Tonsillitis DDx: Infectious mononucleosis more common in adolescents and unlike tonsillitis does not resolve within 1 week.

. Assoc with generalized LAD, splenomegaly, hepatomegaly, persistent weight loss and fatigue. Test: heterophile antibody test. Peritonsillar abscess more severe sx including trismus, muffled voice, a displaced uvula, enlarged displaced tonsil, with swelling of peritonsillar region. Test: needle aspiration of pus from peritonsillar swelling Retropharyngeal abscess sx like severe sore throat. Exclude with lateral xray or neck CT/US. Epiglottitis muffled voice and drooling. Stridor and difficulty breathing. CERVICAL LYMPHADENITIS: PE: - Lymph node number, location, size, shape, consistency, tenderness, mobility, and color noted. - Reactive LN are discrete, MOBILE, RUBBERY, minimally tender - Infected LN are isolated, asymmetric, tender, warm, erythematous. Less mobile and discrete than reactive. - Malignant LN are hard, fixed, or matted. Nontender. Acute bilateral LN usually due to viral illness Vs Acute unilateral LN usually due to staph aureus or GAS. Abx: clindamycin, cephalexin, or cefadroxil. For 10-14 days.