ANAMNESIS / SYMPTOMS:
A 20 year old patient sees the doctor because of bilateral pain on deglutition. The palatine tonsills are bilaterally enlarged, reddened and show purulent stipples. The patient has fever.


FINDINGS:
In the submandibular region the left sided palatine tonsil shows as clearly enlarged and borders in the aboral direction on the base of the toungue and the tongue. Altogether the tonsil is very well definable from the surrounding tissue. There is no indication of an echofree tumour. The base of the tongue and submandibular gland are without pathological findings.


DIAGNOSIS:
The patient suffers from an acute tonsillitis. There is no indication of a peri- or intratonsillar abscess.


DIFFERENTIAL DIAGNOSIS:
Tumour of the tonsil



Informations on the internet:

1) Medicine Worldwide
2) AWMF