Ent Referral Guidelines For The Throat
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Symptoms and signs (of recurrent tonsillitis): Painful dysphagia, systemic upset, fever, inflamed/infected tonsils, and cervical lymphadenitis. Children often present with fever, abdominal pain and refusal to eat.
Treatment: There is no effective medical treatment for recurrent sore throat which shortens the duration of the illness or reduces the frequency of attacks. Simple analgesia and plenty of fluids should be advised. A throat swab is unnecessary. Best ENT Cosmetic Surgeon in Lahore Symptomatic management is satisfactory for most patients provided that the episodes of sore throat are not recurring with unacceptable frequency. If antibiotic treatment is indicated penicillin V or erythromycin for ten days is usually sufficient. Antibiotics should be prescribed if a child has features of marked systemic upset, peritonsillar cellulitis, a history of rheumatic fever or if he is immunocompromised or a diabetic.
When to refer: If a patient develops quinsy ( peritonsillar abscess –soft palate swelling, the medicalization of the tonsil and trismus ) or dehydration, refer to the ENT Doctor in Lahore emergency clinic. Refer children if there is an obstructed airway or a history of sleep apnoea. Unilateral tonsillar enlargement or tonsil ulceration should be referred for urgent biopsy. Primary care records should have documented the number of episodes and the associated morbidity. The consensus for routine tonsillectomy is approximately half a dozen episodes for a single year, 5 or more per year for 2 years or three or more in each of three successive years. However, each patient should be taken on his own merit.
Published By: ENT surgeon In Hameed Latif Hospital
Ent Referral Guidelines For The Throat
Recurrent Sore Throats
The majority of sore throats are viral in nature and hence will not respond to antibiotics. The average sore throat lasts between 5 to 7 days and the condition results in significant loss of time from school or work for a large number of patients. A significant percentage of children grow out of tonsillitis at about 5 or 6 years old, however, the timescale for this in some individuals may be many years.Symptoms and signs (of recurrent tonsillitis): Painful dysphagia, systemic upset, fever, inflamed/infected tonsils, and cervical lymphadenitis. Children often present with fever, abdominal pain and refusal to eat.
Treatment: There is no effective medical treatment for recurrent sore throat which shortens the duration of the illness or reduces the frequency of attacks. Simple analgesia and plenty of fluids should be advised. A throat swab is unnecessary. Best ENT Cosmetic Surgeon in Lahore Symptomatic management is satisfactory for most patients provided that the episodes of sore throat are not recurring with unacceptable frequency. If antibiotic treatment is indicated penicillin V or erythromycin for ten days is usually sufficient. Antibiotics should be prescribed if a child has features of marked systemic upset, peritonsillar cellulitis, a history of rheumatic fever or if he is immunocompromised or a diabetic.
When to refer: If a patient develops quinsy ( peritonsillar abscess –soft palate swelling, the medicalization of the tonsil and trismus ) or dehydration, refer to the ENT Doctor in Lahore emergency clinic. Refer children if there is an obstructed airway or a history of sleep apnoea. Unilateral tonsillar enlargement or tonsil ulceration should be referred for urgent biopsy. Primary care records should have documented the number of episodes and the associated morbidity. The consensus for routine tonsillectomy is approximately half a dozen episodes for a single year, 5 or more per year for 2 years or three or more in each of three successive years. However, each patient should be taken on his own merit.
Published By: ENT surgeon In Hameed Latif Hospital
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