quinsy peritonsillar abscess

 

The peritonsillar abscess and the peritonsillar abscess it’s known also as

Quinsy so first of all what is Quinsy and you know where is the peritonsillar abscess.

Is infection in peritonsillar space which is area located between tonsil and this is the superior constrictor muscle. this area right here is called

the peritonsillar area so peritonsillar abscess is basically what an abscess is

formed here and that’s just the simplest definition now why does it happen the

most common reason is going to be after tonsillitis and so what happens is we

get some you know the patient gets tonsillitis here and then it forms some

type of intro tonsils or abscess and then it leaks out into peritonsillar area creating a paradox or abscess however that’s not always the case sometimes it can arrive de novo

symptoms:

this can take quick look at the symptoms not what you’ll notice is the symptoms

are going to be very similar to tonsillitis

Quinsy and tonsillitis

  • pain while you swallow also odynophagia
  • halitosis
  • fever
  • constitutional symptoms weakness headache fatigue

but in quinsy fever will be you know higher the symptoms would be much

worse

symptoms that distinguish Quinsy well the first thing

  • hot potato voice muffled voice
  • a lot of pain and actually this is usually unilateral
  • trismus and torticollis decreased range of motion of the jaw and this is decreased range of motion of the neck

reason why you get the jaw is because it actually irritates the pterygoid ¬†muscle and that’s why you have these jaws

examination

going to get some features that are similar to tonsillitis and then other

features which help to distinguish Quinsy from tonsillitis so what’s

similar you get that

  • hyperemia of the pillar
  • big thing that distinguishes it Quinsy is going to be the uvula is pushed ¬†uvula is pushed towards that side (side of normal tonsil)

notice this isn’t the tonsil this is kind of like in front or just you know

side of the tonsil and that’s going to be a big feature a tonsillitis you won’t see that at all okay and finally you know patient has you know that’s a gross Quinsy have you treated first thing is you do need to admit these patients into the hospital

Treatment:

  • Admit patient into hospital.
  • give them IV fluids again this is much more serious you’re going to be much more toxic looking you know and then
  • incision and drainage this is an abscess so you’re that’s pretty much how you treat an abscess and then you know you’re going to give them
  • analgesic and antibiotics and it’s also

a good idea when you do the drainage to do cultural sensitivity and then finally

you know four to six weeks later you can do an interval tonsillectomy and so that

is Quinsy.