MANAGEMENT FOR ADENOTONSILLITIS - GRH BASED

View previous topic View next topic Go down

MANAGEMENT FOR ADENOTONSILLITIS - GRH BASED

Post by Admin on Sun Mar 07 2010, 00:19

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 !!

_________________
“KNOWLEDGE IS TO SHARE”
HAPPY READING !!
avatar
Admin
Admin

Posts : 76
Reputation : 8
Join date : 2010-01-06
Age : 28
Location : chennai

Back to top Go down

View previous topic View next topic Back to top

- Similar topics

 
Permissions in this forum:
You cannot reply to topics in this forum