Patient presents with complaints of sore throat, difficulty swallowing (dysphagia), and enlarged tonsils.  On examination, the tonsils appear erythematous and enlarged, with or without tonsillar exudates.  The patient may also exhibit symptoms such as fever, headache, cervical lymphadenopathy, and odynophagia.  The differential diagnosis includes viral tonsillitis, bacterial tonsillitis, streptococcal pharyngitis, infectious mononucleosis, and peritonsillar abscess.  A rapid strep test andor throat culture may be performed to rule out streptococcal infection.  Treatment for swollen tonsils depends on the underlying cause.  Supportive care such as rest, fluids, and pain management with over-the-counter analgesics like ibuprofen or acetaminophen may be recommended.  If a bacterial infection is confirmed, antibiotics may be prescribed.  In cases of recurrent tonsillitis or significant airway obstruction, tonsillectomy may be considered.  Patient education regarding proper hygiene and symptom management was provided.  Follow-up is recommended to monitor symptom resolution and evaluate for any complications.  ICD-10 codes J03.9 (Acute tonsillitis, unspecified) or J35.0 (Chronic tonsillitis) may be applicable depending on the clinical presentation.  CPT codes for evaluation and management (e.g., 99202-99215) or procedures (e.g., 42820 for tonsillectomy) should be used as appropriate for billing purposes.