Epididymo-orchitis

Question 1

Causative organisms

Answer 1

Chlamydia trachomatis and Neisseria gonorrhoeae, typically seen in sexually active younger adults) or t

he bladder (E. coli, typically seen in older adults with a low-risk sexual history).

Question 2

features

Answer 2

unilateral testicular pain and swelling

urethral discharge may be present, but urethritis is often asymptomatic

factors suggesting testicular torsion include patients < 20 years, severe pain and an acute onset

Question 3

ix

Answer 3

these are typically guided by the age of the patient

in younger adults assess for sexually transmitted infections

in older adults with a low-risk sexual history send a mid-stream urine (MSU) for microscopy and culture

Question 4

Mx

Answer 4

unknown organism: ceftriaxone 500mg IM single dose plus doxycycline 100mg PO BD 10-14 days