Peritonsillar Abscess (Quinsy) for USMLE Step 2

Рет қаралды 58,047

9 жыл бұрын

Handwritten lecture on peritonsillar abscess (Quinsy) for USMLE Step 2. Will be covering anatomy, pathophsyiology, clinical signs and symptoms, treatments and complications.
PATHOPHSYIOLOGY of Quinsy
Usually secondary to tonsilitis.
CLINICAL SIGNS AND SYMPTOMS of Quinsy
Signs and symptoms are similar to tonsilitis.
Common to both conditions include odynophagia, halitosis, fever, constitutional symptoms but these tend to be more severe with peritonsillar abscess. On examination both have hyperemia of the pillar, soft palate and uvula.
Distinguishing symptoms include hot potatoe voice, unilateral throat pain, trismus, torticollis. On examination the uvula will be pushed to the opposite side.
TREATMENT of peritonsillar abscess or quinsy
Should be admitted and give IV fluids. Incision and Drainage is required because this is an abscess. Analgesics and anti-biotics. 4-6 weeks later an interval tonsilelctomy can be performed.

Пікірлер: 36

@ujjawalforever 8 жыл бұрын

thanks.....finally understood the topic for my final exams!!...

@victoria10031 5 жыл бұрын

Great review!

@jakistuart 4 жыл бұрын

I've had this, felt very poorly and in lots of pain. Doctor injected antibiotics in my thigh a few times, apparently, before I felt any better. Swallowing anything was a huge nope and trying to lift my head up was impossible.

@weinanduk 2 жыл бұрын

i was admitted with a quinsy early this year but mine was very unusual as i had my tonsils removed as a child during the 1960's. Although at first the Dr's surmised they had grown back AFTER two nasal endoscopic procedures they determined that they had not regrown and that my quinsy was in the space BELOW where my tonsils would have been if i had still had them rather then the more usual space to side of the tonsil.

@enlightenedmcgee 3 жыл бұрын

Is it possible for a patient to have either without the pain or inflammation?

@akashmukherjee3289 6 жыл бұрын

Informative video. Antibiotics used: Metronidazole + Coamoxiclav

@thedocfit 5 жыл бұрын

nicely explained

@akshitikaushik 3 жыл бұрын

Really helpful thank you

@OneManOnFire 4 жыл бұрын

I had the drainage done today May 2020 at the ER. They had to do it 3 times and it what the most painful feeling I've felt in my life (I'm 35). I was crying.

@thecupcakesmoving 3 жыл бұрын

They had to do it three times for me too! I’m happy to know you felt the same way, I was crying the whole time. I’m sorry you had to go through that!

@OneManOnFire 3 жыл бұрын

@@thecupcakesmoving I was good after 24 hours. I will say check with your ENT yearly moving forward. I still feel like phantom lump inside. I'm seeing my ENT this Monday I'll update you.

@worstgamer1162 2 жыл бұрын

Can I treat it at home?

@worstgamer1162 2 жыл бұрын

@@OneManOnFire do I go to clinic or hospital?

@OneManOnFire 2 жыл бұрын

@@worstgamer1162 Any ent Doctor office can drain it. But it's the weekend so you'll have to wait till Monday. Try a drop in emergency office but as a last resort the ER. Do NOT do this at home. Use some antiseptic mouthwash to help with the swelling but it won't cure it. Sadly you'll need to get it drained by a doctor

@dr.damodarpudasaini446 6 жыл бұрын

Where do we give incision

@meltinumalpha5940 3 жыл бұрын

Im having this right now...

@mosojo9690 3 жыл бұрын

Thank you ❤️

@scottandtheworldasiseeit 2 жыл бұрын

can abscessed tonsils cause tinnitus?

@bpr4833 4 жыл бұрын

Nice sir But need one thing please, improve writing technique.....other thing is very nice , and keep making video 👍 thnx 🙏

@warsamaosman0894 3 жыл бұрын

i have this and it smells bad and can't talk to people.

@djkoenig4716 4 жыл бұрын

I had throat pain that started small but over six months or so it got very painful & quite swollen. I couldn't swallow or eat & my throat was closing. My problem was: I never had a fever so the doctors wouldn't give me antibiotics. By the end of the six months & 3 doctor visits, I was desperate & went to a specialist. She said I had a huge paratonsilar abcess. She gave me massive antibiotics. Upon my follow-up visit 3 weeks later the specialist knew she'd have to surgically remove it because antibiotics couldn't totally take care of the abscess. She did the surgery & she said the infection was pretty nasty but she got it out. Post surgery, the hole that was left in my throat was so big you could have put a golfball in it :●{ It was very painful for 2 or three months. Because my specialist cauterized the area to keep the bleeding minimal during surgery, all the tissue close to the cauterized area soon sloughed away & made the large surgical hole even larger! The specialist did a good job & It healed, but that was a long, painful, hellish experience!

@OneManOnFire 4 жыл бұрын

Glad to hear you're ok

@susheeldutt6486 9 жыл бұрын

sir u have promised that u will be making a video on breath sounds.....

@thestudyspot 9 жыл бұрын

Yes and I haven't forgotten. I am traveling this summer so I don't think I will be able to make it immediately, but it will be my next video. The videos that I am putting up right now are videos I made a while ago but never had the chance to put up.

@susheeldutt6486 9 жыл бұрын

thak you very much.. sir hv a joyful jouney

@B-ch6uk 5 жыл бұрын

I didn't need to be admitted. Drained the abscess in the office, sent home with antibiotics and told if it happened again, I would need to have my tonsils removed.

@OneManOnFire 4 жыл бұрын

Update?

@B-ch6uk 4 жыл бұрын

@@OneManOnFire So far so good. Haven't gotten another abscess since so hopefully it stays that way. I do not want my tonsils removed.

@OneManOnFire 4 жыл бұрын

@@B-ch6uk I had mine drained last night at the ER and it wasn't fun. Did they give a cause as to why it happened other than what this video showed us?

@B-ch6uk 4 жыл бұрын

@@OneManOnFire No he didn't say but I don't think it's uncommon either - at least he acted like he had done it often. It for sure was not fun and hopefully for me and you it won't happen again. Good luck.