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Pharyngeal Disease
Disease Pharyngeal

Images

WIKIDATA, CC BY-SA 2.5
WIKIDATA, CC BY-SA 3.0

Presentation

Coxsackieviruses A and B: These infections present similarly to herpes simplex, and vesicles may be present. If vesicles are whitish and nodular, it is known as lymphonodular pharyngitis. [web.archive.org]

The spinal presentation generally includes reduced dexterity, limb weakness, and spasticity, whereas the bulbar presentation includes dysarthria, dysphonia, dysphagia, sialorrhea, muscle atrophy, and fasciculations. [nature.com]

Michael's Hospital for suspected sleep apnoea, were invited to participate in the present study. [erj.ersjournals.com]

Inflammatory presentations may be the result of allergy, reflux disease or, rarely, neoplasm or Kawasaki disease. [aafp.org]

GAS is also more likely to be the cause of pharyngitis for children aged 5 to 15 years who present between November and May in temperate climates. [antimicrobe.org]

Immune System

  • Cervical Lymphadenopathy

    Posterior cervical lymphadenopathy is common in patients with infectious mononucleosis, and its absence makes the diagnosis much less likely. [aafp.org]

    Lymphadenopathy: Tender anterior cervical nodes are consistent with streptococcal infection, whereas generalized adenopathy is consistent with infectious mononucleosis or the acute lymphoglandular syndrome of HIV infection. [web.archive.org]

    lymphadenopathy (1 point) Tonsillar exudate (1 point) Absence of cough (1 point) A score of 0-1 makes GAS infection unlikely; a score of 4 makes it likely. [emedicine.medscape.com]

Respiratoric

  • Pneumonia

    Tagliabue C, Techasaensiri C, Torres JP, Katz K, Meek C, Kannan TR et al (2011) Efficacy of increasing dosages of clarithromycin for treatment of experimental Mycoplasma pneumoniae pneumonia. [doi.org]

    Mycoplasma pneumoniae, Chlamydia pneumoniae, and Arcanobacterium haemolyticus are other bacterial causes of pharyngitis, but these pathogens are rare. [web.archive.org]

    Mycoplasma pneumoniae, and Fusobacterium necrophorum. [en.wikipedia.org]

    Group A Streptococcus, Mycoplasma pneumoniae and Chlamydophila pneumoniae are some of the types of bacteria that are commonly responsible for causing inflammation of the pharynx. [buzzle.com]

    Pneumonia and choking are reported to be a leading cause of death[46,47]. [ghrnet.org]

  • Throat Irritation

    478.29 Irritation pharynx 478.29 Keratosis 701.1 pharyngeus 478.29 tonsillaris 478.29 Lesion(s) hypopharynx 478.29 Leukoplakia 702.8 tonsil 478.29 Nasopharyngeal - see also condition bursa 478.29 Obstruction, obstructed, obstructive nasopharynx 478.29 [icd9data.com]

    […] cc 013 Tracheostomy for face,mouth & neck diagnoses or laryngectomy without cc/mcc 154 Other ear, nose, mouth and throat diagnoses with mcc 155 Other ear, nose, mouth and throat diagnoses with cc 156 Other ear, nose, mouth and throat diagnoses without [icd10data.com]

    Habitual throat clearing or coughing could also lead to irritation of the posterior pharynx. A person who strains their voice when yelling or speaking for long periods of time may complain of a sore throat. [antimicrobe.org]

  • Stridor

    In children less than 1 year old the clinical presentation was usually classical with fever, neck swelling, stridor, and pharyngeal swelling. Significantly fewer children over 1 year had neck swelling and no child over 3 years old had stridor. [adc.bmj.com]

    In one study, only sitting erect and stridor were useful early predictors of airway compromise in the adult. 98 Other studies include dyspnea, tachypnea, stridor, retractions, and cyanosis as manifestations of advanced disease. [ahcmedia.com]

    Stridor, airway obstruction or drooling may also occur in patients with significant swelling. On physical examination there may be swelling of the face and neck, with or without erythema of the overlying skin. [antimicrobe.org]

  • Pharyngeal Hemorrhage

    […] abscess Pharyngeal bursitis Pharyngeal diverticulitis Pharyngeal dryness Pharyngeal gag reflex positive Pharyngeal hemorrhage Pharyngeal paralysis Pharyngeal spasm Pharyngeal stenosis Pharyngeal ulcer Pharyngitis keratosa Pharyngocutaneous fistula Pharynx [icd9data.com]

Gastrointestinal

  • Overeating

    This basics edition of NURSING ASSISTANT: A NURSING PROCESS APPROACH is your competency-based resource, with over 100 procedures presented in an easy to read, step-by-step format with over 1,000 photos and drawings to illustrate key skills. [web.archive.org]

    Significantly fewer children over 1 year had neck swelling and no child over 3 years old had stridor. A lateral radiograph of the neck, when performed, had a sensitivity of 88% in diagnosis. [adc.bmj.com]

    The pathways for food and air cross over in the pharynx. In addition, the auditory canal opens onto the upper part of the pharynx. The walls of the pharynx are composed of fascia and muscle layers, all lined by a mucous membrane. [myvmc.com]

  • Diarrhea

    Cough, coryza, and diarrhea are more common with viral pharyngitis. Available diagnostic tests include throat culture and rapid antigen detection testing. [aafp.org]

    Antibiotics reduce bacterial infections but they can cause diarrhea, rash and other adverse effects and communities build resistance to them. [doi.org]

Skin

  • Skin Rash

    Other symptoms may include: Fever Headache Joint pain and muscle aches Skin rashes Swollen lymph nodes (glands) in the neck Your health care provider will perform a physical exam and look at your throat. [nlm.nih.gov]

    […] has a sore throat or cold Smoking or exposure to secondhand smoke Frequent sinus infections Allergies Attending daycare Symptoms of Pharyngitis Symptoms of pharyngitis may include the following: Sore throat Fever Headache Joint pain and muscle aches Skin [everydayhealth.com]

  • Eruptions

    Convert to ICD-10-CM : 478.29 converts approximately to: 2015/16 ICD-10-CM J39.2 Other diseases of pharynx Approximate Synonyms Abscess of nasopharynx Abscess of pharynx Achalasia, cricopharyngeal Bleeding from nasopharynx Bullous eruption of pharynx [icd9data.com]

Ears

  • Otalgia

    Otalgia. Disphagia. Tonsillar bleeding. Signs: Squaemous cell carcinoma always ulcerated. Lymphoma causes unilateral enlargement of the tonsils. Investigations: Haemotological H.P for anaemia. Radiological chest X-Ray OPT for bone involvement. [members.tripod.com]

Neurologic

  • Irritability

    If your sore throat has affected your voice box (larynx), talking may lead to more irritation and temporary loss of your voice (laryngitis). Avoid infecting others. [web.archive.org]

    This is especially indicated if the membranes continue red, engorged and irritable. The Eclectic Practice of Medicine with especial reference to the Treatment of Disease, 1910, was written by Finley Ellingwood, M.D. [henriettes-herb.com]

    Pharyngeal hemorrhage Pharyngeal paralysis Pharyngeal spasm Pharyngeal stenosis Pharyngeal ulcer Pharyngitis keratosa Pharyngocutaneous fistula Pharynx or nasopharynx abscess Spasm of the cricopharyngeus muscle Subglottic lesion Swollen nasopharynx Throat irritation [icd9data.com]

    […] swelling of the throat, a pustulant fluid on the tonsils or discharged from the mouth, extremely sore throat that is felt during swallowing, swelling of lymph node s, and a slight fever; sometimes in children there are abdominal pain, nausea, headache, and irritability [britannica.com]

    Pharyngitis may also be caused by mechanical, chemical, or thermal irritation, for example cold air or acid reflux. Some medications may produce pharyngitis, such as pramipexole and antipsychotics. [en.wikipedia.org]

  • Headache

    They cause fever, headache, and sore throat that last for 4 to 14 days. Lymphatic tissue in the pharynx may also become involved. [britannica.com]

    Symptoms of headache at day three At day three of the illness, antibiotics reduced symptoms of headache (RR 0.44; 95% CI 0.27 to 0.71) ( Analysis 3.1 ). 3. [doi.org]

    Sore throat with flu: Fatigue Body aches Chills Fever higher than 102 degrees F Sore throat with mononucleosis: Enlarged lymph nodes in neck and armpits Swollen tonsils Headache Loss of appetite Swollen spleen Liver inflammation Diagnosis of Pharyngitis [everydayhealth.com]

    M pneumoniae in young adults presents with headache, pharyngitis, and lower respiratory symptoms. Approximately 75% of patients have a cough, which is distinctive from GAS infection. [web.archive.org]

Workup

Screening for vitamin B 12 deficiency, thyroid dysfunction, and syphilis must be completed in the workup for Alzheimer's disease in order to rule out potential other causes of dementia. [nature.com]

See Workup for more detail. Management Prehospital care usually is not necessary for uncomplicated pharyngitis unless airway compromise is an issue. Intubation should not be attempted unless the patient stops breathing spontaneously. [emedicine.medscape.com]

Microbiology

  • Candida

    Some cases of pharyngitis are caused by fungal infection, such as Candida albicans, causing oral thrush. Pharyngitis may also be caused by mechanical, chemical, or thermal irritation, for example cold air or acid reflux. [en.wikipedia.org]

    A wider range of organisms can cause the disease, including aspergillus, Klebsiella, and candida when the patient is immunocompromised. Although the pathogens are similar, the disease is much more aggressive in the patient with AIDS. [ahcmedia.com]

Treatment

Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.com]

Treatment of GABHS Pharyngitis JUSTIFICATION FOR TREATMENT GABHS pharyngitis is self-limited and resolves within a few days, even without treatment. 17 Arguments for antibiotic treatment include acute symptom relief, prevention of suppurative and nonsuppurative [web.archive.org]

Antibiotics versus placebo for the treatment of sore throat: incidence of complications [doi.org]

Prognosis

Early pharynx cancer detected incidentally is associated with a relatively good cancer prognosis. Involvement of lymph nodes in the region is associated with a poorer prognosis of the cancer. [myvmc.com]

Prognosis: —The prognosis is always favorable, as the disease is readily amenable to treatment. A severe attack, especially in one of feeble constitution, predisposes to future attacks from simple causes. [henriettes-herb.com]

The depth of infiltration is predictive of prognosis. T - Primary tumour Oropharynx: TX - primary tumour cannot be assessed. T0 - no evidence of primary tumour. Tis - pre-invasive cancer (carcinoma in situ). [patient.info]

Prognosis : dependent on initiating factors (cause). Pathogenesis Etiology Morphological or functional etiology with many causes, including conditions → pain, obstruction or muscular/neurological dysfunction. [vetstream.com]

Etiology

The etiology is usually infectious, with most cases being of viral origin. These cases are benign and self-limiting for the most part. [web.archive.org]

Pathogenesis Etiology Morphological or functional etiology with many causes, including conditions → pain, obstruction or muscular/neurological dysfunction. Pre-pharyngeal, pharyngeal or esophageal (post-pharyngeal). Congenital or acquired. [vetstream.com]

The precise etiology of hypotensive esophagus or hypotensive LES remains unknown in most cases. [nature.com]

Etiology: —Exposure to cold is the most common exciting cause of this form of sore throat. Damp atmosphere in the fall or spring, or when the vitality of the patient is somewhat reduced, will bring on an attack. [henriettes-herb.com]

Epidemiology

On the basis of published epidemiologic data, F. necrophorum is esti-mated to cause the Lemierre syndrome—a life-threatening suppu-rative complication—at a higher incidence than that at which group A streptococcus causes acute rheumatic fever. [citeseerx.ist.psu.edu]

It gives compreensive coverage of the epidemiology, aetiology, and mechanism of disease, as well as clear, unambiguous coverage of the diagnosis, practical management and prevention of the entire spectrum of medical disorders. [books.google.com]

A secondary aim of the study will be to compare this methodological approach, utilizing a traditional statistical and clinical epidemiological approach, with alternative methods that have been more widely used but strongly criticized by statisticians [clinicaltrials.gov]

Comparison of GABHS Guidelines Recommendation ACP (endorsed by the CDC and AAFP) AAP IDSA UKNHS Screening for acute pharyngitis Use Centor criteria (see Figure 1 ) Use clinical and epidemiologic findings to assess patient’s risk of GABHS (e.g., sudden [web.archive.org]

Pathophysiology

There are major introductory sections on the scientific basis of disease; and in the system-based clinical sections genetic predisposition, pathophysiology, pathogenesis, molecular mechanisms, and cell biology are covered in depth for all significant [books.google.com]

Pathophysiology Pain and obstruction → dysphagia by interfering with the mechanics of prehension, the formation of of the food bolus, transfer of the food bolus to the pharynx or deglutition. [vetstream.com]

Pathophysiology With infectious pharyngitis, bacteria or viruses may directly invade the pharyngeal mucosa, causing a local inflammatory response. [web.archive.org]

Based on pathophysiology, motor disorders of the smooth muscle portion of the esophagus and the LES can be due to defects in the inhibitory nerves, excitatory nerves or smooth muscles. [nature.com]

Good quality research to translate new pathophysiological insights into feasible treatment approaches and to evaluate the efficacy of these new treatments is costly and can take many years. [ghrnet.org]

Prevention

She is internationally recognized as a clinical research expert in HPV associated diseases, their prevention, early detection and treatment for the prevention of cancer. [mcancer.org]

Adding moisture to the air prevents your mucous membranes from drying out. This can reduce irritation and make it easier to sleep. [web.archive.org]

It’s important that you take the entire course of antibiotics to prevent the infection from returning or worsening. An entire course of these antibiotics usually lasts 7 to 10 days. Maintaining proper hygiene can prevent many cases of pharyngitis. [healthline.com]

The aryepiglottic folds are the main gatekeepers, while the epiglottis plays only a minor role in preventing aspiration. [radiologyassistant.nl]

Can the HPV Vaccine Prevent Oropharyngeal Cancers? The HPV vaccine was developed to prevent cervical and other cancers of the reproductive system. [cdc.gov]

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