Chronic pharyngitis
This presentation is the property of its rightful owner.
Sponsored Links
1 / 13

Chronic pharyngitis PowerPoint PPT Presentation


  • 426 Views
  • Uploaded on
  • Presentation posted in: General

Chronic pharyngitis. Non specific 1- Chronic simple pharyngitis. Specific 1- Scleroma 2- Syphilis 3- Tuberculosis. Chronic pharyngitis. Etiology : 1-Recurrent acute pharyngitis 2- Mouth breathing 3- Smoking & spirits 4- GERD. Chronic simple pharyngitis. Symptoms :

Download Presentation

Chronic pharyngitis

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Chronic pharyngitis

Chronic pharyngitis


Chronic pharyngitis

Non specific

1- Chronic simple pharyngitis

Specific

1- Scleroma

2- Syphilis

3- Tuberculosis

Chronic pharyngitis


Chronic simple pharyngitis

Etiology :

1-Recurrent acute pharyngitis

2- Mouth breathing

3- Smoking & spirits

4- GERD

Chronic simple pharyngitis


Chronic pharyngitis

Symptoms :

- History of repeated attacks of sore throat

- Throat irritation (hemming نحنحه&hawking تنخيم)

Signs:

- Catarrhal, mild hyperaemia of the pharyngeal mucosa

- Hypertrophic, scattered nodules on the posterior pharyngeal wall

Treatment: of the cause


Chronic pharyngitis

Chronic pharyngeo-oesophagitis

Plummer Vinson's Syndrome

Paterson Brown-Kelly Syndrome


Chronic pharyngitis

Answer

This middle aged female presented with gradually progressive dysphagia

1- the patient is most probably suffering from

PLUMMER VINSON SYNDROME.

2- you should proceed to the following investigations:

A- Blood Picture (Hypochromic Anemia)

B- gastric secretion (achlorohydria

C- Barium Swallow (web)

  • This middle aged female presented with gradually progressive dysphagia

    1- the patient is most probably suffering from………….

    2- you should proceed to the following investigations:

    A-

    B-

koilonychia

Angular Stomatitis

Atrophic Glossitis


Chronic pharyngitis

Plummer-Vinson or Paterson-Kelly syndrome presents as a classical triad of dysphagia, iron-deficiency anemia and esophageal webs

Age: Middle age

Sex: 90% in females

Etiology: Un-clear, may be

  • iron deficiency anemia

  • Vitamin deficiency

  • or autoimmune processes

    Pathology: Atrophy of :

    Pharyngeal

    Esophageal &

    Gastric mucosa


Chronic pharyngitis

Symptoms

General

Pharyngeal

Weakness, fatigue, and dyspnea

are Secondary to iron deficiency

anemia

Signs

General

Pharyngeal

Koilonychia

Spleenomegaly

Pallor

Angular stomatitis

Glossitis

Atrophic glazed mucosa of the

hypopharynx

Dysphagia, if present, is typically

intermittent and limited to solids.

It is usually felt in the throat


Chronic pharyngitis

Investigations

Complications

Treatment

- Stricture at the cicopharyngeal

Sphincter

- Pre-cancerous: postcricoid

carcinoma &esophageal carcinoma

Blood picture:hypochromic anemia

Gastric secretion: achlorohydi due to atrophy of gastric mucosa

Barium swallow

Hypopharyngoscopy

Iron & vitamine supply

Repeated endoscopic dilatation

Regular follow up for early detection of

postcricoid carcinoma &esophageal

carcinoma

Web


Chronic specific

Chronic Specific

  • Scleroma

  • Tuberculosis

  • Syphilis


Pharyngoscleroma see rhinoscleroma for more details

PharyngoscleromaSee Rhinoscleroma for more details

Clinically

  • Atrophic

  • Nodular

  • Fibrotic

Etilogy:

Secondary to Rhinoscleroma

Dry glazed mucosa

Pink indurated non ulcerating ,

painless nodules

Shortened uvula

Pharyngeal Stenosis


Tuberculous pharyngitis

Tuberculous pharyngitis

Etilogy:

Secondary to Pulmonary Tuberculosis

Clinically

  • Pallorof the mucosa

  • Typical ulcers

Painful

Superficial

Shallow

Undermined edge

Caseous floor


Syphilitic pharyngitis

Syphilitic pharyngitis

Single painless indurated papule

Secondary :

-Hyperaemic mucosa

-Mucous patches

-Snail track ulcers

Primary:Chancre, rare in the pharynx

Tertiary:Gumma

Pinkish rubbery swellings

--►typical ulcer

Deep punched out edge

Necrotic dirty yellow floor


  • Login