Mesenteric lymphadenitis: Difference between revisions
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==Clinical Features== | ==Clinical Features== | ||
*[[RLQ pain]], frequently confused with [[appendicitis]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
===Uncomplicated/mild=== | |||
*Supportive care (do NOT require antibiotics) | |||
===Mod-severely ill=== | |||
*Cover for [[Yersinia]] | |||
**[[Ciprofloxacin]] and/or [[TMP-SMX]] | |||
==Disposition== | ==Disposition== | ||
Normally discharged home, unless: | Normally discharged home, unless: | ||
*Significant volume depletion | *Significant volume depletion | ||
*Significant electrolyte imbalance | *Significant [[electrolyte imbalance]] | ||
*Sepsis | *[[Sepsis]] | ||
==See Also== | ==See Also== | ||
*[[RLQ pain]] | |||
==External Links== | ==External Links== | ||
Latest revision as of 12:56, 14 March 2018
Background
- Inflammation of mesenteric lymph nodes
- Frequently mistaken for appendicitis
Clinical Features
- RLQ pain, frequently confused with appendicitis
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
Uncomplicated/mild
- Supportive care (do NOT require antibiotics)
Mod-severely ill
- Cover for Yersinia
- Ciprofloxacin and/or TMP-SMX
Disposition
Normally discharged home, unless:
- Significant volume depletion
- Significant electrolyte imbalance
- Sepsis