Nelson Textbook of Pediatrics 22nd Edition | Waldeyer ring, acute and chronic tonsillitis (GAS, viral), indications for tonsillectomy (Paradise criteria: โฅ7 episodes/year, โฅ5/year for 2 years, โฅ3/year for 3 years), adenoidectomy for OSA/otitis media, peritonsillar abscess, post-op complications (bleeding, dehydration), and management.
๐ paeds.online โ Pakistan's Pediatric Platform| Paradise Criteria (for tonsillectomy) | Definition |
|---|---|
| Minimum frequency of sore throat episodes: โฅ7 episodes in past year OR โฅ5 episodes/year for past 2 years OR โฅ3 episodes/year for past 3 years | |
| Clinical features (at least 1): temperature >38.3ยฐC, cervical adenopathy (>2 cm or tender), tonsillar exudate, or GAS positive | |
| Documentation: episodes substantiated in medical record, or observation of 2 episodes with consistent pattern | |
| Other indications: OSA with adenotonsillar hypertrophy, PFAPA syndrome, peritonsillar abscess, suspected malignancy (unilateral enlargement) | |