Mesenteric lymphadenitis: Difference between revisions
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==Background== | ==Background== | ||
*Inflammation of mesenteric lymph nodes | |||
*Frequently mistaken for appendicitis | |||
==Clinical Features== | ==Clinical Features== | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Abd DDX RLQ}} | |||
==Workup== | ==Workup== | ||
==Management== | ==Management== | ||
*Mild/uncomplicated | |||
**Supportive care (do NOT require antibiotics) | |||
*Mod-severely ill | |||
**Cover for [[Yersinia]] | |||
==Disposition== | ==Disposition== | ||
Normally discharged home, unless: | |||
*Significant volume depletion | |||
*Significant electrolyte imbalance | |||
*Sepsis | |||
==See Also== | ==See Also== | ||
Revision as of 17:41, 26 October 2014
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
Workup
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