Q:

A 32 year old man presents with 3 day of scrotal pain. Examination: thickening o the left testis and it is hot to touch. What is the most appropriate management?

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A 32 year old man presents with 3 day of scrotal pain. Examination: thickening o the left testis and it is hot to touch. What is the most appropriate management?


  1. Analgesia
  2. Reassurance
  3. Antibiotics
  4. Referral to surgeon

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The key is C. Antibiotics. [scrotal pain of 3 days with thickening of testis which is hot to touch suggests epididymoorchitis, which is treated with antibiotics].

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