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May 19, 2013
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Tonsillitis (cont.)

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Tonsillitis Diagnosis

The doctor will conduct a physical examination. Sore throats caused by viruses may look exactly like those caused by bacteria.

The doctor looks for these conditions:

  • Signs of infection (redness, discharge, swollen lymph glands)
  • Abscess (a shift in one tonsil toward the center and a shift of the uvula away from the infected side)
  • Airway compromise (muffled speech, drooling, and inability to swallow)
  • The doctor may order diagnostic tests that will look for strep infection. In some cases, the doctor may start antibiotic treatment without tests.
  • If the doctor performs a rapid diagnostic test with a swab specimen from the back of the throat, positive results for strep throat may be available during the office visit. However, it typically takes 24-48 hours to confirm rapid test results of a bacterial infection.
  • Rarely, other conditions such as diphtheria, a foreign body, or cancer may start with a sore throat. If an abscess or a more worrisome condition (cancer, diphtheria) appears to be present, the doctor may consult an ear, nose, and throat specialist.

Must Read Articles Related to Tonsillitis

Peritonsillar Abscess
Peritonsillar Abscess A peritonsillar abscess forms in the tissues of the throat next to one of the tonsils. An abscess is a collection of pus that forms near an area of infected .....learn more >>
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Sore Throat Sore throats are generally named for the anatomical site affected. The pharynx, tonsils, adenoids, larynx, and epiglottis. Sore throat treatment depends on the ...learn more >>

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Read What Your Physician is Reading on Medscape

Tonsillitis and Peritonsillar Abscess »

In the first century AD, Celsus described tonsillectomy performed with sharp tools and followed by rinses with vinegar and other medicinals.

Read More on Medscape Reference »


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