing chronic postnasal drip Eosinophilic esophagitis Tumors Rare in pediatric population
  • Slide 8 - Infectious Causes Bacterial: Group A Beta Hemolytic Streptococcus Group C Strep Group G Strep Neisseria Gonorrhoeae Tularemia Chlamydia Mycoplasma Diptheria
  • Slide 9 - Infectious Causes Viral Causes Adenovirus Influenza Parainfluenza Epstein-Barr Virus Cytomegalovirus HIV Stomatitis HSV Coxsackievirus
  • Slide 10 - History Drooling? Voice Change? Fever? Exposure? Foreign Body? Headache? Abdominal Pain? URI symptoms? Immunization status? Sexual activity?
  • Slide 11 - Physical Exam General Appearance Drooling Stridor LAD Pharyngeal erythema/exudate Asymmetric Enlargement of tonsillar pillar Deviation of uvula Cobblestoning of posterior pharyngeal mucosa Vesicular or ulcerative lesions in oropharynx
  • Slide 12 - Laboratory Aids Throat Culture Lateral Neck X-ray CBC Monospot
  • Slide 13 - Peritonsillar Abscess Suppurative infection of the tissues adjacent to the palatine tonsil Most common abscess of the head and neck
  • Slide 14 - Background Gradual onset Progression from peritonsillar cellulitis 2 mechanisms Direct spread of inadequately treated bacterial tonsillitis Abscess formed in a group of salivary glands (Weber glands) in the supratonsillar fossa 30 per 100,000 person/year (25-30% Pediatric)
  • Slide 15 - Cause Bacterial Growth often polymicrobial Aerobic organisms Group A beta-hemolytic streptococcus pyogenes Staphlococcus aureus Alpha-hemolytic strep Coag-negative staph Streptococcus pneumoniae Anaerobic organisms Gram neg bacilli Provetella Bacteroides Peptostreptococcus Fusobacterium
  • Slide 16 - History Sore Throat/Dysphagia 5-7 days Trismus (2nd to inflammation of internal pterygoid muscle) Fever Drooling Muffled Voice Referred Ear Pain
  • Slide 17 - Physical Exam Asymettric swelling of the soft tissue lateral and superior aspect of tonsil Fluctuant area palpable Uvula displaced to contral Lateral side Soft palate red/swollen
  • Slide 18 - Physical Exam Moderately uncomfortable appearing Febrile Potential resp distress Trismus Halitosis Cervical adenopathy
  • Slide 19 - Laboratory Tests CBC with diff-leukocytosis with neutrophil predominance Needle aspiration for culture and sensativity
  • Slide 20 - Imaging CT scan Sensitivity 100%, Specificity 75% Abscess appears as low attenuation mass with ring-enhancing wall US Sensitivity 89%, Specificity 100% Intraoral approach prefered
  • Slide 21 - Complications Airway Compromise Aspiration of abscess contents Parapharyngeal abscess Sepsis Hemorrhage Contiguous spread to pterygomaxillary space
  • Slide 22 - Treatment Hydration Analgesia Antibiotics Admit patients for: Airway Compromise Dehydration, inability to take PO Poor Compliance Systemic complication Toxic Appearing Unclear diagnosis
  • Slide 23 - Antibiotics Augmentin (amox+clavulanate) is DOC Unasyn (amp+sulbactan) for inpatient Ceftriaxone and clindamycin or imipenem for severe or complicated cases
  • Slide 24 - Surgical Drainage Needle Aspiration 90% success rate after one aspiration Another 5-10% after second Complications: resp distress, aspiration, hemorrhage Contraindications: uncertain diagnosis, uncooperative, very young, airway management problem
  • Slide 25 - I&D Wider Drainage More Painful Containdications: same as needle aspiration Tonsillectomy Definitive Therapy May decrease overall duration of stay Requires OR and intubation
Bowling Free PowerPoint Template


Views : 749

Cigarettes Free PowerPoint Template


Views : 867

Photography Free PowerPoint Template


Views : 484

Female Mosquito Free PowerPoint Template

Female Mosquito

Views : 531

Drugs Medicine Free PowerPoint Template

Drugs Medicine

Views : 1098

Swans Free PowerPoint Template


Views : 473

Bird Free PowerPoint Template


Views : 345

Social Media Words Free PowerPoint Template

Social Media Words

Views : 460

Ocean Free PowerPoint Template


Views : 387

Interior Free PowerPoint Template


Views : 560

Time Management Free PowerPoint Template

Time Management

Views : 553

Good Friday Free PowerPoint Template

Good Friday

Views : 966

Woman Meditation Free PowerPoint Template

Woman Meditation

Views : 543

Traffic Lights Free PowerPoint Template

Traffic Lights

Views : 634

Saving Money Free PowerPoint Template

Saving Money

Views : 890

Diet Free PowerPoint Template


Views : 502

Nature Abstract Free PowerPoint Template

Nature Abstract

Views : 560

Cloud Computing Technology Free PowerPoint Template

Cloud Computing Technology

Views : 2997

Autumn Free PowerPoint Template


Views : 607

Law Rules Free PowerPoint Template

Law Rules

Views : 1919

Description : Download Approach to Sore Throat PowerPoint Presentation Slides

Tags : Approach to Sore Throat

Shortcode : Get Shareable link