Celina Martinez, MSIII April 25, 2006. Peritonsillar Abscess. Clinical Presentation of A.E. 47 y.o. AAF c/o “sore throat” and difficulty swallowing for 4 days PMH None Meds None SH Current cigarette use with 20 pack-year history Moderate EtOH use, current heroin use ROS
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April 25, 2006Peritonsillar Abscess
VS: 137/86 HR 103 T 100.8 98-100% RA
Repeat exam of oropharynx
9.0 6.9 0.6 17
Alk Phos – 69
144 105 11
3.1 29 0.6
Glucose – 98
Bullous erythema multiformeDifferential Diagnosis
Pathophysiology - Progression of tonsillitis
Tonsillitis Peritonsilar Inflammation Abscess
Signs of airway compromise (rare)
Oropharyngeal examPeritonsillar Abscess
Diagnosis is usually clinical!