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there ARE many lobes to the tonsils....NM

Posted By: So WHAT IS your question.... on 2006-02-14
In Reply to: superior pole to the tonsil question. nm - still wandering

Subject: there ARE many lobes to the tonsils....NM

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Is this the right word here?  Any help appreciated.


 


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Subject: Tonsils 2-3+ bilaterally

The doctors tape is unclear and all I am catching is  the word  ULLS.  The doctor is talking about this in the HEENT part of the report.


She says the ULLS are 2-3+ bilaterally and very ereythematous.


Do you think this might be - The tonsils are 2-3+ bilaterally and very erythematous.


 


Thanks.


s/l juicy tonsils? more
Subject: s/l juicy tonsils? more

It actually sounds very clear...
"Her tonsils are a little juicy, but not inflamed."

I've never heard of juicy tonsils, have you?
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Subject: 2+ tonsils, enlarged ? NM


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ENT ? holey cryptic tonsils??? nm
Subject: ENT ? holey cryptic tonsils??? nm


Or even wholly encrypted tonsils, very hidden?? nm
Subject: Or even wholly encrypted tonsils, very hidden?? nm

s
Yep - crypts - deep pits in tonsils
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Tonsillar crypts are deep recesses found on the surface of the tonsils. Chronic tonsillitis often results from the accumulation of partially digested food debris in the depths of these crypts. When the crypts are particularly deep, the debris may actually form concretions known as tonsilloliths. Chronic tonsil inflammation associated with such debris in the crypts in most cases can be successfully managed by relatively simple oral hygiene measures designed to mechanically cleanse or irrigate the tonsils. Scheduled and regular gargling with antiseptic rinses such as Cepacol or saline-soda solutions (1/4 tsp salt, 1/4 tsp baking soda in 6-8 oz water) are helpful in many. For more difficult cases, the use of a Water-Pik device with pulsating jets of solution directed at the tonsil crypts is advised. Antibiotics may be occasionally recommended for acute exacerbations associated with bacterial colonization of the crypts, however, antibiotics are often not particularly helpful. Ultimately, if these measures fail, and if the individual is sufficiently syptomatic, tonsil removal may be recommended.


tonsils have s/l 'poitive' exudate. It is not 'positive', I do know that. Thx nm
Subject: tonsils have s/l 'poitive' exudate. It is not 'positive', I do know that. Thx nm

..
I've heard of tonsils w/erythema & cobblestoning
Subject: I've heard of tonsils w/erythema & cobblestoning

but have no idea what C&S could be other than CNS (central nervous system), culture and sensitivity, or maybe even "sinus".  This is on a physical examination?
During a tonsillectomy states tonsils removed using s/l a flat bovie?? Thanks
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Pt with AIDS under HEENT: enlarged tonsils. No evidence of "coplic" spots. nm
Subject: Pt with AIDS under HEENT: enlarged tonsils. No evidence of "coplic" spots. nm