a28 yrs old lady having fever since 20 days with headache ... all blood test c.b.c.,widal,l.f.t.,r.f.t.,are normal I attached u.s.g abdomen which suggest acute appendicitis with few messenteric lymphnode enlargement ... please give ur valuable opinions Thanks
I agree with usg report that it is subacute subclinical appendicitis with mesenteric lymphadenopathy Meckle's diverticula is not in RIF it is alwayd on lt paraumbilical region So far complaints of pain abdomen is concerned since it is subacute and coincidental finding we can not ask for it Yes fever is concerned and ie for 20 days That is along with mesenteric lymphadenopathy does give suspicions of koch's abdomen and hence ct abdomen mt esr sos lymphnode biopsy will help.
Appendix if visualised on USG with out any abdominal pain needs evaluation. A CECT abdomen can be helpful. Considering mild interloop fluid and mesentric lymphadenitis possibilities of Abdominal tuberculosis Adenocarcinoma appendix Meckel's diverticulitis Crohn's disease Are there
It is unlikely that this patient is suffering from acute appendicitis, since she has not complained of pain abdomen , anorexia or vomiting .. Abdominal Lymphnode may be because of mesenteric adinitis . The tubular structure may be MECKELS DIVERTICULUM . CT / MRI ABDOMEN MAY THROW SOME LIGHT Antibiotics, metronidazole can be added Biopsy of abdominal lymph nodes may give a clue .
Seems to be recurrent / subacute appendicitis. Adventure.. Appendicetomy.
It is not appendicitis..do guided FNAC from lymph nodes and ascitic fluid..send for TB, almost confirm TB abdomen APPENDICITIS without pain abdomen and leukocytes : definitely not appendicitis.
Not all appendicitis presents with classical signs and symptoms. Seems recurrent/subacute appendicitis. Adv: Appendicectomy
Only treatment is apendisectomy, or it will burst causing peritonitis don't worry about lymph glands.
yes agree with @Dr. Krishnan Pichumani less likely to be appendicitis. requires CECT abdomen.
Mostly suggesting TB abdomen. Abdominal Paracentesis to confirm the diagnosis.
Give syptamatical for apedicities further evavulation for kochs abdonan do ct abdomen if chrons divercullitirs abd tb then go for it after first syptamatic
Cases that would interest you
- Login to View the image
A 15 yrs old girl came with C/O. Pain in abdomen since 3 day's No any other complain
Dr. Ansari Abuzar1 Like20 Answers - Login to View the image
13yrs boy c/o severe lower and pain in illiac region with nausea .. No tenderness Reports attached Can I give oral nd iv antibiotics or emergency surgery shld be adivised ???
Narayani Krishnamurthy1 Like19 Answers - Login to View the image
A 4 years old boy, complaining č severe pain abdo. with continuing vomiting. Rectal bleeding č fever č xerostomia. O/E Temperature 103° Pulse 110 bpm R/R 28 bpm Spo2 84% Chest B/L clear
Dr. Maqusud Ansari2 Likes14 Answers - Login to View the image
A 12 yr old girl c/o Abdominal pain since 5 to 6 days vomiting 2 time Usg report here please suggest diagnosis and treatment
Dr. Nayan Baman4 Likes15 Answers - Login to View the image
9years child regular 15days Fever,Nesia-Vomiting & abdomen mild pain...? Digonisis and Management please..?
Dr. Manoj Kumar8 Likes27 Answers
2 Likes