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ENT-Throat infection-Pharyngitis


  • pharyngitis is the inflammation of the pharynx which called core throat that can be acute or chronic due to causative factors affecting .
  • It usually precedes illness of colds and flue that doesn't require antibiotics unless otherwise caused by bacterial infection because most disappear by their own in weeks or less.

CAUSATIVE AGENTS

  • Bacteria (streptococcal,staphylococcal)
  • Virus (adenovirus,mononucleosis) 
  • Allergens( dust,mist,pollen,smokes)
  • Alcohol
  • Use Tobacco















SIGNS AND SYMPTOMS

  • PHARYNGITIS WITH COLDS
    • Sneezing
    • Cough
    • Low fever
    • Mild Headache
  • PHARYNGITIS WITH BACTERIAL INFECTION
    • Enlarges Lymph Nodes in Neck and Armpit
    • Headache
    • Anorexia
    • Swollen Spleen
    • Swollen Tonsils
    • Livers Inflammation
    • Dysphagia
    • Red and Edematous Pharynx with Exudates
  • PHARYNGITIS WITH VIRAL INFECTION THROAT
    • Coryza
    • Body malaise and fatigue
    • Hoarseness of voice
    • Low-Grade fever

DIAGNOSTIC PROCEDURES

  • Buccal swab for culture and sensitivity test
  • To identify bacterial infection
    • Complete blood count for increase with blood cell and its differentials

INCUBACTION PERIOD

  • Acute pharyngitis is 72 hours
  • Sub- Acute pharyngitis is 2-3 days
  • Chronic pharyngitis is 7-10 days
  • Recurrent pharyngitis is 1-2 weeks

TREATMENTS

  • Saline gargle ( mouth wash if needed)
  • Analgesics
  • Antipyretics
  • Removal of allergens
  • Antibioties ( penicillin is drug of choice)
  • Medication for it disappear by its own
    • Getting enough rest
    • Intake of fruits and vegetables rich in Vitamin-c 
    • Gargle with Warm water with salt can help soothe a sore throat.
    • Hydrate your body by increase fluids but not soft drinks and not too sweet juices
    • Avoidance of  spicy, oily, too cold and too hot foods.
  • Hospitalization if canot swallow fluids to provide IV

COMPLICATIONS

  • Tuberculosis
  • Liver cirrhosis
  • Rheumatic heart disease
  • Sinusitis
  • Kidney inflammation
  • Chronic tonsillitis with recurrent acute attack
  • Cervical abscess
  • Septicemia

PHARYNGOTONSILLITIS

  • Is the inflammation of the pharynx and tonsils due to infectious ( Bacterial and Viral) and Non-Infectious( pollens,dust,mist,sand stroms) factors affecting it.
  • It can be Acute,sub-acute, and chronic.

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