How to Answer Year Male Presents Questions (Complete Guide)

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Original Question

A 35-year-old male presents with reports of one week of left testicular discomfort and swelling. He says he was carrying a pail of paint up a ladder when he suddenly felt pain in the region. That evening, he noticed a swelling there that was only mildly uncomfortable. He denies vomiting, fever, urinary symptoms, direct trauma, or other symptoms. He has no medical history except a tonsillectomy as a child. On arrival, his vitals are BP 124/84, HR 65, RR 16, temp 97.9, and O2 sats 100% on RA. On exam, there is moderate swelling of his left scrotum, which is non-tender but more prominent when he is standing and nearly resolves while lying flat. Cremaster reflex is present. The rest of his exam is unremarkable. What should be done for him? • A. Order STAT testicular sonogram • B. Refer to surgeon over the next week or so • C. Check UA and treat with ciprofloxacin (Cipro) for 2 weeks • D. Refer him to ER for immediate surgical treatment Image transcription text A35-year-old male presents with reports of one week of Left testicular discomfort and swelling. He says he was carrying a pail of paint up a ladder when he … Show more

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