QuestionSBA
QuestionChoice
Mesenteric adenitis describes inflamed mesenteric lymph nodes. It is often preceded by a previous upper respiratory tract infection as in this case. Its' presentation is described typically here too with low-grade fever and generalised abdominal tenderness.
10005416
a
Mesenteric adenitis
QuestionChoice
Classically, acute appendicitis presents as progressive peri-umbilical pain that moves to the right iliac fossa, and not as generalised tenderness. Nausea and one to two episodes of vomiting are also common, and not present in this case.
10005418
c
Acute appendicitis
QuestionChoice
Meckel's would present similarly to appendicitis with severe pain and most commonly affects children aged approximately two years old. It can also present as painless rectal bleeding.
10005419
d
Meckel's diverticulum
QuestionChoice
Intussusception usually affects infants between 6-18 months old. It features intermittent, severe, crampy, progressive abdominal pain. There will also most likely be a palpable mass, often described as "sausage-shaped".
10005420
e
Intussusception
QuestionChoice
He is not vomiting or had a change in bowel habit, which would be expected in gastroenteritis.
10005417
b
Gastroenteritis
Concept
Chapter
2693
4402
Mesenteric adenitis
Topic
153
Paediatrics
13630
An eight-year-old boy attends the GP surgery with abdominal pain for the last six days. He is eating and drinking normally. He has no urinary symptoms and no change in bowel habit. He had experienced some upper respiratory symptoms one week ago which the advanced nurse practitioner thought was viral, but these have since subsided. Aside from this, he is generally a fit and well child with no past medical history. On examination, the abdomen is soft but mildly tender throughout. His temperature is 37.5 degrees. His chest is clear and heart sounds are normal.

Which of the following is the most likely diagnosis?
a