Write me a case presentation on adenotonsillitis for my ent practical’s for 100 marks KUHS format please include the investigation, management and complications and related anatomy
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KUHS ENT practical case presentation format 100 marks adenotonsillitis
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KUHS clinical case presentation format ENT practical examination structure marks distribution
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KUHS ENT practical examination format case presentation marks adenotonsillitis
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This is a complete KUHS-format case presentation structured for 100 marks. Here are some key points to remember when presenting this in your practical:
High-yield viva points examiners love:
- Waldeyer's ring components - name all 5 in order
- Mackenzie's grading of tonsils (Grade I-IV) - mention Grade III tonsils meeting the midline is "kissing tonsils"
- Paradise criteria for tonsillectomy - the numbers matter (7/5/3 rule)
- Drug to AVOID in EBV: Ampicillin/Amoxicillin causes rash in 90% of patients
- Lemierre's syndrome - rare but examiners love testing it
- Type B tympanogram = flat = OME (glue ear)
- Irwin Moore's/Squeeze test for chronic tonsillitis
- External palatine (paratonsillar) vein - important surgical anatomy
Key nerve for referred otalgia: Glossopharyngeal nerve (CN IX) via its tympanic branch (Jacobson's nerve) - stimulation of CN IX in the throat refers pain to the ear. This is why patients with tonsillitis complain of ear pain.
Antibiotic of choice: Benzylpenicillin / Phenoxymethylpenicillin (Penicillin G/V) - GABHS remains universally penicillin-sensitive.
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