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afya Tonsillitis

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20160425222450 Ben  
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''Complications of Tonsilliits''
Otitis Media
Quinsy (peritonsillar abscess)
rheumatic fever and glomerulonephritis

''NICE Indications for tonsillectomy'' - controversial
must meet ALL criteria ....
sore throat is definately tonsillitis (not URTI)
5+ episodes in a year
Sx for >1yr
episodes are disabling and prevent normal function

''Other indications''
recurrent febrile convulsions secondary to tonsillitis
obstructive sleep apnoea, stridor or dysphagia secondary to enlarged tonsils
Qunisy unresponsive to standard Rx

''Complications of tonsillectomy''
Primary (<24hrs) haemorrhage in 2-3% (inadequate haemostasis) pain
Secondary (>24hrs - 10/7) haemorrhage (infection) pain