Mesenteric lymphadenitis: Difference between revisions
(Created page with "==Background== ==Clinical Features== ==Differential Diagnosis== ==Workup== ==Management== ==Disposition== ==See Also== ==External Links== ==Sources== <references/> ...") |
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<languages/> | |||
<translate> | |||
==Background== | ==Background== | ||
*Inflammation of mesenteric lymph nodes | |||
*Frequently mistaken for appendicitis | |||
==Clinical Features== | ==Clinical Features== | ||
*[[Special:MyLanguage/RLQ pain|RLQ pain]], frequently confused with [[Special:MyLanguage/appendicitis|appendicitis]] | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
== | </translate> | ||
{{Abd DDX RLQ}} | |||
<translate> | |||
==Evaluation== | |||
*Frequently found on abdominal CT (when ruling out [[Special:MyLanguage/appendicitis|appendicitis]]) | |||
==Management== | ==Management== | ||
===Uncomplicated/mild=== | |||
*Supportive care (do NOT require antibiotics) | |||
===Mod-severely ill=== | |||
*Cover for [[Special:MyLanguage/Yersinia|Yersinia]] | |||
**[[Special:MyLanguage/Ciprofloxacin|Ciprofloxacin]] and/or [[Special:MyLanguage/TMP-SMX|TMP-SMX]] | |||
==Disposition== | ==Disposition== | ||
Normally discharged home, unless: | |||
*Significant volume depletion | |||
*Significant [[Special:MyLanguage/electrolyte imbalance|electrolyte imbalance]] | |||
*[[Special:MyLanguage/Sepsis|Sepsis]] | |||
==See Also== | ==See Also== | ||
*[[Special:MyLanguage/RLQ pain|RLQ pain]] | |||
==External Links== | ==External Links== | ||
== | |||
==References== | |||
<references/> | <references/> | ||
[[Category:GI]] | [[Category:GI]] | ||
</translate> | |||
Latest revision as of 23:45, 4 January 2026
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
See Also