Chronic tonsillitis

Aetiology :

1. Repeated attack of acute tonsillitis
2. Inadequate treatment
3. Repeated and persistence of infection in the nose and paranasal sinuses

Clinical features :

Symptoms :

1. Recurrent sore throat
2. Difficulty in swallowing
3. Bad smell( Halitosis)
4. Hawking

Signs : Four cardinal signs

1. Tonsils – hypertrophied or atrophied.
2. Congested anterior pillars.
3. Inspissated pus will come out from tonsils on giving pressure by tongue depressor.

Both the jugulo-digastric lymph nodes are enlarged and tender

Diagnosis :

1. From history
2. From Signs

Investigations :

For treatment purpose and for general anaesthesia. Not for diagnosis.

Treatment : Tonsillectomy under general anaesthesia.