A 26-year-old male admits to unprotected sexual activity with men. He complains of pain in the left scrotal region and burning on urination that started 2 days ago. The scrotum is swollen and tender to palpation
A urethral discharge is evident. Pain decreases with elevation of the left scrotum. There is no pain on DRE. These are signs of:
A. Testicular torsion
B. Testicular cancer
C. Epididymitis
D. Prostatitis
ANS: C
Complaints associated with epididymitis usually involve a sudden onset (over 24 to 48 hours) of painful swelling in the scrotum, which can be unilateral or bilateral. Pain may decrease with elevation of the scrotum (Prehn's sign), although this is an unreliable indicator. There may be an associated urethral discharge and/or fever, and complaints of urethritis, cystitis or prostatitis are possible. On physical examination, the pain will localize to the affected epididymis with palpation, which will be swollen and indurated.
You might also like to view...
The nurse explains to parents of a child diagnosed with separation anxiety disorder that the peak age for this diagnosis is:
1. 9 months of age. 2. 2–3 years of age. 3. 5–7 years of age. 4. 7–9 years of age.
When the rehabilitative nurse is working with a gerontologic client and focuses on the many obstacles that the client has already successfully overcome, the nurse is exhibiting which of the following guidelines for rehabilitative care?
A) Provide time and flexibility. B) Recognize and praise accomplishments. C) Prevent complications. D) Emphasize function rather than dysfunction.
Nurse researchers have been particularly likely to use ability tests in studies of which group of subjects?
A) Low-birth-weight children B) Toddlers aged 2 to 5 C) Preadolescents D) Young adults
Two hours after receiving a pain medication, the patient states he still is suffering from pain. Which question is appropriate to ask the patient first?
A) "Do you need your pain medication now?" B) "Please describe your pain on a scale of 0 to 10." C) "Tell me where your pain is located." D) "Tell me more about your pain."