Small hemorrhages visible on the palate

Introduction Small bleeding points in the ankle are often referred to as tonsillitis, and tonsillitis is inflammation of the tonsils. Clinically, it is divided into acute and chronic. The main symptoms are sore throat, fever and pharyngeal discomfort. This disease can cause local or systemic complications such as the ear, nose and heart, kidney, joints, etc., so it should be taken seriously. Acute tonsillitis is caused by hemolytic streptococcus. In addition, such as staphylococcus, pneumococcal, influenza bacilli and viruses can also be caused. The onset is more urgent, there is aversion to cold and high fever, sore throat is particularly heavy when swallowing, and can cause radioactive ear pain, sore limbs and fatigue. The patient's mandibular angle lymph nodes are enlarged and tender, and blood leukocytes are elevated. Chronic tonsillitis has no obvious symptoms, and may have dry throat, foreign body sensation, etc., often repeated episodes of acute tonsillitis are the cause.

Cause

Acute tonsillitis is caused by hemolytic streptococcus. In addition, such as staphylococcus, pneumococcal, influenza bacilli and viruses can also be caused. The onset is more urgent, there is aversion to cold and high fever, sore throat is particularly heavy when swallowing, and can cause radioactive ear pain, sore limbs and fatigue.

an examination

Related inspection

Oral X-ray examination of oral endoscope

Check the tonsil congestion and enlargement, most of them have yellow-white purulent secretions at the mouth of the sulcus. The symptoms of follicular septic are more severe, and there are small yellow-white abscesses under the mucosa. The patient's mandibular angle lymph nodes are enlarged and tender, and blood leukocytes are elevated. Chronic tonsillitis has no obvious symptoms, can have dry throat, foreign body sensation, etc., often has a history of repeated acute tonsillitis, children with tonsil hypertrophy can affect breathing and swallowing. Check for chronic congestion of the tongue and arch, chronic congestion or scarring of the tonsils, cheese-like pus at the mouth of the sac, and swollen lymph nodes of the mandibular angle.

Differential diagnosis

The pharyngeal disease that needs to be differentiated from acute tonsillitis suffers from pharyngeal diphtheria, Wensang's angina, viscous leukopenic angina, ulcerative angina, and pharyngeal keratosis. Tonsillitis can cause a variety of complications, such as abscess around the tonsils, rheumatism, acute glomerulonephritis, arthritis, myocarditis and so on.

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