UTIsss orchitis.txt

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Author:
dohertys
ID:
163923
Filename:
UTIsss orchitis.txt
Updated:
2012-07-25 11:58:47
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Family Medicine
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Family Medicine
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  1. Clinic Infections - Urithristis
  2. 35 y/o M with L testicular swelling and pain with +ive Chlamydia urethral swab - Dx?
    Epidimo-orchitis
  3. Important DDx for testicular swelling to consider?
    Testicular torsion
  4. Other less pressing DDx to consider for testicular swelling?
    Incarcerated hernia, testicular tumor (w inflammatory reaction), rarely - amiodarone rxn, TB, vasculitis
  5. Usual presentation of testicular torsion
    Younger males/teens and sudden onset
  6. 3 most common pathogens causing epididimo-orchitis?
    1) Chlamydia 2) Gonorrhea 3) E Coli (2º to prostatitis, M>35)
  7. Most common orchitis pathogen in older men?
    E Coli - 2º to prostatitis
  8. What should be ordered in all men with epididimo-orchitis?
    STI testing, Urine culture
  9. How do you treat epididimo-orchitis with +ive Chlamydia test?
    • DON'T TREAT AS SIMPLE CHLAMYDIA INFECTION! THIS IS A COMPLICATED STI
    • Doxycycline 100mg PO BID x 10-14days, Ceftriaxone 250mg IM x 1
  10. If the patient were 55, not had previous Chlamydia result - how would you treat their epididimo-orchitis?
    • Treat them for UTI/bacterial prostatitis - 2 week duration for men.
    • i.e. Ciprofloxacin 500mg PO BID x 2 weeks

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