MANAGEMENT FOR ADENOTONSILLITIS - GRH BASED
MANAGEMENT FOR ADENOTONSILLITIS - GRH BASED
Diagnostic
tonsillar enlargement
anterior pillar congestion
squeeze test +
JD node +
H/O recurrent sore throat
SELECTION OF CASE FOR SURGERY
1) recurrent attack of tonsillitis
2) one attack of quinsy
3) hypertrophied tonsilcausing obstruction to swalowiing / respiration
4) focal sepsis for skin lesions , laryngitis,recurrent LRI
5) foci for CSOM
MEDICAL MANAGEMENT
medical management for 2 wks
amox , para , vit c , BCT 1wk
followed by cotrimoxa/erythromycin for 1 wk
assess the improvement in patient clinical condition, if signs persist and based on the selection criteria and patient willingness for surgery -- advice for surgery and request for inestigations
INVESTIGATIONS
urine sugar / alb
blood TC DC ESR BT CT Hb %
blood urea sugar
x ray chest PA view
ECG , blood grouping typing
tonsil swab for culture and sensitivity
SURGERY
E & C under general anaesthesia .. GA by nasotracheal or orotracheal tube intubation..
POST OP
NIL oral for 4 hrs followed by ice cold liquids , then semisolid and gradually to normal diet in 7 - 10 day
inj . ceftri ( culture specific antibiotic preferred) on the day of surgery followd by oral antibiotic SYRUP , para SYRUP for 7 -10 days
discharge on good recuperation and advice follow up ..
ALSO SEE THE POINTS FOR POST OP CARE IN DINGRA !!
tonsillar enlargement
anterior pillar congestion
squeeze test +
JD node +
H/O recurrent sore throat
SELECTION OF CASE FOR SURGERY
1) recurrent attack of tonsillitis
2) one attack of quinsy
3) hypertrophied tonsilcausing obstruction to swalowiing / respiration
4) focal sepsis for skin lesions , laryngitis,recurrent LRI
5) foci for CSOM
MEDICAL MANAGEMENT
medical management for 2 wks
amox , para , vit c , BCT 1wk
followed by cotrimoxa/erythromycin for 1 wk
assess the improvement in patient clinical condition, if signs persist and based on the selection criteria and patient willingness for surgery -- advice for surgery and request for inestigations
INVESTIGATIONS
urine sugar / alb
blood TC DC ESR BT CT Hb %
blood urea sugar
x ray chest PA view
ECG , blood grouping typing
tonsil swab for culture and sensitivity
SURGERY
E & C under general anaesthesia .. GA by nasotracheal or orotracheal tube intubation..
POST OP
NIL oral for 4 hrs followed by ice cold liquids , then semisolid and gradually to normal diet in 7 - 10 day
inj . ceftri ( culture specific antibiotic preferred) on the day of surgery followd by oral antibiotic SYRUP , para SYRUP for 7 -10 days
discharge on good recuperation and advice follow up ..
ALSO SEE THE POINTS FOR POST OP CARE IN DINGRA !!
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