GU Infections

Question 1

tender scrotal mass
Intact cremasteric reflex
+/- dysuria, frequency

Answer 1

Acute epidydimitis

Question 2

Severe testicular pain after prodrome (fever myalgia etc) and parotitis

Answer 2

Mumps

Question 3

Most common bug of epididymitis in age <35

Answer 3

STIs (chlamydia, gonorrhea)

Question 4

Most common bug in epididymitis in age >35

Answer 4

Ascending coliform bacteria (E coli) from bladder outlet obstruction

Question 5

Pyelonephritis
Urinalysis pH >8
Renal calculus

Answer 5

Urease-producing organism: Proteus mirabilis or Klebsiella pneumoniae

Question 6

<12hr after initial tx of early syphilis

Fever, headache, myalgia, rigors, sweating, hypotension, worsening of syphilitic rash

Answer 6

Jarisch-Herxheimer reaction (due to rapid destruction of spirochetes)
Resolves within 48hr

Question 7

Oyster ingestion or wound infection
Increased risk in those w/ liver disease
Rapidly progressive (<12hr): septicemia, cellulitis

Answer 7

Vibrio vulnificus (gran neg in marine environments)
-> IV ceftriaxone and doxycycline