Handwritten lecture on peritonsillar abscess (Quinsy) for USMLE Step 2. Will be covering anatomy, pathophsyiology, clinical signs and symptoms, treatments and complications.

PATHOPHSYIOLOGY of Quinsy
Usually secondary to tonsilitis.

CLINICAL SIGNS AND SYMPTOMS of Quinsy
Signs and symptoms are similar to tonsilitis.
Common to both conditions include odynophagia, halitosis, fever, constitutional symptoms but these tend to be more severe with peritonsillar abscess. On examination both have hyperemia of the pillar, soft palate and uvula.

Distinguishing symptoms include hot potatoe voice, unilateral throat pain, trismus, torticollis. On examination the uvula will be pushed to the opposite side.

TREATMENT of peritonsillar abscess or quinsy
Should be admitted and give IV fluids. Incision and Drainage is required because this is an abscess. Analgesics and anti-biotics. 4-6 weeks later an interval tonsilelctomy can be performed.