Orchitis

Question 1

def

Answer 1

inflammation of one or both testicles

Question 2

aetiology

Answer 2

commonly caused by bacterial infections or the mumps virus

bacterial orchitis commonly results from epididymitis (STIs such as Chlamydia trachomatis and Neisseria gonorrhoeae)

Question 3

history

Answer 3

pain and swelling in one or both testicles
fever, N+V

symptoms may develop suddenly

Question 4

examination

Answer 4

swelling and tenderness in one or both testicles

Question 5

risk factors

Answer 5

not being immunised against mumps
recurrent UTIs
unprotected sex +/ multiple sexual partners

Question 6

complications

Answer 6

testicular atrophy
scrotal abscess
infertility

Question 7

investigations

Answer 7

1 urethral swab for STIs

2 urine test for identifying causative pathogen

Question 8

management

Answer 8

see Epididymitis