5.0 of 2 Ratings
A 31-year-old man with no significant past medical history presents to his primary care provider complaining of right scrotal pain. He states that the pain began 2 days ago and has gradually worsened. He denies burning on urination. On further questioning, he reports two new sexual partners in the past 6 months. Vital signs T 99.8 F, HR 75 bpm, BP 125/80 mmHg, RR 12 rpm. Exam demonstrates a swollen right scrotum that is painful to the touch. Doppler ultrasonography of his right testicle is shown in Figure A. Urinalysis is positive for white blood cells. Of the following choices, which is the next best step?
Ceftriaxone and doxycycline
Supportive care and MMR vaccine
Referral to urologist
CT abdomen and pelvis
Select Answer to see Preferred Response