The code for the ICD-10 is acute tonsillitis. Description, reasons and features of treatment

According to the International Classification of Diseases 10, tonsillitis is divided into acute and chronic, which stand out as independent nosological forms with their own codes: J03, J35.0.They make it possible to simplify the activities of medical workers in the treatment of patients.

Acute tonsillitis( ICD code 10 J03) or angina, is an infectious disease during which tonsils( palatine tonsils) become inflamed. It is contagious, transmitted through direct contact or through food. There is also a self-infection of microbes living in the throat. When immunity decreases, their activity rises.

Often is the causative agent of streptococcus A( may be almost all healthy people and is a threat to others), a little less often - adenoviruses, pneumo- and staphylococcus.

Acute form therapy consists in the elimination of a pathogenic microorganism, general relief of the patient's condition.

So, for what reasons does tonsillitis( sore throat) occur. The codes for the ICD 10 are indicated.

Causes of

This disease can occur due to two main factors: bacterial and viral infections. The first less often provokes the appearance of tonsillitis( about a third of all cases), it is usually a different kind of anaerobic bacteria( pneumonia, mycoplasma, chlamydia, diphtheria).The latter most often includes such viruses as adenovirus, measles virus, herpes simplex, cytomegalovirus, Epstein-Barr virus.

Acute tonsillitis is a contagious disease. The highest percentage of infection was noted in its first days. Symptoms of this pathology differ depending on what kind of tonsillitis is found in the patient. How does acute tonsillitis manifest itself( ICD code 10 J03)?

Catarrhal form

This form affects the surface of the palatine tonsils. It is one of the easiest. With proper and timely therapy, the angina will end safely. If you do not, then it will go to a more serious stage.

Catarrhal angina has the following symptoms: head and throat pain, weakness, fever. Sore throat is the main sign determining this form of tonsillitis. In order to distinguish the catarrhal form from pharyngitis, you need to know that reddening is noted on the back wall and palate.

Acute purulent tonsillitis occurs( code on ICD 10 J03.0).

Follicular variety

During the course of follicular sore throat, follicles appear that look like formations of yellow or white-yellow hue that penetrate through the inflamed mucous tonsils. In size, they are no larger than a pinhead.

If the patient has follicular tonsillitis, then his lymph nodes are enlarged, giving him painful sensations during probing. There are cases in which the follicular form of tonsillitis affects the size of the spleen. This ailment lasts about five to seven days and is characterized by symptoms such as a rise in temperature, vomiting and diarrhea, a sore throat. What else is angina? The classification of tonsillitis( ICD 10 J03) continues.

Lacunar variety

With this form, there are lacunae present in the form of whitish or purulent formations that affect the tonsillar mucosa. They are gradually increasing, affecting an increasingly larger part. However, these education data do not exceed the boundaries of the amygdala. When lacunas are removed, bleeding wounds after them do not remain. Develops lacunar angina as well as follicular, but differs in more severe course.

What else is acute tonsillitis( code on ICD 10 J03)?

Fibrous variety

This form is characterized by a continuous coating of yellow or white color. Unlike previous forms, in which tonsillitis did not go beyond the tonsils, with the fibrous variety, it can break these boundaries. The film is formed in the first hours after the onset of the disease. In acute leakage, characteristics such as headache, fever, general weakness, poor appetite are possible. Also, against the background of these symptoms, the development of brain damage is possible.

Treatment and causes of chronic tonsillitis( code on ICD 10 J35.0) will be presented below.

Reflux variety

This form is observed in very rare cases. It is characterized by such a sign as the melting of a certain area of ​​the amygdala, and only one is affected. Recognize this form is possible by the following characteristics: acute pain in the throat, weakness, chills, high salivation, a temperature reaching 38-39 degrees, unpleasant odor. During the examination of the patient, enlarged lymph nodes are found, causing the patient painful sensations from probing. In addition, reddening of the palate is observed on one side, the palatine tonsil is displaced, there is swelling. Since the mobility of the soft palate is restricted because of its inflammation, liquid food can flow through the nose. When untimely treatment on the tissues of the tonsils is formed abscess, or perintosillar abscess. An autopsy can occur either alone or through the use of surgical techniques. Let's continue the review of information about angina( acute tonsillitis).

Herpetic variety

This form of the disease is characterized by a rise in temperature, pharyngitis, vomiting, abdominal pain, the appearance of ulcers that affect either the soft palate or the posterior wall of the pharynx. The development of herpetic angina can only be affected by the Coxsackie virus. In most cases, the ailment is diagnosed in people in the summer and autumn. Infection is the result of interaction with a sick person.

The initial stage of the disease is characterized by a rise in temperature, fatigue, weakness and irritability. In the future, a person feels pain in the throat, he has a strong saliva, a runny nose and reddening on the palate, tonsils and the back wall of the pharynx. Mucous is covered with vesicles containing serous fluid. Gradually they begin to dry out, and in these places there are crusts. In addition, in the presence of herpetic tonsillitis, nausea, diarrhea and vomiting may occur. As a diagnosis, the patient is examined and referred to a blood test.

Classification of acute tonsillitis( according to ICD 10 J03) does not end there.

Ulcerative-non-drug

This form develops against the background of a decrease in immunity and vitamin deficiency. Her pathogen appears spindle-shaped rod, located in the mouth of any person. In most cases, the disease occurs in the elderly. In the risk zone, there are also those patients who have cardiac ailments. With ulcerative necrotic form, completely different symptoms are observed than those presented in previous varieties: the temperature does not increase, there is no weakness and no pain in the throat, but the patient feels that there is a foreign object in his throat and there is a bad smellfrom mouth. Upon examination, the doctor notices a green or gray plaque that covers the inflamed tonsil. If it is removed, a jaundice will appear on this site, which will bleed. Angina or acute tonsillitis in ICD 10( international classification of diseases) is code J03.9 and may be of unspecified form.

Unspecified

This form exhibits common and local manifestations. There is a ulcerative necrotic lesion affecting the mucous membrane of the upper respiratory tract. Unspecified sore throat is not an independent disease - it is only the consequence of a number of provoking factors. The signs of this illness appear throughout the day. This form is characterized by a rise in temperature, malaise, chills. If you do not start treatment, the pathological process will also affect the mucous membrane of the mouth. In this case, the inflammation will spread to the periodontal tissue, resulting in the formation of gingivitis and stomatitis.

Common symptoms of acute tonsillitis

Acute tonsillitis is characterized by the following main symptoms:

• rise to forty degrees of temperature;
• feeling of foreign object in the throat and pershenia;
• acute pain in the throat, which is worse during swallowing;
• headache;
• weakness;
• pain in the joints and muscles;
• less likely to have pain in the heart;
• lymph nodes become inflamed, resulting in unpleasant sensations in the neck during the turn of the head.

Possible complications of

Most often the disease does not have any complications, the forecasts are generally optimistic. However, in a number of cases, rheumatic fever may appear as a complication, however, this is still more an exception than a rule. In neglected form, acute tonsillitis flows into the chronic, incidentally, the defeat of the nasopharyngeal organs. Often the chronic form is accompanied by a frontitis, a genyantritis and adenoiditis in children.

In addition, complications can result from incorrect, untimely or insufficient therapy. Those patients who try to cope with the disease on their own and who do not seek help from a specialist are also at risk.

Treatment of

Therapy is directed to the effects of general and local. It turns out hyposensitizing and restorative treatment, the intake of vitamins is prescribed. In hospitalization with this disease is not necessary, except for severe forms of its course. Acute tonsillitis( ICD code 10 J03.8) should be treated exclusively under medical supervision. To combat the disease, the following measures are taken:

• if the source of the bacteria came out, antibiotics are prescribed( local remedies: Miramistin sprays, Kameton, Bioparox, Hexaliz, Lizobakt lollipops);
• pain in the throat remove drugs containing antiseptic substances: "Tantum Verde", "Strepsils";
• if there is a high fever, prescribe antipyretic;
• gargle need anti-inflammatory and antiseptic drugs: "Chlorhexidine", "Furacilin", broths of chamomile, sage;
• if there is a strong edema of the tonsils, antihistamines are prescribed.

The patient must be isolated. The mode is appointed sparing. It is necessary to adhere to a diet, to exclude sharp, cold, hot food. Recovery usually begins in ten to fourteen days.