Infections

Question 1

How do you establish the presence of urethritis

Answer 1

1. Milking the urethra and getting a discharge
2. If no discharge, then getting a urethral swab which shows 2 or more PMNs/hpf

Question 2

What 2 bacterias are simultaneously tested for in urethritis? And what is the test?

Answer 2

1. Neisseria gonorrhea
2. Chlamydia trachomatis

Test: first catch urine NAATs for gonorrhea and chlamydia

Question 3

A male patient presents with unilateral testicular pain, swelling and tenderness, what is your diagnosis?

Answer 3

Epididymitis

Question 4

How do you differentiate epididymitis from torsion?

Answer 4

Torsion presents with sudden onset pain, testicle is elevated, absence of blood flor by doppler