20. Choice C is the correct answer. It is not unusual for patients with appendicitis to have white cells in there urine given the close proximity of the ureter to the appendix when it gets inflamed. It is important to take this a little more series in male patients, especially those who are older. It would be unusual to have WBC in the urine with mesenteric adenitis but possible. Usually there is a preceding viral URI prior to the onset of abdominal pain. Sending the child home on bactrim is not appropriate, he needs to be observed closely.
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