jj123
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Both conditions have Sx of drooling and muffled voice. Without culture, can we differentiate clinically?
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| Ivonne
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Just the differences, not the commom features.
Epiglottitis------->Rapid onset(i don't think there is time for adenomegaly?)
Retropharyngeal abscess-------->Cervical adenopathy, nucal rigidity, may see mass in the post pharyngeal wall on visual inspection
x ray are typical, culture definitive.
Now, how about peritonsillar abscess?
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| jj123
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I think peritonsillar abscess has medially and laterally displaced tonsil, but retropharyngeal abscess has different presentation on x-ray. I guess. Anybody can give a better explanation?
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| motorola
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I dont think the tonsils can not be medially AND laterally displaced. i guess that was a typo.
In peritonsilar abscess or quinsy the uvula may be displaced to normal side. there may be trismus. and drooling isnt as much as epiglottitis. also the age group is relatively older for quinsy. Xray has no role in diagnosing quinsy.
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| DrVirgo
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Epiglottitis is an EMERGENCY
There will be signs of high fever, dysphagia, drooling, muffled voice, and RESPIRATORY DISTRESS. And on physical exam you will see an enlarged inflammed epiglottis... WIth lateral XRAY you can see the thumb print sign.
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| motorola
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hi dr virgo in my opinion
epiglottitis may not have respiratory distress and u do not do a throat examination to see the epiglottis if u suspect epiglottitis unless u r sitting with an anesthetist and a surgeon in case obstruction develops. xray thumbprinting is very correct.
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| DrVirgo
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motorola wrote:
hi dr virgo in my opinion
epiglottitis may not have respiratory distress and u do not do a throat examination to see the epiglottis if u suspect epiglottitis unless u r sitting with an anesthetist and a surgeon in case obstruction develops. xray thumbprinting is very correct.
Yes, thats absolutely right... You should NOT attempt to visualize the epiglottis with a tongue blade because the child may have reflex laryngospasm, (the throat closes up), which can result in cardiorespiratory arrest and death.
What I meant is that you only SEE an enlarged inflammed epiglottis by telling the kid to say AAHHH.
You do however have to treat, as you mentionted with a specialist nearby. they need to secure an airway in the OR with general anesthesia. If treatment is not given complete obstruction or the airway and death can occur.
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| DrVirgo
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Does anyone want to explain Retropharyngeal Abscess?
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