症例 challenge · ENT / Emergency · teaching

Peritonsillar Abscess (Quinsy) — Pathway · case challenge

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Case #1ENT / Emergency

📋 Case data

Airway involvement/deep neck spread?Stable, localized abscess

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Airway involvement/deep neck spread?

Any airway involvement/abscess formation?

💡 The most common deep neck infection in adolescents/young adults, usually following acute tonsillitis, polymicrobial (GABHS most common + oral anaerobes). Several days of severe unilateral sore throat + odynophagia + ipsilateral ear pain + fever, trismus (the hallmark, ~2/3, distinguishing it from simple tonsillitis), 'hot potato' voice, drooling, halitosis; exam shows the tonsil displaced inferomedially, soft palate bulging + uvula deviated to the opposite side. Diagnosis: clinical ± ultrasound/contrast CT (define extent, exclude deep neck infection).

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.