acute pharyngitis

Introduction

Introduction to acute pharyngitis Acute pharyngitis (acutepharyngitis) is the pharyngeal mucosa and affects acute inflammation of the submucosal and lymphoid tissues, often secondary to acute rhinitis or acute tonsils or as part of an upper respiratory tract infection. It is also often a local manifestation of a systemic disease or a pre-existing symptom of an acute infectious disease. Often due to cold, excessive fatigue, excessive alcohol and tobacco, etc., the systemic and local resistance decreased, and the pathogenic microorganisms took advantage of the disease to cause the disease. According to the acute onset, pharyngeal pain, diffuse hyperemia of the pharyngeal mucosa, the diagnosis of this disease is not difficult. The prodromal period of some acute infectious diseases (such as measles, scarlet fever, flu and whooping cough) has symptoms and signs similar to acute pharyngitis, and should be identified. For children, patients should pay attention to the mucous membranes of the cheeks and the skin of the whole body to prevent misdiagnosis. basic knowledge Sickness ratio: 60% Susceptible people: no specific population Mode of infection: non-infectious Complications: otitis media, sinusitis, laryngitis, abscess

Cause

Causes of acute pharyngitis

Reduced resistance (30%):

Often due to cold, excessive fatigue, excessive alcohol and tobacco, etc., the systemic and local resistance decreased, and the pathogenic microorganisms took advantage of the disease to cause the disease. Excessive fatigue refers to a sub-healthy state that is exhausted due to excessive working hours, excessive labor intensity, and excessive psychological stress. The biggest hidden danger is that the diseases that cause the body to hide are rapidly deteriorating. For example, the deterioration of underlying diseases such as hypertension causes acute circulatory disorders such as cerebrovascular disease or cardiovascular disease, and even fatal symptoms. This sudden death caused by chronic fatigue is also "overwork death."

Malnutrition (20%):

Malnutrition in a broad sense should include both undernutrition or deficiency and overnutrition, and the present is only discussed. Malnutrition often occurs in a number of medical and surgical causes, such as chronic diarrhea, short bowel syndrome, and malabsorption. The non-medical reasons for malnutrition are poor eating habits, lack of nutritional knowledge, and parents neglecting scientific feeding methods.

Chronic disease (20%):

Suffering from chronic heart, kidney, joint disease, poor living and working environment, frequent exposure to high temperature, dust, harmful irritating gases, etc., the pathogenic microorganisms are mainly hemolytic streptococcus, pneumococci, influenza bacilli and virus.

Prevention

Acute pharyngitis prevention

(1) Enhance physical fitness and prevent colds.

(2) Timely and reasonable treatment of acute rhinitis and respiratory diseases.

(3) Non-smoking wine, do not eat spicy food, keep the mouth clean.

(4) Avoid dust, smoke, and irritating gases.

Complication

Acute pharyngitis complications Complications otitis sinusitis laryngitis abscess

Common acute upper and lower respiratory tract inflammation, otitis media, sinusitis, laryngitis, posterior pharyngeal abscess and kidney disease in infants and young children.

Symptom

Acute pharyngitis symptoms Common symptoms Dry throat and burning sensation Joint pain, loss of appetite, throat, lymphoid follicle hyperplasia

The onset is urgent. The pharynx is dry and hot at the beginning, followed by pain, aggravated when swallowed, and can be radiated to the ear, sometimes malaise, joint acidity, headache, loss of appetite, and varying degrees of fever.

Examine

Acute pharyngitis examination

The oropharynx mucosa is acutely diffusely congested and swollen. Lymphatic follicular bulging and congestion of the posterior pharyngeal wall. When the pharyngeal lateral cord is involved, it can be seen that the outer wall of the oropharynx has a longitudinal strip-like bulge and is also congested. When the infection is heavier, edema may appear in the uvula and soft palate. The mandibular angle lymph nodes can be swollen and accompanied by tenderness. The severity of this disease is related to a variety of factors. If it is a virulence bacterial infection, the total number of white blood cells and neutrophils in the surrounding blood is high, and its systemic symptoms are severe. In order to clarify pathogenic bacteria, throat swab culture and bacterial susceptibility testing are often used.

Diagnosis

Diagnosis and diagnosis of acute pharyngitis

diagnosis

According to the acute onset, pharyngeal pain, diffuse hyperemia of the pharyngeal mucosa, the diagnosis of this disease is not difficult. The prodromal period of some acute infectious diseases (such as measles, scarlet fever, flu and whooping cough) has symptoms and signs similar to acute pharyngitis, and should be identified. For children, patients should pay attention to the mucous membranes of the cheeks and the skin of the whole body to prevent misdiagnosis.

Differential diagnosis

(1) Identification with tonsillitis: The sore throat and systemic symptoms of acute tonsillitis are more serious than acute pharyngitis. The tonsils are swollen and purulent, and the pharyngeal mucosa is affected, but the lymphoid follicles have no suppuration.

(2) Identification with pharyngeal diphtheria: The symptoms of pharyngeal diphtheria systemic poisoning are obvious, the spirit is wilting, the gray and white pseudomembrane can be seen in the pharynx, and the diphtheria bacillus can be found by taking the secretion examination.

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