Q:

A 20 year old man presents with painful swallowing. Examination: trismus and unilateral enlargement of his tonsils. The peritonsilar region is red, inflamed and swollen. What is the most appropriate treatment?

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A 20 year old man presents with painful swallowing. Examination: trismus and unilateral enlargement of his tonsils. The peritonsilar region is red, inflamed and swollen. What is the most appropriate treatment?


  1. Oral antibiotics
  2. IV antibiotics and analgesics
  3. I&D with antibiotics
  4. Analgesics with antipyretics
  5. Tonsillectomy

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The key is C. I&D with antibiotics. [The dx is peritnsillar abscess and tx is I&D with antibiotics].

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