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What is management in acute or chronic tonsillitis by heading of investigation under which blood urine and special investigation then medical line of treatment with drugs its dose route and frequency and then surgical line of treatment by name of sx and in detail steps of surgery in flow chart fashion starting from consent to end of procedure and what post op instructions you will give to the patient in both english and local marathi language, make ppt of it with lots of diagrams, endoscopic and schematic and colourful chats

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tonsillectomy surgery steps diagram endoscopic tonsillitis investigation blood test

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Your presentation is ready for download:

Tonsillitis Management

Presentation · PPTX

Here is a full summary of everything included in the 14-slide PPT:

What's Inside (Slide by Slide)

SlideContent
1Title Slide - Bold dark navy design with teal/coral accents
2Anatomy & Overview - Waldeyer's ring diagram (schematic boxes), Acute vs Chronic comparison table
3Blood Investigations - 3-column colour-coded layout: Routine Blood / Special Blood / Pre-op Blood
4Urine & Special Investigations - Urine R/E, Post-streptococcal GN screen, Throat swab, RADT, CT, Biopsy, Polysomnography, Nasopharyngoscopy
5Medical Treatment Table - 10 drugs with Dose, Route, Frequency, Indication (colour-coded by drug class)
6Indications for Surgery - Absolute vs Relative boxes + full Paradise Criteria comparison table
7Surgical Flowchart Part 1 (Steps 1-8) - Consent → Positioning → Incision → Capsule identification → Sub-capsular dissection
8Surgical Flowchart Part 2 (Steps 9-16) - Pedicle division → Haemostasis → Techniques → Extubation → Discharge criteria
9Surgical Techniques Comparison - Cold Steel vs Bipolar Diathermy vs Coblation® vs Laser, with NPTA bleed-rate statistics
10Post-op Complications - 6 timed complication cards (Primary/Secondary haemorrhage, Pain, Airway obstruction, VPI, Dental injury)
11Post-op Instructions — ENGLISH - Diet, Pain relief, Activity, Emergency warning signs, Follow-up, What to avoid
12Post-op Instructions — MARATHI (शस्त्रक्रियेनंतरच्या सूचना) - All sections fully translated
13Complete Management Algorithm - Full flowchart: presentation → investigation → viral/bacterial decision → Paradise criteria → surgery → follow-up
14References - Bailey & Love, Scott-Brown, KJ Lee, Cummings, NPTA, SIGN guidelines

Key Clinical Content Highlights

Investigations:
  • Blood: CBC (neutrophilia = bacterial; lymphocytosis + 10% atypicals = EBV), ESR, CRP, Monospot (85% sensitive, 100% specific), ASO titre, pre-op coagulation profile, blood crossmatch
  • Urine: R/E for pre-op screen + post-streptococcal GN detection (haematuria, proteinuria), urine βHCG pre-GA
  • Special: Throat swab C&S, RADT (rapid antigen detection), CT neck for abscess, biopsy for asymmetric tonsil, polysomnography for OSA
Medical Treatment:
  • Penicillin G → Penicillin V oral step-down (1st line GABHS)
  • Macrolide (Clarithromycin) for penicillin allergy
  • Dexamethasone single dose for severe oropharyngeal oedema
  • Paracetamol + NSAIDs for analgesia
  • Never Ampicillin/Amoxicillin in EBV (causes diffuse rash)
Surgery - Tonsillectomy:
  • Consent → GA + Boyle-Davis gag → Rose position → anterior pillar incision → sub-capsular blunt dissection → lower pedicle division → bipolar haemostasis / ligation → bilateral → lateral (tonsillar) position for extubation
  • Cold steel + ties = gold standard (lowest secondary bleed at 1.0%)
Post-op Instructions in both English and Marathi covering diet, pain, activity restrictions, danger signs for bleeding, and follow-up.

make the pdf same as the ppt as ppt is not opening

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Your PDF is ready - converted directly from the PPTX using LibreOffice, so all colours, shapes, tables, flowcharts, and the Marathi text are preserved exactly:

Tonsillitis Management

PDF Document · PDF

The PDF is 318 KB and contains all 14 slides:
  • Slide 1: Title (dark navy design)
  • Slides 2-4: Anatomy, Blood tests, Urine & Special investigations
  • Slide 5: Medical treatment drug table
  • Slides 6-8: Indications + Surgical flowcharts (Steps 1-16)
  • Slide 9: Technique comparison chart (Cold Steel vs Coblation vs Diathermy)
  • Slide 10: Post-op complications
  • Slide 11: Post-op instructions in English
  • Slide 12: Post-op instructions in Marathi (मराठी)
  • Slide 13: Full management algorithm flowchart
  • Slide 14: References

create the ppt in formate that i can downloadas previous ppt needed repair

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