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Mesenteric adenitis compared with acute appendicitis

Authoring team

Below is a table with clinical features that help with the clinical discrimination between acute appendicitis and mesenteric adenitis. These features will however only provide a guide for the probable cause of a particular clinical presentation.

ACUTE APPENDICITIS

MESENTERIC ADENITIS

temperature

37-38 degrees C

above 38 degrees C

pharyngitis, cervical adenitis

not present

present

headache

not present

present

abdominal pain

present+

present

guarding

present

present

shifting tenderness

not present

present

vomiting

present/not present

not present

rebound tenderness

present

not present

 


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