Page 288 - 2021 IDMT Digital
P. 288
ACUTE EPIDIDYMITIS
Introduction:
• 0RVW FDVHV RI DFXWH HSLGLG\PLWLV DUH LQIHFWLRXV DQG FDQ EH GLYLGHG LQWR WZR FDWHJRULHV
ZLWK GLIIHUHQW DJH GLVWULEXWLRQV DQG HWLRORJLF DJHQWV
o 6H[XDOO\ WUDQVPLWWHG IRUPV PHQ DVVRFLDWHG ZLWK XUHWKULWLV DQG DV D UHVXOW RI
Chlamydia trachomatis RU Neisseria gonorrhoeae
o 1RQ VH[XDOO\ WUDQVPLWWHG IRUPV W\SLFDOO\ ROGHU PHQ DVVRFLDWHG ZLWK 87, DQG
SURVWDWLWLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o 3DLQ LQ WKH VFURWXP EHKLQG WKH WHVWLV ZLWK WHQGHUQHVV RI WKH HSLGLG\PLV ZLWK RU
ZLWKRXW SDLQ LQ WKH WHVWLV
o )HYHU LUULWDWLYH YRLGLQJ V\PSWRPV
o 3RVVLEOH DVVRFLDWHd V\PSWRPV RI XUHWKULWLV DQG GLVFKDUJH RU F\VWLWLV
Objective:
• 3K\VLFDO ([DP
o )HYHU DQG VFURWDO VZHOOLQJ DUH XVXDOO\ DSSDUHQW
o 8VXDO &RXUVH
(DUO\ WKH HSLGLG\PLV PD\ EH GLVWLQJXLVKDEOH IURP WKH WHVWLV
/DWHU WKH WZR PD\ DSSHDU DV RQH HQODUJHG WHQGHU PDVV
o 7KH SURVWDWH PD\ EH WHQGHU RQ UHFWDO H[DP
Assessment:
• 'LIIHUHQWLDO
o 7UDXPD KLVWRU\ RU VLJQV RI WUDXPD
o 7RUVLRQ XVXDOO\ DFXWH RQVHW RI VHYHUH SDLQ ZLWKRXW IHYHU
o 7HVWLFXODU WXPRU SDLQOHVV PDVV
o +HUQLD PD\ KHDU ERZHO VRXQGV RYHU PDVV LQ WHVWLFOH PD\ EH UHGXFLEOH
Plan:
• 0HGLFDWLRQV
o ,I VXVSLFLRXV IRU 67,
&HIWULD[RQH PJ ,0 WR WUHDW JRQRUUKHD
'R[\F\FOLQH RU azithromycin WR WUHDW FKODP\GLD
o ,I VXVSLFLRXV IRU RWKHU EDFWHULDO HWLRORJ\
/HYRIOR[DFLQ FLSURIOR[DFLQ WULPHWKRSULP VXOIDPHWKR[D]ROH RU GR[\F\FOLQH
• 6FURWDO VXSSRUW HOHYDWLRQ DQG EHG UHVW
• ,EXSURIHQ IRU SDLQ
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