A 19 year old male is being see in the office for a red, swollen, and...
A 19 year old male is being see in the office for a red, swollen, and painful left scrotum. What are the risk factors, diagnostic test, treatment, and prevention for epididymis and orchitis? Which STD scares you the most especially if you have teenagers and young adults, why?
Homework Answers
Epididymitis is the swelling behind the testes whereas orchids is the swelling of the testes
Risk factors:
- Any viral or bacterial infection
- Any history of sexually transmitted disease
- Having coitus without condom
- Urinary tract infections
- Low immunity
- Prostatitis
Diagnostic test
- Ultrasound to view the testis for any torsion
- Urine test to rule out infection
- Discharge from the site or urethral opening to rule out sexually transmitted infections
Treatment
- Antibiotics in case of bacterial infection
- In case of viral infection ,there are no specific treatment, it settles on own ,only symptomatic treatment are given
- Analgesics to reduce pain
- Scrotal elevation to reduce swelling
- Ice application to relieve pain
Prevention
- Encouraging to follow safe intercourse with protective devices
- Getting vaccinated against vital infections
- To avoid intercoitus to prevent spreading
- Genital hygiene
Some of the STD which scares in the teenagers and young adults are
- Human papillomavirus infection
- Chlamydia
- HSV 2 infection
- Gonorrhea
- HIV
The main reason for this is because of
- Early sexual life
- Unprotected or unsafe intercoitus
- Lack of awareness
- Lack of proper guidance and support from parents when they are in teens are when cross that age where they are attracted easily towards opposite gender
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