Tonsillitis

Availability

North South North West Statewide

Pre-referral work-up

History

All referrals should comply to the referral standards and include:

  • History of condition – infection, frequency of attacks
  • History of treatment
  • History of associated features such as ear infections, snoring, sleep apnoea

Tests

  • FBE
  • IM titre (Monospot) to exclude glandular fever – but do not delay for results if Quinsy is suspected

Interim/GP management

To refer a patient with this condition, please see the ENT clinic page for the full referral process and templates.

Direct link to Health Pathways - Tonsillitis page

For more information please see the Tasmanian Health Pathways website.

Emergency

Quinsy – Severe odynophagia with trismus and presence of unilateral tonsillar displacement with uvula displacement and cervical lymphadenopathy

Tonsillar haemorrhage – post operative or spontaneous

Severe acute tonsillitis unable to tolerate fluids

Severe acute tonsillitis with noisy breathing/breathing difficulty/voice changes/severe pain

Routine / category 3

  • 6 episodes in the last 12 months
  • 4 episodes per year in the past 2 years
  • 2-3 episodes per year for the past 3 years

Red flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.

Emergency:

Proceed to Emergency Department (ED).
LGH ED Reception  – Phone: (03) 6777 6405  Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120  Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100  Fax: (03) 6173 0489

Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.

Urgent:

Urgent referrals should be accompanied by a phone call to the Consultant/Registrar to organise urgent review and the referral must be faxed.

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent:

We will endeavour to see these patients within 12 weeks

Routine:

Next available appointment