___ sided peritonsillar abscess.
Normal vitals, well appearing, normal neck ROM, tolerating secretions, and protecting airway.
Unlikely PTA, RPA, Ludwigs, epiglottitis, acute HIV, strep, or EBV.
ED Tx: Aspirate abscess + Steroids
Rx: Clindamycin 300mg PO Q6hrs x10d

Disposition: Discharge with instructions for prompt ENT and primary care follow-up

PTA Aspiration
The patient’s ___ peritonsillar region was addressed.
A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient.
Topical analgesic spray was used to anesthetize the oropharynx.
At this point an 18 gauge needle was inserted into the right peritonsillar tissue and approximately 2 mLs of purulent material was drained.
The patient tolerated this procedure well and there were no complications.

• Steroids
  • Methylprednisolone 125mg IV
  • Decadron 10mg PO/IM x1