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N Clinical Signs G Erythremic, exudative palatine tonsils G Tonsilloliths G Trismus G Cervical adenopathy G Palatal petechiae (infectious mononucleosis) 546 Handbook of OtolaryngologyfiHead and Neck Surgery Symptoms G Halitosis G Sore throat G Odynophagia G Purulent rhinorrhea G Postnasal drip G Nasal obstruction G Fever Differential Diagnosis G Adenotonsillar hypertrophy G Acute pharyngitis (bacterial or viral) G Peritonsillar abscess G Infectious mononucleosis G Lymphoma, leukemia, or different neoplasm (unilateral/asymmetric tonsillar enlargement) N Evaluation Physical Exam In the head and neck exam, concentrate on examination of the oral cavity, inspection of palatine tonsils on the lookout for enlargement, erythema, peritonsillar cellulitis, abscess, and exudates. 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