Mesenteric lymphadenitis: Difference between revisions
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{{Abd DDX RLQ}} | {{Abd DDX RLQ}} | ||
== | ==Evaluation== | ||
*Frequently found on abdominal CT (when ruling out [[appendicitis]]) | |||
==Management== | ==Management== | ||
Revision as of 12:53, 14 March 2018
Background
- Inflammation of mesenteric lymph nodes
- Frequently mistaken for appendicitis
Clinical Features
Differential Diagnosis
RLQ Pain
- GI
- Appendicitis
- Perforated appendicitis
- Peritonitis
- Crohn's disease (terminal ileitis)
- Diverticulitis (cecal, Asian patients)
- Inguinal hernia
- Mesenteric ischemia
- Ischemic colitis
- Meckel's diverticulum
- Neutropenic enterocolitis (typhlitis)
- Appendicitis
- GU
- Other
Evaluation
- Frequently found on abdominal CT (when ruling out appendicitis)
Management
- Mild/uncomplicated
- Supportive care (do NOT require antibiotics)
- Mod-severely ill
- Cover for Yersinia
Disposition
Normally discharged home, unless:
- Significant volume depletion
- Significant electrolyte imbalance
- Sepsis