Peritonsillar Abscess
Age: years old
Gender:
HISTORY:
Presents with a - history of
Location is predominantly on the side
Rated at / 10
Radiation to
Worsening factors:
Alleviating factors: ,
Contact with individual with strep throat:
Associated symptoms: *Try using right-click for negatives*
, up to °, over
, , , ,
Contributing factors:
no history of: , , ,
no use of:
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Eyes: conjunctiva/sclera , lids/lashes
Ears: tympanic membranes , auditory canal on , hearing
Nose: , discharge ,
Throat: , , ,
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Skin: on
ASSESSMENT:
DDx: peritonsillar abscess, tonsillitis, acute pharyngitis, retropharyngeal abscess, parapharyngeal abscess, epiglottitis, dental abscess, infectious mononucleosis, lymphadenitis, angioedema, ludwig's angina, deep neck space infection, airway obstruction, herpangina, diphtheria, foreign body in the throat, neoplasm of the oropharynx
PLAN:
Investigations:
- Throat swab
- Blood work: , , , , ,
- CT scan of the neck
- Ultrasound of the neck
Treatments:
-
-
-
-
- Dexamenthasone 10mg po once
- Incision and drainage
- Hydration and rest
- Limit contact with others
Further care:
- Referral to ENT specialist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as difficulty breathing, difficulty swallowing, or fever
- Referral to ER if severe throat pain, severe difficulty swallowing, or high fever occurs
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: