Epididymo_Orchitis_Flashcards
When should you consider admitting a patient with Epididymo-Orchitis to the hospital?
Consider admitting to hospital if the patient is systematically unwell, has diabetes, or is immunocompromised.
What specialist should urgently assess a patient with Epididymo-Orchitis?
A sexual health specialist should urgently assess the patient.
What is the most likely cause of Epididymo-Orchitis in patients under 35 years old?
Sexually transmitted infections are the most likely cause in patients under 35 years old, especially if they have had one or more sexual partners in the last 12 months or have urethral discharge.
What symptoms suggest a gonorrhoeal infection in Epididymo-Orchitis?
Previous gonorrhoeal infection, purulent urethral discharge, men who have sex with men, and Black ethnicity suggest a gonorrhoeal infection.
What factors are associated with enteric organisms causing Epididymo-Orchitis?
Age over 35 years, low-risk sexual history, history of penetrative anal sex, and recent catheterisation are factors associated with enteric organisms causing Epididymo-Orchitis.
What supportive management measures are recommended for Epididymo-Orchitis?
Supportive management measures include bed rest, scrotal elevation, and simple analgesia. If the patient is systemically unwell with a high-grade fever, IV antibiotics and fluids are required.
What is the empirical antibiotic treatment for STI-related Epididymo-Orchitis?
The empirical antibiotic treatment for STI-related Epididymo-Orchitis is ceftriaxone 1g IM single dose plus doxycycline 100mg PO TDS for 14 days.
What is the empirical antibiotic treatment for non-STI chlamydia or non-gonococcal organisms?
The empirical antibiotic treatment for non-STI chlamydia or non-gonococcal organisms is doxycycline 100mg PO TDS for 14 days.
What antibiotics are recommended for Epididymo-Orchitis caused by enteric organisms?
For enteric organisms, quinolones such as ofloxacin or levofloxacin are recommended.
What is the recommended management for Epididymo-Orchitis caused by mumps?
Supportive management is recommended for Epididymo-Orchitis caused by mumps.
What are possible complications of Epididymo-Orchitis?
Possible complications of Epididymo-Orchitis include abscess formation, infertility, and chronic pain.
What are the preventive measures for complications of Epididymo-Orchitis?
Preventive measures include prompt treatment and supportive measures.
