ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

PERITONSILLAR ABSCESS ( QUINSY )

Updated on June 1, 2011

paritonsillar abscess

Source
Source

WHAT IS PERITONSILLAR ABSCESS OR QUINSY ?

Peritonsillar abscess or Quinsy is defined as collection of pus or inflammatory exudate in the tonsillar bed i.e. between the capsule and superior costrictor muscle.It is usually common at the upper pole and in most of the cases it is unilateral. It is more common in adults but children are also not immune. It is the main complication of Tonsillitis.

HOW DOES IT SPREAD ?

1) Pus has to find a way to go out either it causes necrosis in palate and palate then bursts in mouth. It is pressure necrosis. When you drain it out, whole thing subsides.If rupture takes place during sleeping, the patient swallows it, asphyxia and then death occurs.

2) Rupture in the lateral surface from an abscess in neck is called " Parapharyngeal   abscess."In lateral wall the great vessels may be involved and give rise to thrombosis, Septicaemia and Pyaemia.

3) The infection can trickle downwards to larynx leading to laryngeal Oedema. This is an unusual fate.

WHAT ARE THE SYMPTOMS ?

1) There is history of sore throat, 2-3 days earlier.

2) There is sudden increase in pain and temperature.

3) Dysphagia.

4) Referred pain to ear.

5) Difficulty in opening the mouth.

6) Movements of neck are extremely painful because by moving the neck the movement are transmitted to inflamed tonsillar bed.

WHAT ARE THE SIGNS ?

1) Patient is toxic with high temperature.

2) Opening of mouth is painful.

3) Voice becomes muffled.

4) Dribbling of saliva from the angle of mouth because patient is unable to swallow the saliva.

5) Tongue is coated.

6) Foul smell from the mouth due to bad hygiene.

7) Unilaterally enlarged red, congested tonsil pushed towards the mid line.

8) Adjoining area is also congested.

9) Uvula is oedamatous and pushed towards the opposite side.

10) The movement of palate are restricted.

11) Side of neck is swollen and tender.

WHAT IS THE TREATMENT ?

1) During the stage of Cellulitis :- Conservative treatment. Intensive Antibiotic Therapy.

2) During the stage of Abscess Formation :- Incise and drain the abscess.

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)