Epididymitis and orchitis Flashcards
1
Q
define Epididymitis and orchitis ?
A
inflammation of the epididymis or testes usually caused by a bacterial infection
2
Q
what is the most common cause of Epididymitis and orchitis in young men?
A
Chlamydia and Gonococcus
3
Q
what is a viral cause of Epididymitis and orchitis?
A
o Mumps
4
Q
presenting symptoms of Epididymitis and orchitis?
A
- Painful, swollen and tender testis or epididymis
- Penile discharge
- Associated hydrocele
5
Q
signs of epididymitis and orchitis ?
A
- Elevation of the affected testicle relieves pain (Prehn’s sign positive)
- Pyrexia
- Eliciting a cremasteric reflex may be painful
- Scrotum and epididymus may be erythematous and oedematous
6
Q
what will the bloods show?
A
o FBC - high WCC
o High CRP
o U&Es
7
Q
what should be done to the urine?
A
o Early morning urine collections for MC&S
8
Q
medical management?
A
o Antibiotics
9
Q
surgical management?
A
o Exploration of testicles to exclude torsion
10
Q
complications?
A
- Fournier’s gangrene
- Mumps orchitis
- Pain
- Abscess
11
Q
progosis
A
good if treated
