On oropharyngeal examination, a child's enlarged tonsils extend beyond the anterior pillars but do not reach the midline or touch the uvula. According to the Brodsky grading system, this corresponds to:
- A Grade 2 ✓
- B Grade 1
- C Grade 3
- D Grade 4
Correct answer: A. Grade 2
Explanation
In Brodsky grading, Grade 1 tonsils are confined to the tonsillar fossa within the pillars, Grade 2 extend beyond the pillars but occupy less than half the oropharyngeal width without reaching the uvula, Grade 3 reach close to the uvula occupying more than half the width, and Grade 4 tonsils are kissing and obstruct the airway. The described finding, extension beyond pillars without approaching the midline, is precisely Grade 2.
Reference: Dhingra's Diseases of Ear, Nose and Throat, 8th ed.
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Written and medically reviewed by the StethoPrep medical team.