In this section : Ear, Nose and Throat
Management of Epistaxis
Sore Throat Differential Diagnosis
Dizziness Differential Diagnosis
Peritonsillar Abscess/Quinsy
Acute Tonsillitis
Acute Mastoiditis
Otitis Media
Otitis Externa
WoS Paediatric Drooling and Aspiration Guideline
Voice clinic
Ear Wax
Admitting Patients with Tracheostomy/Laryngectomy to DGRI
Emergency Laryngectomy Management
Emergency Tracheostomy Management
Safe Transfer of Patients with Tracheostomy/Laryngectomy within DGRI
Other Tracheostomy Documents
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Peritonsillar Abscess/Quinsy
Last updated 10th October 2023
Definition
- A collection of pus between the tonsil and the lateral wall of the oropharynx.
Symptoms
- Sore throat
- Dysphagia
- Peritonsillar bulge
- Uvular deviation
- Trismus
- Muffled voice
Liverpool Peritonsillar Abscess Score (LPS)
Unilateral sore throat | 3 |
Trismus | 2 |
Male gender | 1 |
Pharyngeal voice change | 1 |
Uvular deviation | 1 |
Score <4 unlikely to have PTA |
The Key Signs That Differentiate Quinsy from Tonsillitis
- There is frequently a degree of trismus.
- On the affected side, the anterior arch will be pushed medially.
- On the affected side, the palate will bulge towards you i.e. the normally concave palate becomes convex
- The uvula may be pushed away from the affected side.
- On the affected side, the mucosa of the arch and palate may look angrily erythematous.
Management
- Refer to ENT
- Glandular fever serology
- Analgesia
- V ABX: IV Benzylpenicillin + IV Metronidazole
- IV dexamethasone
- IV fluids
Links
- Peritonsillar Abscess (Quinsy) – ENTSHO
- The Liverpool Peritonsillar abscess Score (LPS): Development of a predictive score through a prospective observational study
Page content by Alexandra Barabas and Marissa Botma