. The practice of pediatrics. r and wateror syrup of raspberry andwater. Children who have re-peated attacks of tonsillitisshould have the tonsils enu-cleated regardless of theirsize, as diseased tonsils areportals of infection and asource of ever-present dan-ger. Cold compresses (seeFig. 24) applied to the throatare of aid to older children,who can appreciate the necessity of this measure. This form of treat-ment is described in detail under the management of acute catarrhallaryngitis. (See p. 283.) PERITONSILLAR ABSCESS (QUINSY) The seat of a peritonsillar abscess is in the cellular tissue a
. The practice of pediatrics. r and wateror syrup of raspberry andwater. Children who have re-peated attacks of tonsillitisshould have the tonsils enu-cleated regardless of theirsize, as diseased tonsils areportals of infection and asource of ever-present dan-ger. Cold compresses (seeFig. 24) applied to the throatare of aid to older children,who can appreciate the necessity of this measure. This form of treat-ment is described in detail under the management of acute catarrhallaryngitis. (See p. 283.) PERITONSILLAR ABSCESS (QUINSY) The seat of a peritonsillar abscess is in the cellular tissue about thetonsil, and the condition is due to an invasion of the parts by patho-genic bacteria, among which the streptococcus is most frequently source of the infecting agent is almost invariably a tonsil more orless diseased. The abscess may form above, in front of, or behind thetonsil. The disease is seen rather infrequently in children. I haveknown but one case in a child under six years of age. Quinsy is usually. Fig. 24.—Cold compress in position. PERITONSILLAR ABSCESS (QUINSY) 283 preceded by tbnsillitis. In none of my cases has the abscess followeddiphtheria, scarlet fever, or measles. Symptoms.—The child has tonsillitis with the usual symptoms,and in addition, greatly increased swelling of the throat and pain uponswallowing. He complains of pain in the muscles of the neck on theaffected side, and holds the head toward that side. A fairly earlysymptom is inability to open the mouth to the usual extent. In theaverage case inspection reveals a reddened, edematous swelling, slightlyabove and in front of the tonsil, causing a forward displacement of theuvula. In a few instances I have seen swelling develop behind the tonsil,in which case the tonsil on the affected side is displaced forward andappears unduly prominent. A case of this type is very apt to beoverlooked unless a digital examination is carefully made, when a soft,fluctuating swelling will readily be
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Keywords: ., bookcentury1900, bookdecade1910, bookid39002, booksubjectchildren
