This document provides tips for using a PowerPoint presentation on mesenteric lymphadenitis. It recommends:
1. Allowing free downloading, editing, and modification of the slides.
2. Noting that half the slides are blank except for the title to facilitate active learning sessions where students provide information to fill the blanks.
3. Showing blank slides, asking students what they know, and then showing the filled slides as a way to reinforce learning through multiple revisions.
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Tips for using a medical presentation on mesenteric lymphadenitis
1. Tips on using my ppt.
1. You can freely download, edit, modify and put your
name etc.
2. Donāt be concerned about number of slides. Half the
slides are blanks except for the title.
3. First show the blank slides (eg. Aetiology ) > Ask
students what they already know about ethology of
today's topic. > Then show next slide which enumerates
aetiologies.
4. At the end rerun the show ā show blank> ask questions >
show next slide.
5. This will be an ACTIVE LEARNING SESSION x
three revisions.
6. Good for self study also.
7. See notes for bibliography.
5. Introduction
ā¢ Mesenteric lymphadenitis refers to
inflammation of the mesenteric lymph
nodes. This process may be acute or
chronic, depending on the causative agent.
It causes a clinical presentation that is often
difficult to differentiate from acute
appendicitis
10. Etiology
Infections :Virus
ā¢ Viruses, such as coxsackieviruses (A and B),
rubeola virus, and adenovirus serotypes 1, 2, 3, 5,
and 7, have been implicated.
ā¢ Epstein-Barr virus (EBV), acute human
immunodeficiency virus (HIV) infection, and
catscratch disease (CSD).
12. Pathophysiology
ā¢ The frequent association of this condition,
especially in children with upper respiratory tract
infection, has popularized a theory that swallowed
pathogen-laden sputum may be the primary source
of infection.
ā¢ Fecal-oral transmission occurs in Y
enterocolitica infection and may present as a
common source outbreak. This infection has also
been associated with meat, milk, and water
contamination. Rarely, person-to-person or
zoonotic contacts with fecal carriers can lead to
infection.
13. Pathophysiology
ā¢ Microbial agents are thought to gain access
to the lymph nodes via the intestinal
lymphatics.
ā¢ Grossly, the lymph nodes are enlarged and
often soft. The adjourning mesentery may
be edematous, with or without exudates
ā¢ Microscopically, the lymph nodes show
nonspecific hyperplasia and, in suppurative
infection, necrosis with numerous pus cells.
16. Clinical Features
Demography
ā¢ Up to 20% of patients undergoing
appendectomy have been found to have
nonspecific mesenteric adenitis.
ā¢ The condition affects males and females
equally. Yersinia infection is more common
in boys than in girls.
ā¢ ore common in children and adolescents
younger than 15 years, and this condition
during childhood or adolescence is linked
to a significantly reduced risk of ulcerative
17. Clinical Features
Symptoms
ā¢ Abdominal pain - Often right lower
quadrant (RLQ) but may be more diffuse
ā¢ Fever, Malaise,Anorexia
ā¢ Diarrhea
ā¢ Concomitant or antecedent upper
respiratory tract infection
ā¢ Nausea and vomiting (which generally
precedes abdominal pain, as compared to
the sequence in appendicitis)
18. Clinical Features
Signs
ā¢ Fever (38-38.5Ā°C)
ā¢ Flushed appearance
ā¢ RLQ tenderness - Mild, with or without
rebound tenderness
ā¢ Voluntary guarding rather than abdominal
rigidity
ā¢ Rectal tenderness
ā¢ Rhinorrhea
24. Diagnostic Studies
Histopathology
ļ§ Lymph node specimen: In patients
subjected to laparotomy, lymph nodes may
show evidence of inflammation or
suppuration, and culture may yield a
causative organism.
28. Management
ā¢ . Patients with mild, uncomplicated
presentations do not require antibiotics, and
supportive care generally suffices.
ā¢ General supportive care includes hydration
and pain medication after excluding acute
surgical abdomen.
ā¢ Empiric, broad-spectrum antibiotics
30. Operative Therapy
ā¢ Surgery is usually indicated in suppuration
and/or abscess, with signs of peritonitis, or
if acute appendicitis cannot be excluded
with certainty.
ā¢ At laparotomy, the diagnosis is generally
clear. An appendectomy should be
performed in view of the tendency for
recurrence of lymphadenitis and the
difficulty in differentiating adenitis from
appendicitis.
31. Get this ppt in mobile
1. Download Microsoft
PowerPoint from play
store.
2. Open Google assistant
3. Open Google lens.
4. Scan qr code from
next slide.