Read the following medical record. REASON FOR ADMISSION Right testicular mass HI
ID: 175265 • Letter: R
Question
Read the following medical record. REASON FOR ADMISSION Right testicular mass HISTORY oF PRESENTILLNESS: The patient is a healthy 23-year-old gentleman who, two months ago, noted a right testicular pain radiating to his right groin and right flank. After approximately one month of these symptoms, he was seen at the Student Health Center of Jensen University, where he is a student, and was diagnosed as having an infection in the epididymis and was treated with doxycycline. He had subsequent improvement in both pain and swelling over the course of the first few days; however, the pain then returned with mild increase in swelling again. He also reports afew episodes of chills for the past months, but denies anorexia, malaise, night sweats, trauma, any abnormal voiding symptoms, or urethral discharge. He is sexually active.Explanation / Answer
1. Initial symptom of the patient
2 months ago: Pain in right testicles radiating to his right groin and flank.
After 1 month: treatment with doxycycline for infection in the epididymis.
However, after few days, pain and swelling returned with few incidence of chills.
2. Initial treatment given to the patient
Initially, the patient was treated for the infection in the epididymis, with antibiotic doxycycline. The patient was also given an anti-inflammatory drug, ibuprofen to reduce pain.
Penetrex, a pain relief cream was also prescribed.
3. No, the patient did not have a urethral discharge.
4. The scrotal ultrasound revealed a non-uniform mass in the right testicles which were consistent with a tumor rather than an abscess.
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