ACUTE

TONSILLOPHARYNGITIS
CASE ANALYSIS
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

OVERVIEW
Acute tonsillopharyngitis is an inflammation of the tonsils
and pharynx, usually caused by viral or bacterial
infections. It is a common condition characterized by sore
throat, difficulty swallowing, and other associated
symptoms.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

CAUSES
1. Viral Infections: Commonly caused by viruses such as
adenovirus, influenza virus, and Epstein-Barr virus.
2. Bacterial Infections: Streptococcus pyogenes (Group
A streptococcus) is a frequent bacterial cause of acute
tonsillopharyngitis.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

SIGNS AND SYMPTOMS

Objective Data:
1. Red and Swollen Tonsils: Visible inflammation and
enlargement.
2. White or Yellow Exudates: Pus on the tonsils.
3. Swollen, Tender Lymph Nodes: Palpable lymph nodes in the
neck.
4. Fever: Elevated body temperature.
5. Erythema of the Pharynx: Redness in the throat.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

SIGNS AND SYMPTOMS

Subjective Data:
1. Sore Throat: Pain or discomfort while swallowing.
2. Difficulty Swallowing: Dysphagia due to throat inflammation.
3. Headache: Commonly associated with the infection.
4. Malaise: General feeling of discomfort or unease.
5. Cough: Sometimes present if the infection extends to the lower
respiratory tract.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

COMPLICATIONS
1. Peritonsillar Abscess: Collection of pus around the
tonsils.
2. Rheumatic Fever: An inflammatory disease that can
affect the heart, joints, skin, and brain.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

RISK FACTORS
1. Age: More common in children and adolescents.
2. Close Contact: Exposure to individuals with
respiratory infections.
3. Season: Higher incidence during the cold and rainy
4. Immune Status: Weakened immune system due to
illness or medications.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

NURSING MANAGEMENT
Assessment
Perform a thorough throat examination, noting the appearance of
the tonsils, presence of exudates, and erythema.
Measure and record vital signs, including temperature.
Assess for difficulty swallowing, cough, and associated symptoms.
Hydration and Comfort Measures:
Encourage increased fluid intake to prevent dehydration.
Provide throat lozenges, warm saline gargles, and pain relievers to
alleviate discomfort.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

Isolation Precautions:
Implement precautions to prevent the spread of infection,
especially if the cause is bacterial.
Medication Administration:
Administer antibiotics if the cause is bacterial (e.g., penicillin or
amoxicillin).
Administer antipyretics and analgesics for fever and pain relief.
Patient Education:
Instruct the patient on the importance of completing the full course
of antibiotics.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

Educate on symptom management, including rest and adequate

hydration.
Emphasize the need for good hand hygiene to prevent the spread
of infection.
Monitoring and Complication Prevention:
Monitor for signs of complications such as peritonsillar abscess or
worsening symptoms.
Educate on seeking prompt medical attention if complications
arise.
 ACUTE TONSILLOPHARYGITIS
CASE ANALYSIS

Follow-up:
Schedule follow-up appointments to assess response to treatment
and monitor for complications.