Epididymo- orchitis Flashcards
1
Q
Define Epididymo-orchitis
A
inflammation of the epididymis and the testes
2
Q
Epididymo-orchitis causes
A
- UTI: E. coli
- STIs: NG / CT
3
Q
what type of viral infection can cause orchitis as a complication
A
Mumps
4
Q
Mumps orchitis Sx
A
- Fever
- Testicular swelling 4-8D post mumps parotitis
5
Q
Mumps orchitis complications
A
- Testicular atrophy
- Infertility
6
Q
Epididymo-orchitis Sx
A
- Unilateral scrotal pain / swelling
Assoc. Sx - urinary Sx
- Penile discharge
- LUTs
7
Q
Epididymo-orchitis examination findings
A
- Scrotal erythema / swelling
- tender on palpation
8
Q
what is Prehn’s Sign
not clinically used
A
The patient is supine and the scrotum is elevated by the examiner
- +ve (pain is relieved by elevation) = epididymo-orchitis
9
Q
Epididymo-orchitis Ix
A
- Urine dip
- Urine NAAT
10
Q
Epididymo-orchitis Mx
A
- Ofloxacin 200mg PO BD 14/7
- levofloxacin 500mg BD for 10 days
11
Q
STI Epididymo-orchitis Mx
A
Treat underlying STIs
- CT: Doxy 100mg BD 10-14D
- NG: IM single dose ceftriaxone 500mg
12
Q
Epididymo-orchitis counselling
A
abstain from sexual activity until the antibiotic course is completed and symptoms resolve
