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GU 2 - Scrotal Infections (Kanzler's Worksheet)
Terms in this set (19)
What causes epididymitis in the male under 35 years old?
What causes epididymitis in the child or older male?
What causes epididymitis in someone having anal sex?
Ecoli or Coliform
What are some clinical features of epididymitis and orchitis?
Gradual onset of:
What might you find on PE of epididymitis?
Exquisitely tender epididymitis
Possible scrotal erythema
Prehn Sign (+)
Difficulty differentiating epididymis and testicle torsion
What diagnostics are done for epididymitis and orchitis?
UA - R/O UTI, GC and Chlamydia
Scrotal Doppler US - R/O torsion, enlarged epididymis
What is the TX for epididymitis and orchitis?
Gonococcal - Ceftriaxone
Chlamydia - Azithromycin or Doxy
Other pathogens - Flouroquinalones or TMP/SMX
Anti-Inflammatories - NSAIDS
Non-Pharm - Scrotal elevation, support, ice
epididymitis infection spread to the testes
What causes orchitis in children?
What might you find on PE of orchitis?
Difficult to differentiate between epididymitis and testicle
Per the CDC, orchitis __________ causes infertility.
What is another name for Fournier's Gangrene?
Define Fournier's Gangrene.
Gangrenous bacterial infection of genital soft tissue.
What might you find on PE of Fournier's Gangrene?
Crepitus: spongy, cracking feeling on palpation - indicating gas-producing organism (anaerobic)
What are some diagnostics for Fournier's Gangrene?
Tissue & Blood Cultures
CBC: ↑ WBC
CMP: Creatinine, BUN, Lytes
What is the TX for Fournier's Gangrene?
Broad Spectrum Antibiotics
Urgent & Repeated Surgical Debridement
Fournier's Gangrene has an extremely high __________ ______________.
THIS SET IS OFTEN IN FOLDERS WITH...
GU 2 - Scrotal Masses (Kanzler's Worksheet)
GU 2 - Prostate Conditions (Kanzler's Wo…
GU 2 - Testicular Torsion (Kanzler's Wor…
GU Pharmacology - Ackey
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