The nurse is reviewing the contents of a patient's medical record. Based upon this information, what health problem should the nurse suspect is the cause of the patient's symptoms?
1. mumps
2. scarlet fever
3. pneumonia
4. orchitis
Correct Answer: 1
The most common infectious cause of orchitis in postpubertal men is mumps. The manifestations occurred several days after swelling of the parotid glands, and the patient states his children have also been ill. The absence of rash would rule out scarlet fever as a cause. The patient has no symptoms of pneumonia. Symptoms of orchitis include high fever, elevated WBCs, unilateral or bilateral scrotal redness, swelling, and pain. The patient is experiencing orchitis, but based on the statement that his children have also been ill, this is not the best answer.
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