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ENT FMGE 2018 98e873c3

A patient presented with 2 days history of fever. On examination there was a swelling in the neck and one side tonsil was pushed to midline. What is the most likely diagnosis:-

A
Quinsy
B
Parapharyngeal abscess
C
Retropharyngeal abscess
D
Tonsillitis
High-Yield Explanation
In the history of the patient it's given that the tonsil is pushed to the midline and there is a swelling in the neck, this is the typical clinical picture of parapharyngeal abscess. Option A: in the case of quinsy H/O seven pain in throat, odynophagia (difficulty in swallowing) is given & the tonsils an enlarged congested reaching midlineHot potato voice/muffled voice- Quinsy- Para pharyngeal abscess- Acute epiglottitis

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