Epididymo-orchitis Flashcards
1
Q
Epididymo-orchitis Aetiology (Incl. Acute Orchitis)
A
- If under 35 most often due to STIs
- If over 35 most often due to non-sexually transmitted e.g. E.coli, pseudomonas
- Mumps
- Extrapulmonary TB
- Behçet’s
Acute Orchitis
- Infective
- Trauma
- Idiopathic
2
Q
Epididymo-orchitis RFs
A
- Gonorrhoea and other STIs
- Instrumentation and catheters
- Structural or functional abnormalities e.g. stricture
- Anal intercourse
- Reflux of infected urine, e.g. Valsalva with full bladder, strenous exertion with no opportunity to void
3
Q
Epididymo-orchitis Presentation
A
- Unilateral scrotal pain and swelling with acute onset
- If STI may be urethritis or discharge
- Mumps usually presents with headache, fever, parotid swelling
4
Q
Epididymo-orchitis Differentials
A
- Torsion
- Tumour
- Hydrocele
5
Q
Epididymo-orchitis Investigations
A
- G stained urethral smear
- Swab for STIs
- Urine NAAT for STIs
- Miscroscopy and culture of MSU
6
Q
Epididymo-orchitis Management
A
- Treat cause
- Start empirical therapy before results, depending on suspected cause (e.g. chlamydia or gonorrhoea antibiotics)
- NSAIDS
- Refer to GUM if STI
