Q:

A 15 year old boy presents with testicular pain for 2days. There is no history of trauma. Examination: temp=38.5C, right hemi-scrotum tenderness. What is the single most appropriate management?

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A 15 year old boy presents with testicular pain for 2days. There is no history of trauma. Examination: temp=38.5C, right hemi-scrotum tenderness. What is the single most appropriate management? 


  1. Give antibiotics
  2. Give analgesia
  3. Reassure
  4. US scrotum
  5. Exploratory surgery

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The key is A. Give antibiotics. [This is a case of epididymoorchitis. Testicular pain with fever without history of trauma points towards the diagnosis of epididymoorchitis]. 

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