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ENT FMGE 2018 6f3f4534

A 15 years old Male presented with history of fever since 2 days, unable to swallow the food with muffled voice. On examination it is noted right tonsil is shifted to midline. What is the diagnosis:

A
Quincy
B
Acute tonsillitis
C
Parapharyngeal abscess
D
Acute retropharyngeal abscess
High-Yield Explanation
if tonsil is enlarged / hyperophied and reaching midline and soft palate is moved on other side it is a case of quincy but, if tonsil itself is pushed to the midline it is a case of parapharyngeal abscess

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