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Wednesday, April 20, 2011

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33 year old female suffered an attack of acute follicular tonsillitis for days. The pain in her throat started now to localize unilaterally on the left side with ear ache in the left ear. She has diffculty in opening her mouth.

(a) what is the possible diagnosis?
chronci tonsillitis

(b) why is the pain felt in the ear?
refrred through Jackbsons nerve of glosso

(c) what other symptoms and signs do you expect in the final case?

symptoms: general : manifestation of septic focus

local: recuent acute attacks

otalgia

foetor oris

enlarged tonsils lead to

(d) What are the further complications that may occur later?
septoc focus


(e) How do you treat this cause?
tonsillectomy for bar bacterial chronicity not viral chronicity

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