Symptom >> Otorhinolaryngology >> ENT

Diffuse hyperemia of pharyngeal mucosa

Introduction
Cause
Examine
Diagnosis

Introduction

Introduction Acute pharyngitis is an acute inflammation of the pharyngeal mucosa that affects submucosal and lymphoid tissues, often secondary to acute rhinitis or acute tonsils or as part of an upper respiratory tract infection. It is also often a local manifestation of a systemic disease or a pre-existing symptom of an acute infectious disease. Chronic pharyngitis: mainly chronic inflammation of the pharyngeal mucosa, diffuse inflammation is often part of the chronic catarrhal inflammation of the upper respiratory tract, and localized inflammation is associated with inflammation of the lymphatic tissue of the pharynx. Chronic pharyngitis is a common and frequently-occurring disease in clinical practice. It is more stubborn and recurrent in conventional drug treatment, and is more common in middle-aged people.

Cause

Cause

The cause of diffuse congestion of the pharyngeal mucosa

Often due to cold, excessive fatigue, excessive alcohol and tobacco, etc., the systemic and local resistance decreased, and the pathogenic microorganisms took advantage of the disease to cause the disease. Malnutrition, chronic heart, kidney, joint disease, poor living and working environment, frequent exposure to high temperatures, dust, harmful irritating gases, etc. are easy to lick this disease.

The pathogenic microorganisms are mainly hemolytic streptococcus, pneumococci, influenza bacillus and viruses.

Examine

an examination

Related inspection

Blood routine oral endoscope

Examination of diffuse hyperemia of the pharyngeal mucosa

symptom:

The main symptoms of acute pharyngitis are acute onset, dry throat and burning at the beginning; then pain, swallowing when swallowing saliva is often more obvious than when eating; may be accompanied by fever, headache, loss of appetite and limb pain; The throat can be accompanied by hoarseness and cough.

The main symptoms of chronic pharyngitis are pharyngeal discomfort, dryness, itching, swelling, secretions and burning, easy to dry, foreign body sensation, and can not be swallowed. These symptoms are especially aggravated when you speak a little more, eat irritating food, fatigue or weather changes.

an examination:

Examination of oropharyngeal and nasopharyngeal mucosa diffuse hyperemia, swelling, sacral arch and uvula edema, posterior pharyngeal lymphoid follicles and pharyngeal lateral cord redness; yellow-white spotted exudate on the surface, mandibular lymph nodes and tenderness . The body temperature can be increased to 38 ° C, depending on the pathogen, white blood cells can be increased, normal or reduced.

Diagnosis

Differential diagnosis

Symptoms of pharyngeal mucosa diffuse congestion

Pharyngeal congestion: may have got pharyngitis. Pharyngitis is a very common upper respiratory tract infection, often caused by a cold. Examination of oropharyngeal and nasopharyngeal mucosa diffuse hyperemia, swelling, sacral arch and uvula edema, posterior pharyngeal lymphoid follicles and pharyngeal lateral cord redness, yellow-white pointy exudate on the surface, mandibular lymph nodes and tenderness The body temperature can be raised to 38 °C.

Pharyngeal ulcers: There are many diseases that cause pharyngeal ulcers for different reasons. In addition to some specific infections (diphtheria, tuberculosis, syphilis, induration, etc.) and pharyngeal tumors, the more common ulcer pseudomembranous lesions. The surface is often covered with pus, necrotic tissue or ecdysis, and scars may be caused by infection, trauma, nodules or tumor rupture, etc., and its size, shape, depth, development process, etc. are also inconsistent. Often combined with chronic infection, with inflammation, may not heal for a long time.

Chronic congestion of the pharynx: pharyngeal discomfort, or pain, or itching, or dryness, burning sensation, smoky sensation, foreign body sensation, etc.; irritating cough, morning coughing out secretions, or even nausea. The course of the disease is more than 2 months, often caused by cold, cold, fatigue, and more words. Check: chronic congestion of the pharynx, aggravation. Dark red, or dendritic congestion; lymphoid follicular hyperplasia in the posterior pharyngeal wall, or swollen pharyngeal side; pharyngeal mucosa hypertrophy, or dry, atrophic, thin, with secretions attached. With each of the above symptoms and 1 or More than one inspection can be diagnosed.